Initial implementation supported by implementation research
The Government of DRC currently recommends and promotes pregnant women taking iron or MMS for at least 90 days during pregnancy to prevent anemia and other complications. Despite this, maternal anemia remains high (38%) and is primarily caused by iron deficiency in pregnant women and women of childbearing age. To better understand how to deliver MMS most effectively within the system, Vitamin Angels conducted a landscape analysis in 2021. This assessment included a review of existing literature on health and nutrition indicators in the country, a mapping of key nutrition policies and programs, and interviews with stakeholders to help understand the barriers and opportunities related to introducing a new intervention within the context of antenatal care services and programs.
Following an official MMS launch event, there was consensus among stakeholders to revise the National Maternal Health and Nutrition Guidelines to include MMS as part of standard antenatal care services and to develop a plan to strengthen antenatal care delivery in order to ensure high MMS uptake and adherence. To help coordinate these actions, there was a call to form a working group comprised of international development agencies, government, academia, and more.
MMS is included in antenatal care guidelines and other policies, and a costed roadmap for transition to MMS has been completed. It is classified as a nutritional supplement and aligns with the regulatory environment. National Task Forces/Advisory Groups have been formed, although inclusion in the Essential Medicines List is still pending. Financing is primarily donor-supported, with no government budget allocation or investments in strengthening delivery systems. Capacity building for healthcare providers is underway, but supply chain infrastructure and MMS integration into health information systems need improvement. A social and behavior change strategy is in place to encourage uptake. Challenges include stock availability, slow policy implementation, and data gaps.
Last updated: January 2025
- Regions (Provinces/Districts): 14 Provinces
- Start Date: 2018
- End Date: Ongoing