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Knowledge Hub

The Knowledge Hub of the Healthy Mothers Healthy Babies Consortium brings together existing knowledge, guidance, tools, and other useful resources related to women’s nutrition, maternal nutrition, and evidence-based interventions targeting women, such as prenatal Multiple Micronutrient Supplementation (MMS).

It also includes Knowledge Bytes, a series of short videos featuring experts addressing a specific topic related to maternal nutrition and MMS. Click here to watch.

The Knowledge Hub is a dynamic, publicly accessible repository. It will be expanded and further improved over time, and we ask for your help in this. Please share any resources that you believe should be included in this Knowledge Hub, and send them to [email protected].

 

Start Here: Key Resources

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  • East and Southern Africa
  • Policy and policy development
  • Policy brief
Nutrition International April 2020

Cost-Effectiveness of transitioning from Iron and Folic Acid to Multiple Micronutrient Supplementation for pregnancy in Malawi

This policy brief outlines the cost-effectiveness and investment case in Malawi, Africa, to transition from iron-folic acid (IFAS) to multiple micronutrient supplementation (MMS).

  • Global
  • Advocacy
  • Report
Sight & Life Robert E. Black

Strong Evidence Supports Antenatal Multiple Micronutrient Supplementation

This article outlines the strong evidence that supports multiple micronutrient supplementation (MMS) and argues that implementation should be scaled up rapidly while addressing service delivery barriers.

  • West and Central Africa
  • Research
  • Scientific publication
PLOS MEDICINE Sudfeld et al. May 2022

Evaluation of multiple micronutrient supplementation and medium-quantity lipid-based nutrient supplementation in pregnancy on child development in rural Niger: A secondary analysis of a cluster randomized controlled trial

A  3-arm cluster-randomized trial was conducted that evaluated the efficacy of prenatal multiple micronutrient supplementation (MMS), lipid-based nutrient supplementation (LNS), as compared to routine iron–folic acid (IFA) supplementation among pregnant women in the rural district of Madarounfa, Niger, from March 2015 to August 2019. Results demonstrated that there was no benefit of prenatal MMS on child development outcomes up to 2 years of age as compared to IFA. There was evidence of an apparent positive effect of prenatal LNS on cognitive development trajectory and time to achievement of selected gross motor milestones.

  • Global
  • Research
  • Scientific publication
Maternal and Child Nutrition Garcia-Casal et al. December 2018

Multiple micronutrient supplements in pregnancy: Implementation considerations for integration as part of quality services in routine antenatal care. Objectives, results, and conclusions of the meeting

The World Health Organization (WHO) Department of Nutrition for Health and Development, in collaboration with the United Nations Children’s Fund (UNICEF) and Nutrition International (NI), convened a technical consultation “Multiple micronutrient supplements in pregnancy: Implementation considerations for successful incorporation into existing programmes.” The objectives of the technical consultation were to (a) examine implementation experiences of micronutrient supplementation interventions in pregnant women, lessons learned, and best practices; (b) discuss programmatic and technical considerations of interventions on multiple micronutrient supplementation (MMS) in pregnant women in low-, middle-, and high-income countries; and (c) identify implementation considerations that can be useful to scale up efforts by national policymakers and their advisors considering MMS as part of existing antenatal care programs as well as other delivery platforms.  This paper provides the background and rationale of the technical consultation, synopsizes the presentations, and summarizes the primary considerations and conclusions reached during plenary discussions.

  • South Asia
  • Research
  • Scientific publication
British Medical Journal Open Hossain et al., May 2022

Evaluating the impact of a countrywide, market-based roll-out of multiple micronutrient supplementation on low birth weight in Bangladesh: protocol for a two-arm, quasi-experimental and mixed-methods evaluation study

The Social Marketing Company (SMC) in Bangladesh is implementing a countrywide, market-based roll-out of multiple micronutrient supplementation (MMS) for pregnant women. This study evaluated the implementation of the supplementation program and its impact on reducing low birth weight (LBW).

