Evidence map›Paper›PMID 41320953›Full record

ArticleMaternal & child nutrition2026

Introducing Antenatal Multiple Micronutrient Supplements: Lessons Learned From Implementation Research in Bangladesh, Burkina Faso, Madagascar and Tanzania.

Susan Thurstans-Fuller, Philip James, Rachael Menezes, Alison Fleet, Ireen Akhter Chowdhury, Johanne Desormeaux, Onjanarindra Jeannie Nadia Razafimalaza, Patrick Codjia, Vilma Tyler, Alison Tumilowicz and 2 more

Abstract read
In one paragraph

Article in Maternal & child nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Susan Thurstans-FullerEmergency Nutrition Network, Oxford, UK.ORCID 0000-0002-7102-446X
Philip JamesEmergency Nutrition Network, Oxford, UK.
Rachael MenezesEmergency Nutrition Network, Oxford, UK.
Alison FleetUNICEF Supply Division, Copenhagen, Denmark.
Ireen Akhter ChowdhuryUNICEF, Dhaka, Bangladesh.
Johanne DesormeauxUNICEF, Ouagadougou, Burkina Faso.
Onjanarindra Jeannie Nadia RazafimalazaUNICEF, Antananarivo, Madagascar.
Patrick CodjiaUNICEF, Dar es Salaam, Tanzania.
Vilma TylerUNICEF, New York, USA.
Alison TumilowiczGates Foundation, Seattle, Washington, USA.
Zeina SifriGates Foundation, Seattle, Washington, USA.
Emily MatesUNICEF, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Micronutrient deficiencies affect two-thirds of reproductive-age women globally, with pregnant women in low- and middle-income countries at higher risk due to greater nutritional needs and limited diets. Multiple micronutrient supplements (MMS) have shown greater benefits than iron-folic acid (IFA) during pregnancy, but WHO currently limits recommendations to humanitarian or research settings. This study synthesises experiences of implementation research designed to support and document the transition from IFA to MMS for pregnant women in Bangladesh, Burkina Faso, Madagascar and Tanzania, providing insights for scaling up MMS programming globally. This qualitative study used key informant interviews and reviews of key policies, proposals, and project materials. Purposive sampling identified 16 key informants involved in the project design, implementation, or funding at country, regional, or global levels. Semi-structured questionnaires guided discussions on themes including project planning, policy environment, community engagement, logistics, and monitoring. Qualitative descriptive analysis of interview transcripts and documents identified key themes and insights. Findings revealed context-specific successes and challenges in transitioning to MMS, highlighting the unique opportunity to strengthen antenatal care (ANC) systems. Key informants emphasised the importance of context specific situational analysis and tailored interventions, strong policy support, community engagement, robust supply chains, sustainable financing, effective monitoring systems, and collaboration among stakeholders. The experiences from this project contribute to the evidence base on MMS implementation. They demonstrate that the transition from IFA to MMS should be leveraged to enhance services and advocate for a health systems-wide approach, moving beyond isolated interventions, to foster more impactful and integrated improvements within ANC.

Indexed as

Dietary SupplementsMicronutrientsPrenatal CareBangladeshBurkina FasoFemaleHumansMadagascarPregnancyQualitative ResearchTanzaniaMicronutrients

Identifiers

PMID41320953
PMCPMC12665796

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.