Gaps in the implementation and uptake of maternal nutrition interventions in antenatal care services in Bangladesh, Burkina Faso, Ethiopia and India

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dc.creatorSanghvi, Tina
dc.creatorNguyen, Phuong Hong
dc.creatorTharaney, Manisha
dc.creatorGhosh, Sebanti
dc.creatorEscobar-Alegria, Jessica
dc.creatorKim, Sunny S.
dc.date2022-04
dc.date2024-04-12T13:37:19Z
dc.date2024-04-12T13:37:19Z
dc.date.accessioned2026-06-27T15:12:38Z
dc.descriptionAntenatal 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.
dc.identifierhttps://hdl.handle.net/10568/141118
dc.identifier.urihttp://hdl.handle.net/123456789/97777
dc.languageen
dc.publisherWiley
dc.rightsOpen Access
dc.sourceSanghvi, Tina; Nguyen, Phuong Hong; Tharaney, Manisha; Ghosh, Sebanti; Escobar-Alegria, Jessica; Kim, Sunny S.; et al. 2022. Gaps in the implementation and uptake of maternal nutrition interventions in antenatal care services in Bangladesh, Burkina Faso, Ethiopia and India. Maternal and Child Nutrition 18(2): e13293. https://doi.org/10.1111/mcn.13293
dc.subjectinfants
dc.subjectimplementation
dc.subjectweight gain
dc.subjectpregnancy
dc.subjectmaternal health
dc.subjectnutrition
dc.subjecttrace elements
dc.subjectdietary counselling
dc.subjectbreastfeeding
dc.subjectmaternal nutrition
dc.subjectperinatal period
dc.subjecthealth care
dc.titleGaps in the implementation and uptake of maternal nutrition interventions in antenatal care services in Bangladesh, Burkina Faso, Ethiopia and India
dc.typeJournal Article

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Instituto Internacional de Investigación sobre Políticas Alimentarias (IFPRI)