This paper is a situation analysis of the market, manufacturing, and policy factors that are driving the production of Multiple Micronutrient Supplementation (MMS) in 12 lower and upper middle‐income countries in Africa, South America and South Asia. Through a self‐administered structured questionnaire by key informants, this study examined the local context of products available in the market, their cost, regulations and policies. It was found that most countries have the capacity to produce MMS locally, the major barriers observed for sustainable and affordable production include (a) poor technical capacity and policies for ensuring quality along the value chain and (b) lack of policy coherence to incentivize local production and lower the manufacture and retail price of MMS. Also, it was determined that better guidelines and government oversight is required because none of the countries were able to match the globally recommended formulation for United Nations International Multiple Micronutrient Antenatal Preparation (UNIMMAP).
