CompletedNot Applicable

Antenatal Multiple Micronutrient Supplementation (MMS) in Indonesia

Indonesia5,384 participantsStarted 2023-12-25

Plain-language summary

The objective of this research is to understand how antenatal multiple micronutrient supplements (MMS) can be effectively implemented and scaled within the Indonesian national health system context to support improved maternal nutrition and birth outcomes. Formative research has been conducted to design the implementation strategies that will be tested in this second phase of the study. The objectives are to: * Examine different MMS delivery strategies (i.e., packaging strategies and behavior change communication (BCC) strategies) in relation to MMS adherence. * Assess acceptability, feasibility, fidelity, and coverage of MMS program implementation within antenatal care services (ANC)

Who can participate

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria for 3,360 pregnant women (PW) enrolled from 8 high-intensity evaluation districts (sample group 1) * Enrolled in ANC 1 through government health facilities. * Received MMS at ANC 1 * Gestational age at ANC 1 ≤ 20 weeks (verified by health professionals) * Consent provided to participate in the study. Exclusion Criteria for 3,360 pregnant women (PW) enrolled from 8 high-intensity evaluation districts (sample group 1) * PW with complicated pregnancy complications (e.g., thalassemia, hemochromatosis,) * PW planning to move outside study district during study period. Inclusion Criteria for 72 PW / recently delivered women participating in in-depth interviews (IDI) only (sample group 2) * Enrolled in ANC 1 through government health facilities. * Received MMS at ANC 1 * Gestational age at ANC 1 ≤ 20 weeks (verified by health professionals) * Consent provided to participate in qualitative component of study. * Received MMS for at least 3 months. * Attended \> 2 ANC visits. * \< 4 weeks post-partum Exclusion Criteria for 72 PW / recently delivered women participating in in-depth interviews (IDI) only (sample group 2) * Enrolled in Sample 1 * Women who are more than 4 weeks postpartum. Inclusion Criteria for 180 healthcare providers participating in focus group discussions (FGDs) (sample group 3) * Government health workers who provide ANC services (e.g., midwives, general practitioners, and nutritionists) * Government health facility management staff (e.g.…

What they're measuring

MMS Adherence (amount)

Timeframe: Post-enrollment up to 3 months, Post-pregnancy up to 4 weeks

MMS Adherence (frequency)

Timeframe: Post-enrollment up to 3 months, Post-pregnancy up to 4 weeks

Trial details

NCT IDNCT06225791

SponsorJohns Hopkins Bloomberg School of Public Health

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-01-31

View on ClinicalTrials.gov More Nutrient Deficiency trials

Plain-language summary

Who can participate

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.