ReviewMaternal & child nutrition2022
A review of the maternal iron and folic acid supplementation programme in Nepal: Achievements and challenges.
Review in Maternal & child nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Effect of different Iron-Folic acid (IFA) formulations, doses, and frequencies on pregnancy and neonatal outcomes compared to multiple micronutrients (MMN) among pregnant women: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- Integrating Women and Girls' Nutrition Services into Health Systems in Low- and Middle-Income Countries: A Systematic Review.Nutrients · 2022Pooled it
- Contextual factors affecting the implementation of an anemia focused virtual counseling intervention for pregnant women in plains Nepal: a mixed methods process evaluation.BMC public health · 2023Trial
- Feasibility and Readiness for Scaling-Up Multiple Micronutrient Supplements in Nepal: A Qualitative Study Using the Expandnet Scaling-Up Framework.Maternal & child nutrition · 2026Article
- Article
- Beyond Calories: Addressing Micronutrient Deficiencies in the World's Most Vulnerable Communities-A Review.Nutrients · 2025Review
- Article
- The costs of implementing anaemia reduction interventions among women fish processors in Ghana.Cost effectiveness and resource allocation : C/E · 2024Article
- Inequality in iron and folic acid consumption and dietary diversity in pregnant women following exposure to maternal nutrition interventions in three low- and middle-income countries.Public health nutrition · 2024Article
- An anthropological history of Nepal's Female Community Health Volunteer program: gender, policy, and social change.International journal for equity in health · 2024Article
- Expanded roles of community health workers beyond malaria in the Asia-Pacific: A systematic review.PLOS global public health · 2024Article
- Prevalence and factors associated with anemia in women of reproductive age across low- and middle-income countries based on national data.Scientific reports · 2023Article
- Assessing food-based strategies to address anaemia in pregnancy in rural plains Nepal: a mixed methods study.The British journal of nutrition · 2023Article
- Integrating and coordinating programs for the management of anemia across the life course.Annals of the New York Academy of Sciences · 2023Article
- High coverage but low quality of maternal and newborn health services in the coverage cascade: who is benefitted and left behind in accessing better quality health services in Nepal?Reproductive health · 2022Article
- National, regional, and global estimates of anaemia by severity in women and children for 2000-19: a pooled analysis of population-representative data.The Lancet. Global health · 2022Article
- A review of the maternal iron and folic acid supplementation programme in Nepal: Achievements and challenges.Maternal & child nutrition · 2022Review
- Unequal coverage of nutrition and health interventions for women and children in seven countries.Bulletin of the World Health Organization · 2022Article
- Nutrition in Nepal: Three decades of commitment to children and women.Maternal & child nutrition · 2022Article
- Predictors of iron consumption for at least 90 days during pregnancy: Findings from National Demographic Health Survey, Pakistan (2017-2018).BMC pregnancy and childbirth · 2021Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In the late 1990s, an estimated 75% of pregnant women in Nepal were anaemic. Although iron and folic acid (IFA) supplements were available free of charge, coverage among pregnant women was very low. In response, the Government of Nepal launched the Iron Intensification Programme (IIP) in 2003 to improve the coverage of IFA supplementation and anthelminthic treatment during pregnancy, as well as promote the utilization of antenatal care. This review examined how the IIP programme contributed to Nepal's success in increasing the consumption of IFA supplements during pregnancy. Nepal's cadre of Female Community Health Volunteers were engaged in the IIP to support the community-based distribution of IFA supplements to pregnant women and complement IFA distribution through health facilities and outreach services. As a result, the country achieved a fourfold increase in the proportion of women who took IFA supplements during pregnancy between 2001 and 2016 (from 23% to 91%) and a 12-fold increase in the proportion who took IFA supplements for at least 90 days during pregnancy (from 6% to 71%). The increase in coverage of IFA supplements accompanied an increase in the coverage of antenatal care during the same period. By 2016, the prevalence of anaemia in pregnant women decreased to 46%, highlighting the need to tackle other causes of anaemia and improve haemoglobin concentration before pregnancy, while maintaining the successful efforts to reach pregnant women with IFA supplements at the community level.
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