{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T23:24:36Z","timestamp":1791329076467,"version":"4.3.1"},"reference-count":39,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T00:00:00Z","timestamp":1549929600000},"content-version":"vor","delay-in-days":42,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","award":["Cooperative agreement number AID\u2010OAA\u2010A\u201014\u201000028"],"award-info":[{"award-number":["Cooperative agreement number AID\u2010OAA\u2010A\u201014\u201000028"]}],"id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In Mozambique, about two thirds of children 6\u201359 months of age are affected by vitamin A deficiency and anaemia. The objective of this case study is to provide programme considerations for planning, implementing, monitoring, and evaluating vitamin A and iron deficiency interventions within the context of lessons learned to date for vitamin A supplementation, micronutrient powders (MNPs), and food\u2010based strategies. For 15 years, the Mozambique Ministry of Health implemented twice\u2010yearly vitamin A supplementation through both campaigns and routine health services. Yet coverage in 2017 (55%) was not much higher than in 2003 (44%). Reaching every district\/reaching every child, a strategy adapted from the field of immunization, was used to achieve equitable coverage of vitamin A and for microplanning of outreach services in health facilities, with support from the Maternal and Child Survival Program. In Mozambique, a free or subsidized distribution model for MNPs has been rolled out, yet integration of MNPs into infant and young child feeding programming (i.e., cooking demonstrations) is needed to reinforce \u201cthe who, what, and why\u201d of MNPs through culturally sensitive behaviour change communication. Food\u2010based strategies to promote dietary diversity, such as through complementary feeding recipes, are also critical. To harmonize efforts, the Mozambique government should consider the development of a national strategy for the prevention and control of micronutrient malnutrition, with clear monitoring and evaluation targets. Ongoing monitoring of the prevalence of micronutrient deficiencies and coverage of implemented micronutrient interventions is needed to make evidence\u2010based decisions to drive nutrition\u2013health programming.<\/jats:p>","DOI":"10.1111\/mcn.12721","type":"journal-article","created":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T16:26:12Z","timestamp":1549988772000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Rethinking integrated nutrition\u2010health strategies to address micronutrient deficiencies in children under five in Mozambique"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2016-9762","authenticated-orcid":false,"given":"Melanie","family":"Picolo","sequence":"first","affiliation":[{"name":"USAID's Maternal and Child Survival Program (MCSP)\/PATH Mozambique  Maputo Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iracema","family":"Barros","sequence":"additional","affiliation":[{"name":"USAID's Maternal and Child Survival Program (MCSP)\/PATH Mozambique  Maputo Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"Joyeux","sequence":"additional","affiliation":[{"name":"UNICEF\u2013Mozambique  Maputo Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5578-7985","authenticated-orcid":false,"given":"Allison","family":"Gottwalt","sequence":"additional","affiliation":[{"name":"USAID's Maternal and Child Survival Program (MCSP)\/PATH  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edna","family":"Possolo","sequence":"additional","affiliation":[{"name":"Ministry of Health, Mozambique  Maputo Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Betuel","family":"Sigauque","sequence":"additional","affiliation":[{"name":"USAID's Maternal and Child Survival Program (MCSP)\/John Snow Inc. (JSI) Mozambique  Maputo Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0439-6308","authenticated-orcid":false,"given":"Justine A.","family":"Kavle","sequence":"additional","affiliation":[{"name":"USAID's Maternal and Child Survival Program (MCSP)\/PATH  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,12]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"African economic outlook 2018","author":"African Development Bank Group","year":"2018"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1079\/PHN2005664"},{"key":"e_1_2_13_4_1","volume-title":"Challenges for food security and nutrition in Mozambique","author":"Carrilho J.","year":"2016"},{"key":"e_1_2_13_5_1","volume-title":"Nutrition country profile, Republic of Mozambique: 2011","author":"Food and Agriculture Organization of the United Nations [FAO]","year":"2011"},{"key":"e_1_2_13_6_1","volume-title":"Multisectorial plan for chronic malnutrition reduction in Mozambique 2011\u20132014 (2020)","author":"Government of the Republic of Mozambique","year":"2010"},{"key":"e_1_2_13_7_1","doi-asserted-by":"crossref","unstructured":"Government of the Republic of Mozambique(2016).Decree no. 9\/2016.Republic of Mozambique's Bulletin 1(46).Maputo Mozambique:Government of the Republic of Mozambique.","DOI":"10.5089\/9798400231650.002"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0379572115597397"},{"key":"e_1_2_13_9_1","volume-title":"A counseling guide for infant and young child feeding in Mozambique \u2013 Based on results of trials of improved practices (TIPs) assessment","author":"Maternal and Child Survival Program [MCSP]","year":"2017"},{"key":"e_1_2_13_10_1","volume-title":"MCSP Mozambique program reports October 2016\u2013March 2018","author":"MCSP","year":"2018"},{"key":"e_1_2_13_11_1","volume-title":"National agriculture investment plan 2014\u20132018","author":"Ministry of Agriculture and Food Security (Mozambique)","year":"2014"},{"key":"e_1_2_13_12_1","volume-title":"Agrarian statistics yearbook 2015","author":"Ministry of Agriculture and Food Security (Mozambique)","year":"2016"},{"key":"e_1_2_13_13_1","volume-title":"Poverty and wellbeing in Mozambique: Fourth national evaluation \u2013 Family budget survey 2014\/15","author":"Ministry of Economy and Finance (Mozambique)","year":"2016"},{"key":"e_1_2_13_14_1","volume-title":"Micronutrient supplementation in Mozambique. 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