  • Global
  • Advocacy
  • Implementation
  • Policy and policy development
  • Guidance document
January 2022

FIGO Session S178: The unfinished agenda of maternal malnutrition and its impact on birth outcomes

This session on maternal nutrition, ‘The unfinished agenda of maternal malnutrition and its impact on birth outcomes“ was organized by HMHB at the FIGO World Congress 2021. This is an on-demand pre-recorded session (S-178). This session aimed to increase awareness and understanding of the relationship between maternal malnutrition and birth outcomes, share the evidence on the impact of maternal nutrition interventions ready to scale up including multiple micronutrient supplementation on birth outcomes, and share country experiences related to the integration of MMS in antenatal care services. It features global experts in maternal nutrition, who will each focus on one key area of maternal malnutrition and MMS.

Topics and Speakers

The framing of the discussion and closing remarks are by Dr. Saskia Osendarp, Executive Director, The Micronutrient Forum. Speakers and topics are as follows –

  1. The evidence on maternal nutrition & multiple micronutrient supplements – Dr. Parul Christian, Director, Human Nutrition Program, and Associate Chair, Department of International Health at the Bloomberg School of Public Health, Johns Hopkins University
  2. MMS Policy and Program experience of Bangladesh – Dr. Mustafizur Rahman, Line Director, NNS, HPNSP, Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh
  3. Implementation research to enhance introduction and effectiveness use of MMS in four countries – Nita Dalmiya, Maternal Nutrition Specialist, UNICEF New York
  4. Policies and practice related to nutrition-quality in Antenatal Care- Dr. Amy Pollack, Director Maternal, Newborn, Child Health, The Bill and Melinda Gates Foundation.
  • West and Central Africa
  • Advocacy
  • Case study
August 2022

Women’s Voices from the Democratic Republic of Congo

This short film shows how Makenge Thethe from the Democratic Republic of Congo (DRC) in her ninth month of pregnancy struggles with her workload, nutrition and health care needs and how multiple micronutrient supplements (MMS) can help improve her health.

  • South Asia
  • Advocacy
  • Case study
August 2022

Women’s Voices from Bangladesh

This short film depicts the struggles of Jahanara from Tongi Township, Bangladesh, during her pregnancy in accessing nutrition-rich food and health services.

  • Asia
  • West and Central Africa
  • Advocacy
  • Implementation
  • Policy and policy development
  • Case study
Agriculture Nutrition and Health (ANH) Academy August 2022

Accelerating the integration of prenatal multiple micronutrient supplementation (MMS) into antenatal care services

HMHB hosted an online side event at the 7th Annual Agriculture Nutrition and Health (ANH) Academy Week during the Research Conference from  28 to 30 June, which covered a range of hot-topic discussions. The HMHB session, titled, ‘Accelerating the integration of prenatal multiple micronutrient supplementation (MMS) into antenatal care services’ was held on 30 June. The aim of this session was to increase understanding regarding policy advocacy and implementation research related to the introduction of MMS based on country experiences. The session highlighted the scientific evidence of MMS, an evidence-based, cost-effective, and affordable intervention to improve maternal nutrition and birth outcomes. The event was moderated by Dr. Martin Mwangi, Program Lead, Healthy Mothers Healthy Babies Consortium.

Speakers and topics were as follows:  

  1. Maternal nutrition: scope and scale of the issue – Dr. Martin Mwangi, HMHB, Micronutrient Forum 
  2. Advocacy & situational analysis, Cambodia – Hou KroeunHelen Keller International, Cambodia 
  3. Implementation research – Mali – Adama Mamby KeitaJHPiego 
  4. Implementation research approach ­– Ashutosh Mishra, Vitamin Angels, India
  • South Asia
  • Advocacy
  • Case study
May 2022

Women’s Voices from Mumbai, India

This film depicts the struggles of Shabana and Parveen from Mumbai, who work outside and inside their homes to provide for their families despite being heavily pregnant. They lack access to adequate food and nutrition, as well as health and nutrition services.