{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T16:01:43Z","timestamp":1782316903216,"version":"3.54.5"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,11,28]],"date-time":"2017-11-28T00:00:00Z","timestamp":1511827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100008627","name":"Global Affairs Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008627","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The World Health Organization (WHO) recommends calcium supplementation for prevention of pre\u2010eclampsia, but factors affecting adoption and acceptability of the recommendations among pregnant women have not been examined. We explored adoption of the WHO guidelines in Kenya, using the trials of improved practices. We recruited 38 pregnant women and assigned participants to three regimens representing potential trade\u2010offs among daily dose, bioavailability, and acceptability. Participants were provided with supplements, requested to select preferred product type, counselled on how to take them, and interviewed 4 times over 6\u00a0weeks to assess their experiences. We tracked bottle opening with electronic monitors, as proxy for supplement consumption. We analysed interview transcripts thematically. All participants were willing to try the supplements. Average daily consumption ranged from 77 to 1,577\u00a0mg\/d. Most participants (74%) chose the chewable product. Participants preferred its \u201csweet taste\u201d and liked the ability to consume it without water. Women in the 2\u2010dose regimen were least likely to switch; however, women assigned to the 3\u2010dose regimen, or who switched to the 3\u2010dose regimen, consumed the most calcium per day. Difficulties with the 4\u2010dose regimen included afternoon doses when women were likely to forget and having to wait hours after supper for last dose. Use of an illustrated calendar, keeping supplements in conspicuous locations and requesting support from relatives were strategies that supported adherence. Pregnant women are likely to adopt Ca supplementation, with appropriate programmatic adaptations. Careful attention to product attributes, regimen complexity, and strategies for reassuring and reminding women are needed to adapt the WHO guidelines.<\/jats:p>","DOI":"10.1111\/mcn.12521","type":"journal-article","created":{"date-parts":[[2017,11,29]],"date-time":"2017-11-29T15:34:47Z","timestamp":1511969687000},"source":"Crossref","is-referenced-by-count":23,"title":["With adaptation, the WHO guidelines on calcium supplementation for prevention of pre\u2010eclampsia are adopted by pregnant women"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5417-911X","authenticated-orcid":false,"given":"Moshood O.","family":"Omotayo","sequence":"first","affiliation":[{"name":"Program in International Nutrition Cornell University  Ithaca New York USA"},{"name":"Department of Epidemiology and Environmental Health University at Buffalo  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie L.","family":"Martin","sequence":"additional","affiliation":[{"name":"Program in International Nutrition Cornell University  Ithaca New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca J.","family":"Stoltzfus","sequence":"additional","affiliation":[{"name":"Program in International Nutrition Cornell University  Ithaca New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie E.","family":"Ortolano","sequence":"additional","affiliation":[{"name":"Program in International Nutrition Cornell University  Ithaca New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erick","family":"Mwanga","sequence":"additional","affiliation":[{"name":"Malava Sub\u2010County Health Management Team  Kakamega Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine L.","family":"Dickin","sequence":"additional","affiliation":[{"name":"Program in International Nutrition Cornell University  Ithaca New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1079\/PHN2005665"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3945\/jn.113.188524"},{"key":"e_1_2_9_4_1","unstructured":"Cristina P. &Jean\u2010Pierre P.\u2010R.(2010).Calcium supplementation during pregnancy for preventing hypertensive disorders and related problems: RHL commentary (last revised: 1 February 2010). Retrieved June 6 2016 fromhttp:\/\/apps.who.int\/rhl\/pregnancy_childbirth\/antenatal_care\/nutrition\/cd001059_penasrosaspj_com\/en\/"},{"issue":"3","key":"e_1_2_9_5_1","first-page":"241","article-title":"Demographic factors determining compliance to iron supplementation in pregnancy in Oyo State, Nigeria","volume":"15","author":"Dairo M. 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L.","year":"2016","journal-title":"Maternal & Child Nutrition"},{"key":"e_1_2_9_16_1","first-page":"jn242503","article-title":"Adherence\u2010specific social support enhances adherence to calcium supplementation regimens among pregnant women","author":"Martin S. L.","year":"2017","journal-title":"The Journal of Nutrition"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12233"},{"key":"e_1_2_9_18_1","article-title":"Pre\u2010eclampsia","author":"Mol B. W. 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