{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:11:32Z","timestamp":1784308292324,"version":"3.55.0"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T00:00:00Z","timestamp":1724284800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Mali national policy recommends that women take iron and folic acid supplements (IFA) from the time of the first antenatal care (ANC) visit, throughout pregnancy\u00a0and during the first 3 months after delivery. In 2020, the World Health Organization (WHO) updated their ANC guidelines to recommend the United Nations International Multiple Micronutrient Antenatal Preparation (UNIMMAP) formulation of multiple micronutrient supplements (MMS) in the context of rigorous research, including implementation research. In Bamako, Mali, a codesign process was used to tailor antenatal care MMS packaging and counselling materials aimed at optimizing delivery and uptake of and adherence to MMS. This paper presents the codesign process along with the results of a post\u2010intervention qualitative assessment to evaluate the behaviour change intervention. At the conclusion of the intervention, we conducted semistructured qualitative interviews with 24 women who had received the intervention and six pharmacy managers from the six health centres participating in the study. We conducted two focus groups with midwives who had delivered the intervention and two group discussions with family members of women who had received the intervention. Respondent perspectives reveal an easy experience transitioning from previously used IFA. Women and providers concur that the intervention counselling materials and visual aids were instrumental in influencing the perceived benefit and uptake of MMS. Family members play an influential role in pregnant women's decision\u2010making regarding MMS uptake. MMS\u00a0and the associated implementation strategies developed through the codesign process were found to be a highly acceptable intervention.<\/jats:p>","DOI":"10.1111\/mcn.13712","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T19:45:39Z","timestamp":1724355939000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Qualitative evaluation of a package of implementation strategies codesigned to support the introduction of multiple micronutrient supplementation (MMS) for pregnant women in Bamako, Mali"],"prefix":"10.1111","volume":"21","author":[{"given":"Aissata","family":"Ba","sequence":"first","affiliation":[{"name":"Jhpiego Bamako Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8254-4354","authenticated-orcid":false,"given":"Monica J.","family":"Fox","sequence":"additional","affiliation":[{"name":"Department of International Health Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"},{"name":"Vitamin Angel Alliance Goleta California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adama Mamby","family":"Keita","sequence":"additional","affiliation":[{"name":"Center for Vaccine Development Bamako Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8339-1681","authenticated-orcid":false,"given":"Kristen M.","family":"Hurley","sequence":"additional","affiliation":[{"name":"Department of International Health Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"},{"name":"Vitamin Angel Alliance Goleta California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9709-3562","authenticated-orcid":false,"given":"Shannon E.","family":"King","sequence":"additional","affiliation":[{"name":"Department of International Health Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"},{"name":"Vitamin Angel Alliance Goleta California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samba","family":"Sow","sequence":"additional","affiliation":[{"name":"Center for Vaccine Development Bamako Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kounandji","family":"Diarra","sequence":"additional","affiliation":[{"name":"Center for Vaccine Development Bamako Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahamane","family":"Djiteye","sequence":"additional","affiliation":[{"name":"Center for Vaccine Development Bamako Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baba Seydou","family":"Kant\u00e9","sequence":"additional","affiliation":[{"name":"Center for Vaccine Development Bamako Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moussa","family":"Coulibaly","sequence":"additional","affiliation":[{"name":"Center for Vaccine Development Bamako Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ousmane","family":"Dembele","sequence":"additional","affiliation":[{"name":"Center for Vaccine Development Bamako Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3119-0324","authenticated-orcid":false,"given":"Lisa M.","family":"Noguchi","sequence":"additional","affiliation":[{"name":"Jhpiego Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1166-5564","authenticated-orcid":false,"given":"Pooja","family":"Sripad","sequence":"additional","affiliation":[{"name":"Jhpiego Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8569-5507","authenticated-orcid":false,"given":"Peter J.","family":"Winch","sequence":"additional","affiliation":[{"name":"Department of International Health Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1079\/phn2005665"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-1697-2"},{"key":"e_1_2_10_4_1","volume-title":"Focusing on multiple micronutrient supplements in pregnancy: Second edition. 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