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Scaling up antenatal multiple micronutrient supplementation in Africa

2026-01Artigo científico Acesso aberto
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dc.contributor.authorMwangi, Martin N.
dc.contributor.authorMukendi, Elisabeth T.
dc.contributor.authorPereira, Carolina
dc.contributor.authorGomes, Filomena
dc.contributor.authorGomes, Filomena
dc.contributor.authorKissell, Mihaela C.
dc.contributor.authorPandav, Rijuta
dc.contributor.authorWaudo, Maurine N.
dc.contributor.authorBirhanu, Tarik Taye
dc.contributor.authorAyele, Abeba
dc.contributor.authorMcColl, Alyson
dc.contributor.authorvan Liere, Marti J.
dc.contributor.authorOsendarp, Saskia J.M.
dc.contributor.authorFox, Monica J.
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblElsevier
dc.date.accessioned2025-09-16T21:47:55Z
dc.date.available2025-09-16T21:47:55Z
dc.date.issued2026-01
dc.descriptionFunding Information: The 2nd Africa Maternal Nutrition and MMS Technical Meeting: A Path Toward Introduction and Scale-up of MMS in Africa was jointly funded by the Children\u2019s Investment Fund Foundation, Kirk Humanitarian, and the Gates Foundation. Eleanor Crook Foundation, Helen Keller International, Vitamin Angel Alliance, and World Vision International provided travel support for some meeting participants. Publisher Copyright: © 2025 The Authors
dc.description.abstractMaternal undernutrition in Africa remains a public health challenge, contributing to negative pregnancy outcomes, neonatal mortality, and perpetuating intergenerational cycles of poor health. Antenatal multiple micronutrient supplementation (MMS), a cost-effective intervention recognized for its potential to improve maternal and neonatal health, reduces risks of low birth weight, preterm birth, small for gestational age, and stillbirth while offering a $37 return for every $1 invested. Despite its benefits, MMS adoption across African countries remains suboptimal. This position paper synthesizes the outcomes of the 2nd Africa Maternal Nutrition and MMS Technical Meeting: A Path Toward Introduction and Scale-up of MMS in Africa, held in Nairobi, Kenya, in October 2024. The 3-d meeting convened government representatives from 17 African member states, donors, and experts to align on a shared vision for MMS introduction and scale-up in Africa. Participants emphasized MMS integration into antenatal care as a cornerstone of maternal nutrition strategies and identified actionable recommendations to overcome policy, supply chain, financing, and implementation barriers. Key messages include the urgency of scaling MMS, the role of implementation science in tailoring programs to local contexts, and the necessity of regional collaboration to share lessons and facilitate progress. It outlines a pathway for integrating MMS into antenatal care services, ensuring a quality supply, securing financial commitments, strengthening delivery, and engaging communities. The accompanying “Call to Action” provides a detailed roadmap to guide stakeholders in scaling up MMS as an urgent priority to enhance maternal and neonatal health, advance gender equality, and fulfill Africa's global health commitments.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent921144
dc.identifier.doi10.1016/j.nut.2025.112911
dc.identifier.issn0899-9007
dc.identifier.otherPURE: 129365285
dc.identifier.otherPURE UUID: 77919dc3-d739-4bc7-ba3f-27a090e8a581
dc.identifier.otherScopus: 105014986690
dc.identifier.urihttp://hdl.handle.net/10362/187976
dc.identifier.urlhttps://www.scopus.com/pages/publications/105014986690
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAntenatal care (ANC)
dc.subjectImplementation science
dc.subjectIron and folic acid (IFA)
dc.subjectMaternal nutrition
dc.subjectMultiple micronutrient supplementation (MMS)
dc.subjectEndocrinology, Diabetes and Metabolism
dc.subjectNutrition and Dietetics
dc.subjectSDG 2 - Zero Hunger
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 5 - Gender Equality
dc.subjectSDG 10 - Reduced Inequalities
dc.titleScaling up antenatal multiple micronutrient supplementation in Africaen
dc.title.subtitleA unified call for actionen
dc.typejournal article
degois.publication.titleNutrition
degois.publication.volume141
dspace.entity.typePublication
person.familyNameGomes
person.givenNameFilomena
person.identifier.ciencia-id7312-7CC0-B243
person.identifier.orcid0000-0003-1702-1433
person.identifier.scopus-author-id57189062259
rcaap.rightsopenAccess
relation.isAuthorOfPublicationd3edca95-d816-4c32-bb5a-fac15f39b294
relation.isAuthorOfPublication.latestForDiscoveryd3edca95-d816-4c32-bb5a-fac15f39b294

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