Gaps in the implementation and uptake of maternal nutrition interventions in antenatal care services in Bangladesh, Burkina Faso, Ethiopia and India
Bibliographic Data
| ID | 15536728 |
|---|---|
| Authors | Tina Sanghvi (0000-0003-0159-734X, Thrive), Phuong H Nguyen (0000-0003-3418-1674, International Food Policy Research Institute, corresponding author), Manisha Tharaney (0000-0002-7144-0519, Thrive), Sebanti Ghosh (Thrive), Jessica Escobar‐Alegria (Family Health International 360), Zeba Mahmud (Family Health International 360), Tamirat Walissa (Thrive), Maurice Zafimanjaka (Thrive), Sunny S Kim (0000-0003-3960-3354, International Food Policy Research Institute) |
| Year | 2021 |
| Volume | 18 |
| Issue | 2 |
| Pages | e13293-e13293 |
| Publication date | 2021-11-23 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Maternal and Child Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1740-8695 • E-ISSN: 1740-8709 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/mcn.13293 |
| PMID | 34816602 |
| OpenAlex | W3215942526 |
| Language | EN |
| Citations received | 8 |
| References cited | 14 |
Antenatal care (ANC) is the largest health platform globally for delivering maternal nutrition interventions (MNIs) to pregnant women. Yet, large missed opportunities remain in nutrition service delivery. This paper examines how well evidence-based MNIs were incorporated in national policies and programs in Bangladesh, Burkina Faso, Ethiopia and India. We compared the nutrition content of ANC protocols against global recommendations. We used survey data to elucidate the coverage of micronutrient supplementation, weight gain monitoring, dietary and breastfeeding counselling. We reviewed literature, formative research and program assessments to identify barriers and enabling factors of service provision and maternal nutrition practices. Nutrition information in national policies and protocols was often fragmented, incomplete and did not consistently follow global recommendations. Nationally representative data on MNIs in ANC was inadequate, except for iron and folic acid supplementation. Coverage data from subnational surveys showed similar patterns of strengths and weaknesses. MNI coverage was consistently lower than ANC coverage with the lowest coverage of weight gain monitoring and variable coverage of dietary and breastfeeding counselling. Key common factors associated with coverage were micronutrient supply disruptions; suboptimal counselling on maternal diet, weight gain, and breastfeeding; and limited or no record keeping. Adherence of women to micronutrient supplementation and dietary recommendations was low and associated with late and too few ANC contacts, poor maternal knowledge and self-efficacy, and insufficient family and community support. Models of comprehensive nutrition protocols and health systems that deliver maternal nutrition services in ANC are urgently needed along with national data systems to track progress
Breastfeeding · Developing country · Economic growth · Environmental health · Malnutrition · Micronutrient · Nutrition Education · Psychological intervention · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Global Maternal and Child Health · Medicine · Nursing · Gerontology · Pediatrics
Investing in human development and building state resilience in fragile contexts
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Similarities in socioeconomic disparities and inequalities in women’s nutritional status and health care in Bangladesh, Ethiopia, India, and Nigeria
Process of developing models of maternal nutrition interventions integrated into antenatal care services in Bangladesh, Burkina Faso, Ethiopia and India
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| Unique citing works | 8 |
|---|---|
| Citations per year | 1,6 |
| Citation span | 2021 - 2025 (5) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 8 |