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While there was a significant decrease in ever receiving a Sprinkles calendar (P?Decitabine high (71�C82%). The most commonly reported barriers to giving Sprinkles to children in the study areas were cost, loose stools or diarrhoea, parents forgetting and increase in appetite. There was an increase in the barrier related to parents forgetting to give Sprinkles (P?Tryptophan synthase A majority (69.3%) of cups were distributed in year 2. The total number of Sprinkles sachets sold to SWAP vendors decreased from 127?910 in year 1 to 84?582 in year 2 and 32?639 in year 3. Given the decreased Sprinkles use at the August 2010 follow-up, we aimed to evaluate factors associated with Sprinkles use. Table?3 shows the unadjusted and adjusted odds of Sprinkles use in the last 7 days among the 819 children without any missing covariate values. Factors associated with recent Sprinkles use included age 6�C23 months compared with 24�C35 months [adjusted odds ratio (aOR)?=?1.5, 95% confidence interval (CI)?=?1.1�C2.2]; lowest 2 quintiles of socio-economic status (aOR?=?1.7, 95% CI?=?1.2�C2.4), attendance at trainings or launches (aOR?=?2.8, 95% PD98059 datasheet CI?=?1.9�C4.2) and receipt of promotional items including brochures, calendars, cups, stickers and t-shirts (aOR?=?1.7, 95% CI?=?1.02�C2.9). Child's gender, maternal education and whether or not the household was part of prior study monitoring were not associated with recent Sprinkles use. Multivariate analysis looking at factors associated with ever Sprinkles use resulted in similar findings, with attendance at trainings or launches (aOR?=?2.7, 95% CI?=?1.9�C3.8) and receipt of promotional items (aOR?=?2.7, 95% CI?=?1.9�C3.9) associated with Sprinkles use. However, older age (24�C35 months compared with 6�C23 months, aOR 2.8, 95% CI?=?2.0�C4.0) was also associated with ever Sprinkles use. We compared the prevalence of anaemia, iron deficiency, vitamin A deficiency and malaria parasitaemia by study year (Fig.?2). Approximately 66% of children were anaemic at baseline, 42.8% were anaemic in 2008, 45.9% were anaemic in 2009 and 71.7% were anaemic in 2010, with a significant trend of anaemia increase from 2008 to 2010 (P?