[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100580318":3},{"organization":4,"armGroups":7,"interventions":24,"overallOfficials":37,"centralContacts":42,"locations":48,"responsibleParty":64,"collaborators":66,"id":76,"slug":77,"hasResults":78,"nctId":79,"briefTitle":80,"officialTitle":80,"acronym":30,"eligibilityCriteria":81,"healthyVolunteers":82,"sex":83,"minAge":84,"maxAge":85,"enrollmentInfo":86,"targetDuration":30,"studyType":89,"phases":90,"briefSummary":92,"conditions":93,"keywords":30,"overallStatus":51,"whyStopped":30,"lastUpdateSubmitDate":95,"lastUpdatePostDateStruct":96,"startDateStruct":99,"completionDateStruct":101,"leadSponsor":103,"locationsCount":104},{"fullName":5,"class":6},"Johns Hopkins Bloomberg School of Public Health","OTHER",[8,14,19],{"label":9,"type":10,"description":11,"interventionNames":12},"Enhanced MMS delivery with six 30-count bottles (standard packaging amount for IFA)","ACTIVE_COMPARATOR","Pregnant women are provided with six 30-count bottles of MMS monthly during pregnancy, along with the novel job aid\u002Fadherence calendar and associated enhanced MMS counseling (1 district within each of the 3 study regions).",[13],"Dietary Supplement: Multiple Micronutrient Supplement (MMS) - dispensed in six 30-count bottles",{"label":15,"type":10,"description":16,"interventionNames":17},"Enhanced MMS delivery with one 180-count bottle","Pregnant women are provided with one 180-count bottle of MMS at the first ANC visit, along with the novel job aid\u002Fadherence calendar and associated enhanced MMS counseling (1 district within each of the 3 study regions).",[18],"Dietary Supplement: Multiple Micronutrient Supplement (MMS) - dispensed in one 180-count bottle",{"label":20,"type":10,"description":21,"interventionNames":22},"Enhanced MMS delivery with two 90-count bottles","Pregnant women are provided with two 90-count bottles of MMS at two different time points during pregnancy, along with the novel job aid\u002Fadherence calendar and associated enhanced MMS counseling (1 district within 2 of the study regions (e.g., 2 districts).",[23],"Dietary Supplement: Multiple Micronutrient Supplement (MMS) - dispensed in two 90-count bottles",[25,31,34],{"type":26,"name":27,"description":28,"armGroupLabels":29,"otherNames":30},"DIETARY_SUPPLEMENT","Multiple Micronutrient Supplement (MMS) - dispensed in six 30-count bottles","MMS is a daily supplement provided to pregnant women. It will be delivered to pregnant women through the specified bottle-count protocol as designated by the 3 study arms. ANC providers will be trained to counsel pregnant women on using MMS using a novel job aid\u002Fadherence calendar.",[9],null,{"type":26,"name":32,"description":28,"armGroupLabels":33,"otherNames":30},"Multiple Micronutrient Supplement (MMS) - dispensed in one 180-count bottle",[15],{"type":26,"name":35,"description":28,"armGroupLabels":36,"otherNames":30},"Multiple Micronutrient Supplement (MMS) - dispensed in two 90-count bottles",[20],[38],{"name":39,"affiliation":40,"role":41},"Monica Fox, MHS","Johns Hopkins University","PRINCIPAL_INVESTIGATOR",[43],{"name":44,"role":45,"phone":46,"phoneExt":30,"email":47},"Harriet Babikako, PhD","CONTACT","256-0704-584-089","babikako@yahoo.com",[49],{"facility":50,"status":51,"city":52,"state":30,"zip":30,"country":53,"countryCode":54,"cosmosGeoPoint":55,"geoPoint":60,"contacts":61},"Lyantonde GH","RECRUITING","Lyantonde","Uganda","UG",{"type":56,"coordinates":57},"Point",[58,59],31.15722,-0.40306,{"lat":59,"lon":58},[62],{"name":63,"role":45,"phone":30,"phoneExt":30,"email":30},"Lilian Tabwenda",{"type":65,"investigatorFullName":30,"investigatorTitle":30,"investigatorAffiliation":30,"oldNameTitle":30,"oldOrganization":30},"SPONSOR",[67,70,72,74],{"name":68,"class":69},"Vitamin Angels","UNKNOWN",{"name":71,"class":6},"UNICEF",{"name":73,"class":69},"Child and Family Foundation of Uganda",{"name":75,"class":69},"Kirk Humanitarian","100580318","implementation-of-multiple-micronutrient-supplementation-mms-for-pregnant-women-in-uganda-100580318",false,"NCT06835738","Implementation of Multiple Micronutrient Supplementation (MMS) for Pregnant Women in Uganda","Inclusion Criteria for Pregnant women- Enrolled for follow-up throughout pregnancy (sample 1)\n\n* ≤24 weeks of amenorrhea\u002Fgestation as verified by health professionals\n* Attending first ANC visit at government or PNFP health facilities.\n* Accepted to take MMS at first ANC visit\n\nExclusion Criteria for Pregnant women- Enrolled for follow-up throughout pregnancy (sample 1)\n\n* Pregnant women with pre-existing hematological conditions such as sickle cell anemia, thalassemia, hemochromatosis.