Evidence map›Paper›PMID 41683197›Full record

ArticleNutrients2026

Antenatal Care Attendance and Multiple Micronutrient Supplementation Intake: Perspectives from Women and Antenatal Care Service Providers in Rwanda.

Giulia Pastori, Kesso Gabrielle van Zutphen-Küffer, Shashank Sarvan, Yana Manyuk, Elvis Gakuba, Yashodhara Rana, Jack Clift, Kara Weiss, Bonnie Weiss, Xiao-Yu Wang and 6 more

Abstract read
In one paragraph

Article in Nutrients, 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

16 authors.

Giulia PastoriSight and Life, 4303 Kaiseraugst, Switzerland.ORCID 0000-0003-1291-673X
Kesso Gabrielle van Zutphen-KüfferSight and Life, 4303 Kaiseraugst, Switzerland.
Shashank SarvanSight and Life, 4303 Kaiseraugst, Switzerland.
Yana ManyukSight and Life, 4303 Kaiseraugst, Switzerland.
Elvis GakubaSight and Life, 4303 Kaiseraugst, Switzerland.
Yashodhara RanaEleanor Crook Foundation, San Marcos, TX 78666, USA.ORCID 0000-0003-1551-8278
Jack CliftEleanor Crook Foundation, San Marcos, TX 78666, USA.
Kara WeissCRI Foundation, Boston, MA 02116, USA.
Bonnie WeissCRI Foundation, Boston, MA 02116, USA.
Xiao-Yu WangCRI Foundation, Boston, MA 02116, USA.
Aline UwimanaRwanda Biomedical Centre, Kimihurura, Kigali P.O. Box 7162, Rwanda.
Claude M MuvunyiRwanda Biomedical Centre, Kimihurura, Kigali P.O. Box 7162, Rwanda.ORCID 0000-0003-4180-442X
Eliphaz TuyisengeRwanda Biomedical Centre, Kimihurura, Kigali P.O. Box 7162, Rwanda.
Samson DesieUNICEF Rwanda, Kacyiru, Kigali P.O. Box 381, Rwanda.ORCID 0009-0009-0210-3584
Melinda K MunosDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21218, USA.
Sufia AskariSight and Life, 4303 Kaiseraugst, Switzerland.

Funding

CRI Foundation 6023Eleanor Crook Foundation 6023
6 · The paper itself

Abstract

BACKGROUND/

objectivesEmerging evidence suggests that multiple micronutrient supplements (MMS) provide additional benefits for maternal and neonatal health compared with iron and folic acid (IFA) supplements. To achieve effective coverage, acceptability, and adherence-and to inform a nationwide rollout of MMS-it is essential to understand the context-specific factors that shape implementation. This study evaluated the pilot implementation of MMS in Rwanda to identify key enablers, areas for improvement, and challenges related to antenatal care (ANC) attendance and MMS use.

methodsData were collected through a survey of 3257 women who attended ANC services, seven focus group discussions with 35 ANC attendees, and key informant interviews with 20 ANC nurses and 21 community health workers.

resultsPregnant women reported high ANC attendance (74%) and MMS consumption (79%), largely driven by strong motivation and awareness of MMS benefits. Strategies to remember daily intake and to manage side effects supported adherence, as did reminders, motivation, and information from family members and healthcare providers. Limited patient-centered counselling, financial constraints, barriers to accessing ANC services, and product stock-outs were key areas for strengthening service delivery in Rwanda.

conclusionsSustaining high ANC attendance and MMS adherence as the program transitions from the pilot phase to national scale-up is essential. Improving counseling quality and strengthening supply chains may reinforce ANC services and support sustained MMS adherence, with benefits for maternal and child health.

Indexed as

Dietary SupplementsMicronutrientsPrenatal CareAdultFemaleFocus GroupsHumansPatient Acceptance of Health CarePatient CompliancePilot ProjectsPregnancyRwandaYoung AdultMicronutrientsadherenceanemiaimplementation researchmicronutrient supplementationprenatal care

Identifiers

PMID41683197
PMCPMC12899659

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.