Initial implementation supported by implementation research
Zambia, with an anemia prevalence of 31% among women of reproductive age (15-49 years) and 41% among pregnant women, contributing to increased maternal mortality and poor birth outcomes, stands to benefit immensely from MMS intervention. The Ministry of Health, World Vision Zambia, and Tropical Diseases Research Centre (TDRC), with support from Kirk Humanitarian, The Power of Nutrition, and Vitamin Angels, are engaging in a pilot project to inform a transition from IFA to MMS, and address implementation questions around how to effectively introduce and scale MMS within the existing ANC system.
Zambia is working on creating an enabling environment for the introduction of MMS, with a TAG in place and ongoing efforts to adapt WHO recommendations for emergency distribution due to drought. National-level engagement will be guided by research studies supported by World Vision Zambia, with a feasibility study to be completed by 2026. Challenges include low adherence to IFA, supply chain shortages, and low staff levels at facilities. Lessons learned emphasize the need for innovative Social Behavior Change strategies to improve adherence and the recognition that single-dose supplements have not fully addressed anemia in pregnant women.
Last updated: January 2025