\n* Pregnant women planning to relocate outside the study district during the study period.\n\nInclusion Criteria for Pregnant women \u002F Women that have recently delivered (single contact) (sample 2)\n\n* Currently pregnant woman or a woman who is not more than 8 weeks postpartum.\n* Received MMS at an ANC visit at least 3 months ago or more.\n* Attended at least any 2 monthly ANC visits.\n* Attending\u002Fattended ANC at government or private-not-for-profit health facility.\n\nExclusion Criteria for Pregnant women \u002F Women that have recently delivered (single contact) (sample 2)\n\n* Enrolled in study population 1.\n* Women who are more than 8 weeks postpartum.\n\nInclusion Criteria for ANC providers having ANC health education\u002Fcounseling with pregnant woman(en) observed (sample 3)\n\n• Healthcare providers that are currently providing ANC health education (group) or ANC individual counseling at government or PNFP health facilities.\n\nExclusion Criteria for ANC providers having ANC health education\u002Fcounseling with pregnant woman(en) observed (sample 3) • Healthcare providers that are currently providing ANC health education (group) or ANC individual counseling to a woman(en) that have not provided written informed consent to have the ANC session observed.\n\nInclusion Criteria for Influential family members (male partners \\& mothers\u002Fmothers-in law) (sample 4)\n\n* Spouse or partner of a pregnant woman or woman with a child less than 8 weeks old who is receiving\u002F has received ANC services in one of the 8 study districts.\n* Mother or mother-in-law of a pregnant woman or woman with a child less than 8 weeks old who is receiving\u002F has received ANC services in one of the 8 study districts.\n\nExclusion Criteria for Influential family members (male partners \\& mothers\u002Fmothers-in law) (sample 4) • None\n\nInclusion Criteria for Healthcare Providers- including facility in-charge, ANC providers, Health Assistants, staff in-charge of records, and stores manager (sample 5)\n\n* Health workers who provide ANC services (e.g., midwives\u002Fnurse, medical\u002F clinical officers, health assistants, and nutrition focal person) at government or private-not-for-profit facilities in one of the 8 study districts.\n* Health facility staff (e.g., Facility In-charge, Maternity In-charge, Pharmacy\u002FStores In-charge) at government or private-not-for-profit facilities in one of the 8 study districts.\n\nExclusion Criteria for Healthcare Providers- including facility in-charge, ANC providers, Health Assistants, staff in-charge of records, and stores manager (sample 5)\n\n• None\n\nInclusion Criteria for Community Health Workers (VHTs) and Mentor Mothers (sample 6) • Voluntary Health Team (VHT), Mentor Mothers, or Para-socials attached to at least one of the study facilities.\n\nExclusion Criteria for Community Health Workers (VHTs) and Mentor Mothers (sample 6) • None\n\nInclusion Criteria for National, regional, and district-level stakeholders (sample 7)\n\n* National, regional, or district-level decision-makers working in nutrition, maternal, newborn and child health, district health educator or pharmaceutical roles associated with the antenatal care system in Uganda.\n* Implementing partners involved in direct implementation of MMS within the 8 study districts\n\nExclusion Criteria for National, regional, and district-level stakeholders (sample 7)\n\n• None\n\nInclusion Criteria for Pregnant women - interviewed during post-intervention Household Coverage Survey (sample 8)\n\n* Woman who has been pregnant or delivered within the study period.\n* Household is within one of the 4 selected districts.\n\nExclusion Criteria for Pregnant women - interviewed during post-intervention Household Coverage Survey (sample 8)\n\n• Women who moved to the district after delivery.",true,"ALL","0 Years","80 Years",{"count":87,"type":88},4077,"ESTIMATED","INTERVENTIONAL",[91],"NA","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:\n\n* 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.\n* Determine the effect of dispensing MMS in different bottle counts on MMS adherence and ANC attendance among pregnant women.\n* Determine the cost and budget impact of MMS intervention implementation integrated in the Ugandan ANC service delivery system",[94],"Nutrient Deficiency","2026-06-29",{"date":97,"type":98},"2026-07-01","ACTUAL",{"date":100,"type":98},"2025-06-18",{"date":102,"type":88},"2026-12-31",{"name":5,"class":6},1]