Search / Trial NCT06225791

Antenatal Multiple Micronutrient Supplementation (MMS) in Indonesia

Launched by JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH · Jan 17, 2024

Trial Information

Current as of October 07, 2024

Recruiting

Keywords

Multiple Micronutrient Supplementation (Mms) Pregnancy Behavior Change Packaging Antenatal Care (Anc)

Description

The study will utilize qualitative and quantitative methods to: * Test different MMS delivery strategies (bottle count \[90 vs. 180 tablets\] and communication strategies \[BCC vs. expanded BCC vs. MMS orientation only\]) for enhancing supplementation consumption - measured as coverage and adherence. * Assess acceptability, feasibility, and fidelity of MMS program implementation within antenatal care services (ANC) More specifically, the investigators will implement and evaluate different MMS packaging (90 count bottle vs 180-count bottle) strategies and behavior change communication (BCC...

Gender

ALL

Eligibility criteria

  • Inclusion Criteria for 3,360 pregnant women (PW) enrolled from 8 high-intensity evaluation districts (sample group 1)
  • * Enrolled in ANC 1 through government health facilities.
  • * Received MMS at ANC 1
  • * Gestational age at ANC 1 ≤ 20 weeks (verified by health professionals)
  • * Consent provided to participate in the study.
  • Exclusion Criteria for 3,360 pregnant women (PW) enrolled from 8 high-intensity evaluation districts (sample group 1)
  • * PW with complicated pregnancy complications (e.g., thalassemia, hemochromatosis,)
  • * PW planning to move outside study district during study period.
  • Inclusion Criteria for 72 PW / recently delivered women participating in in-depth interviews (IDI) only (sample group 2)
  • * Enrolled in ANC 1 through government health facilities.
  • * Received MMS at ANC 1
  • * Gestational age at ANC 1 ≤ 20 weeks (verified by health professionals)
  • * Consent provided to participate in qualitative component of study.
  • * Received MMS for at least 3 months.
  • * Attended \> 2 ANC visits.
  • * \< 4 weeks post-partum
  • Exclusion Criteria for 72 PW / recently delivered women participating in in-depth interviews (IDI) only (sample group 2)
  • * Enrolled in Sample 1
  • * Women who are more than 4 weeks postpartum.
  • Inclusion Criteria for 180 healthcare providers participating in focus group discussions (FGDs) (sample group 3)
  • * Government health workers who provide ANC services (e.g., midwives, general practitioners, and nutritionists)
  • * Government health facility management staff (e.g., Head of Puskesmas Community Health Clinic, Coordinating Midwife, Head of Pharmacy)
  • * Willing to give consent to participate in the FGD.
  • Exclusion Criteria for 180 healthcare providers participating in FGDs (sample group 3) • Healthcare Providers who have already participated in a FGD will not be eligible to participate in another FGD
  • Inclusion Criteria for 76 government decision-makers participating in FGD or IDI (sample group 4)
  • * District-, provincial-, or national-level decision-makers working in nutrition, maternal, newborn and child health, or pharmaceutical roles associated with the antenatal care system in Indonesia.
  • * Willing to give consent to participate in the FGD or IDI.
  • Exclusion Criteria for 76 government decision-makers participating in FGD or IDI (sample group 4)
  • • None

About Johns Hopkins Bloomberg School Of Public Health

The Johns Hopkins Bloomberg School of Public Health is a leading institution dedicated to advancing public health research and education. Renowned for its rigorous academic programs and commitment to improving global health outcomes, the School conducts innovative clinical trials that address pressing health challenges. With a focus on evidence-based practices, multidisciplinary collaboration, and community engagement, the Bloomberg School leverages its extensive resources and expertise to contribute to the development of effective public health interventions and policies. Through its research endeavors, the School aims to enhance population health and inform health policy both locally and globally.

Locations

Jakarta, , Indonesia

People applied

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported

Discussion 0