The objective of this research is to understand how antenatal multiple micronutrient supplements (MMS) can be effectively implemented and scaled within the Uganda national health system context to support improved maternal nutrition and birth outcomes. Formative research has been conducted to design the implementation strategies that will be tested in this second phase of the study. The objectives are to:
* Describe the implementation of the MMS intervention (which consists of MMS product, a social behavior change communication (SBCC) strategy, capacity building, MMS supply chain support, monitoring, and evaluation) and explore acceptability, feasibility, fidelity, coverage, and potential for sustainability. * Determine the effect of dispensing MMS in different bottle counts on MMS adherence and ANC attendance among pregnant women. * Determine the cost and budget impact of MMS intervention implementation integrated in the Ugandan ANC service delivery system
≤24 weeks of amenorrhea/gestation as verified by health professionals
Attending first ANC visit at government or PNFP health facilities.
Accepted to take MMS at first ANC visit
Pregnant women with pre-existing hematological conditions such as sickle cell anemia, thalassemia, hemochromatosis.
Pregnant women planning to relocate outside the study district during the study period.
Currently pregnant woman or a woman who is not more than 8 weeks postpartum.
Received MMS at an ANC visit at least 3 months ago or more.
Johns Hopkins Bloomberg School of Public Health
Lead sponsor
Vitamin Angels
Collaborator
UNICEF
Collaborator
Child and Family Foundation of Uganda
Collaborator
Kirk Humanitarian
Collaborator