The Knowledge Hub of the Healthy Mothers Healthy Babies Consortium brings together existing knowledge, guidance and tools and other useful resources related to women nutrition, maternal nutrition and evidence-based interventions targeting women, such as prenatal Multiple Micronutrient Supplementation (MMS).
The Knowledge Hub is a dynamic, publicly accessible repository. It will be expanded and further improved over time, and we ask your help in this. Please share any resources that you believe should be included in this Knowledge Hub, and send them to [email protected].
In an effort to make accurate information on multiple micronutrient supplementation (MMS) during pregnancy more accessible to a larger audience, a special series of short videos called ‘Knowledge Bytes’ are presented here. Each short video features a global expert who addresses and explains a specific question related to MMS such as the WHO recommendations on MMS in the context of COVID 19, the science behind MMS, UNIMMAP Open-Access Specification for MMS.
Watch this space for Knowledge Bytes in the coming weeks to learn more about MMS.
This article describes formative research undertaken in Bangladesh, Burkina Faso, Madagascar and Tanzania to inform the context-specific design and implementation of multiple micronutrient supplementation (MMS). Authors conclude that this multi-country MMS project has great potential to improve maternal nutrition and pregnancy outcomes. They believe that investing in collaborative and participatory formative work for the appropriate introduction of MMS in each setting will help ensure MMS does not face the same fate as iron folic acid (IFA), with poor program coverage and compliance globally.
This article describes UNICEF’s support for high-burden countries in South Asia and sub-Saharan Africa in transitioning from iron folic acid (IFA) to multiple micronutrient supplements (MMS). It includes UNICEF ‘s theory of change with respect to MMS, which is adapted for individual countries. MMS offers an important opportunity to improve the quality of pregnancy care as well as survival and development outcomes for women and children using a contextualized and systems approach. Advocacy efforts make use of global evidence, national data, and align with national priorities. The introduction of MMS builds on formative research and is linked to the strengthening of relevant systems. Measuring and documenting success is critical to inform adjustments to implementation approaches and guide scale-up in other countries.
In this article, Vitamin Angels describes its approach to multiple micronutrient supplementation (MMS) programming and provides short case studies of their work in Haiti, the Dominican Republic, the Democratic Republic of the Congo, and Indonesia.
In this article, authors estimated the impacts, costs and cost-effectiveness of hypothetically replacing iron folic acid (IFA) supplements with multiple micronutrient supplements (MMS) for one year in the context of an ongoing program to deliver supplements to pregnant women in Bangladesh. Authors modeled a scenario with current program coverage, and assuming 100 percent adherence and no tablet ‘wastage’ (i.e., all purchased tablets are consumed and ‘count’ toward health benefits). Authors then extended the analysis to introduce the costs of programmatic transitions and possible tablet distribution scenarios.
This article discusses the global evidence from high-quality, randomized trials demonstrates that daily supplementation with multiple micronutrient supplements (MMS) in pregnancy compared with supplementation with iron and folic acid (IFA) alone improves birth outcomes. Two systematic reviews and meta-analyses show that MMS reduces the risk of babies being born with a low birth weight by 12–14 percent, reduces the risk of small-for-gestational age births by 3–8 percent and may reduce preterm birth by 5–7 percent. New analyses also show that MMS in pregnancy reduces the risk of mortality among female infants. All women and children were found to benefit, but the data suggests that MMS helps undernourished women especially.
Evidence outlined in this paper shows that multiple micronutrient supplements (MMS) are a highly cost-effective way to prevent many adverse antenatal and perinatal outcomes. The article also describes the work of the MMS Technical Advisory Group (MMS-TAG) including: the establishment of a communications hub to advise and document global program implementation; the production of generic technical reference materials that could be adapted to the context of adopting countries; and the provision of technical support when needed to address issues that emerge.
This article describes development and use of the Nutrition International’s multiple micronutrient supplementation (MMS) Cost-Benefit Tool. MMS Cost-Benefit Tool is an open access, user-friendly, online analytical tool that supports governments’ use of country-specific data in their decision-making on whether investing in antenatal MMS rather than iron folic acid (IFA) is better value for money.
This article describes the work of a CIFF-led consortium of stakeholders working to sustainably shape the market for affordable and accessible multiple micronutrient supplements (MMS) in Bangladesh. It documents the transformative proposition of a market-based model to get high-quality multiple micronutrient supplements to pregnant women in Bangladesh at the right price, with effective promotion and the correct place or channel of distribution, while
creating the right policy environment.
This article provides an overview of the policy hurdles for multiple micronutrient supplements (MMS) in South Africa; addresses the knowledge gap around the evidence base by taking the birth outcomes and cost-effectiveness of MMS from two recent scientific reviews, and applying it to the South African context; addresses the knowledge gap around programmatic aspects of MMS and synthesizes learnings from provinces to establish a transition back to MMS; and presents recommendations and strategies for the reintroduction of MMS into the World Health Organization’s (WHO) Essential Medicines List (EML).
The SUMMIT Institute in Indonesia designed a survey and information platform comprising proctored web surveys, SMS and chatbots, and conducted a national survey of preferences concerning multiple micronutrient supplements (MMS) packaging type and supplement count per package. In this article, data from 407 respondents are reported, who articulated their preferences with Likert-scale ratings for either bottle or blister packs, and for a supplement count of either 30 or 180 per package.