{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T05:58:15Z","timestamp":1784613495250,"version":"3.55.0"},"reference-count":42,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"unspecified","delay-in-days":308,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1368980024002192_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study examined drivers and barriers to iron and folic acid supplementation and consumption of iron- and vitamin A-rich foods among women of reproductive age and adolescent girls in Niger.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980024002192_as2\">\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>This was an exploratory qualitative study using focus group discussions and semi-structured interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980024002192_as3\">\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>This study was conducted in the rural areas of three districts in Maradi and Zinder regions of southern Niger.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980024002192_as4\">\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>The study included a purposive sample of 56 WRA (15\u201349 years), 34 non-pregnant adolescent girls (10\u201314 years), 105 family members and community leaders, 32 health workers and 12 national and regional level stakeholders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980024002192_as5\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Respondents demonstrated widespread knowledge of recommendations for iron and folic acid during pregnancy and had positive attitudes towards supplements. However, supply barriers were significant, and adherence was limited by side effects, among other constraints. Despite knowledge about and positive attitudes towards micronutrient-source foods, respondents reported that limited food access was an overriding constraint to increasing consumption. Women of reproductive age were seen as nutritionally vulnerable; however, husbands were often not able to provide sufficient nutritious food, and there was a cultural expectation that wives serve themselves food last. Adolescent girls were not seen as nutritionally vulnerable, and there was little family support for their consumption of nutritious foods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980024002192_as6\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Projects should work with local actors to develop multi-pronged solutions that address supply and access barriers for iron and folic acid and micronutrient-rich foods and to improve social support for nutrition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1368980024002192","type":"journal-article","created":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T07:20:42Z","timestamp":1730704842000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Understanding behavioural drivers of iron and folic acid supplementation and vitamin A- and iron-rich food consumption among women and adolescent girls in Niger"],"prefix":"10.1017","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1793-032X","authenticated-orcid":false,"given":"Abigail","family":"Conrad","sequence":"first","affiliation":[{"name":"Results for Development"},{"name":"USAID Advancing Nutrition"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jen","family":"Burns","sequence":"additional","affiliation":[{"name":"USAID Advancing Nutrition"},{"name":"Helen Keller International"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Sherburne","sequence":"additional","affiliation":[{"name":"USAID Advancing Nutrition"},{"name":"John Snow International"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamoudou Djibo","family":"Kaled","sequence":"additional","affiliation":[{"name":"USAID Advancing Nutrition"},{"name":"Helen Keller International"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadiara","family":"Souley","sequence":"additional","affiliation":[{"name":"USAID Advancing Nutrition"},{"name":"Helen Keller International"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Nielsen","sequence":"additional","affiliation":[{"name":"USAID Advancing Nutrition"},{"name":"Helen Keller International"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,11,4]]},"reference":[{"key":"S1368980024002192_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12525"},{"key":"S1368980024002192_ref33","volume-title":"Economic Impacts of Gender Inequality in Niger","year":"2019"},{"key":"S1368980024002192_ref34","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.anthro.35.081705.123224"},{"key":"S1368980024002192_ref1","volume-title":"Enqu\u00eate D\u00e9mographique et de Sant\u00e9 et \u00e0 Indicateurs Multiples du Niger 2012","year":"2013"},{"key":"S1368980024002192_ref35","doi-asserted-by":"publisher","DOI":"10.1007\/s12571-021-01155-x"},{"key":"S1368980024002192_ref14","unstructured":"14. Famine Early Warning Systems Network (2013) Niger: Seasonal calendar, typical year; available at https:\/\/fews.net\/west-africa\/niger\/seasonal-calendar\/december-2013 (accessed June 2023)."},{"key":"S1368980024002192_ref39","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01590-7"},{"key":"S1368980024002192_ref29","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-016-2248-x"},{"key":"S1368980024002192_ref19","volume-title":"UNICEF Conceptual Framework on Maternal and Child Nutrition","year":"2021"},{"key":"S1368980024002192_ref20","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12532"},{"key":"S1368980024002192_ref36","volume-title":"Anthropology of Food: The Social Dynamics of Food Security","author":"Pottier","year":"1999"},{"key":"S1368980024002192_ref40","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01687-1"},{"key":"S1368980024002192_ref17","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12331"},{"key":"S1368980024002192_ref38","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2008.01128.x"},{"key":"S1368980024002192_ref41","volume-title":"Food and Me: How Adolescents Experience Nutrition Across the World. 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Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e249"}}