The barrier at the maternal level was lack of time, neglect, difficulties in preparing the MNP, and opposition to the use of the MNP by the husband. The barrier at the product (MNP) level was the lack of knowledge about the supplement, including taste and side effects. The barriers identified at the health care level were limited access to HCFs, negative rumors regarding the MNP in the clinics, and poor care by health personnel. In-depth interviews were conducted with mothers of children younger than 3 years, and observations in health care facilities (HCFs) were made to determine the barriers and facilitators of MNP supplementation. This qualitative exploratory study with a grounded theory approach was conducted in the Peruvian cities of Lima, Tacna, Loreto, and Puno in 2014. To explore the barriers and facilitators of micronutrient powder (MNP) supplementation to mothers of children aged 6 to 35 months living in the Peruvian cities of Tacna, Loreto, Puno, and Lima.
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