Qualitative evaluation of a package of implementation strategies codesigned to support the introduction of multiple micronutrient supplementation (MMS) for pregnant women in Bamako, Mali.

Autor: Ba A; Jhpiego, Bamako, Mali., Fox MJ; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.; Vitamin Angel Alliance, Goleta, California, USA., Keita AM; Center for Vaccine Development, Bamako, Mali., Hurley KM; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.; Vitamin Angel Alliance, Goleta, California, USA., King SE; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.; Vitamin Angel Alliance, Goleta, California, USA., Sow S; Center for Vaccine Development, Bamako, Mali., Diarra K; Center for Vaccine Development, Bamako, Mali., Djiteye M; Center for Vaccine Development, Bamako, Mali., Kanté BS; Center for Vaccine Development, Bamako, Mali., Coulibaly M; Center for Vaccine Development, Bamako, Mali., Dembele O; Center for Vaccine Development, Bamako, Mali., Noguchi LM; Jhpiego, Baltimore, Maryland, USA., Sripad P; Jhpiego, Baltimore, Maryland, USA., Winch PJ; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Jazyk: angličtina
Zdroj: Maternal & child nutrition [Matern Child Nutr] 2024 Aug 22, pp. e13712. Date of Electronic Publication: 2024 Aug 22.
DOI: 10.1111/mcn.13712
Abstrakt: Mali national policy recommends that women take iron and folic acid supplements (IFA) from the time of the first antenatal care (ANC) visit, throughout pregnancy and during the first 3 months after delivery. In 2020, the World Health Organization (WHO) updated their ANC guidelines to recommend the United Nations International Multiple Micronutrient Antenatal Preparation (UNIMMAP) formulation of multiple micronutrient supplements (MMS) in the context of rigorous research, including implementation research. In Bamako, Mali, a codesign process was used to tailor antenatal care MMS packaging and counselling materials aimed at optimizing delivery and uptake of and adherence to MMS. This paper presents the codesign process along with the results of a post-intervention qualitative assessment to evaluate the behaviour change intervention. At the conclusion of the intervention, we conducted semistructured qualitative interviews with 24 women who had received the intervention and six pharmacy managers from the six health centres participating in the study. We conducted two focus groups with midwives who had delivered the intervention and two group discussions with family members of women who had received the intervention. Respondent perspectives reveal an easy experience transitioning from previously used IFA. Women and providers concur that the intervention counselling materials and visual aids were instrumental in influencing the perceived benefit and uptake of MMS. Family members play an influential role in pregnant women's decision-making regarding MMS uptake. MMS and the associated implementation strategies developed through the codesign process were found to be a highly acceptable intervention.
(© 2024 The Author(s). Maternal & Child Nutrition published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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