The objective of this research is to understand how antenatal multiple micronutrient supplements (MMS) can be effectively implemented and scaled within the Uganda 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: * Describe the implementation of the MMS intervention (which consists of MMS product, a social behavior change communication (SBCC) strategy, capacity building, MMS supply chain support, monitoring, and evaluation) and explore acceptability, feasibility, fidelity, coverage, and potential for sustainability. * Determine the effect of dispensing MMS in different bottle counts on MMS adherence and ANC attendance among pregnant women. * Determine the cost and budget impact of MMS intervention implementation integrated in the Ugandan ANC service delivery system
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
MMS Adherence (amount) as assessed by number of MMS tablets consumed
Timeframe: 3-month post-enrolment, 6-month post-enrolment visit, 6-week postpartum visit
MMS Adherence (frequency) as assessed by the frequency of tablets consumed
Timeframe: 3-month post-enrolment, 6-month post-enrolment visit, 6-week postpartum visit
ANC Adherence as assessed by the number of ANC visits throughout pregnancy
Timeframe: 3-month post-enrolment, 6-month post-enrolment visit, 6-week postpartum visit