{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T05:40:11Z","timestamp":1756532411349,"version":"3.44.0"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T00:00:00Z","timestamp":1738800000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012226","name":"Fundamental Research Funds for the Central Universities","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012226","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp;amp; Child Nutrition"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>In China, a range of anemia prevention and treatment measures have been developed and implemented in recent decades. These measures provide a regulatory basis for implementing standardized maternal anemia prevention and treatment services in China. However, little is known about the adoption of these interventions by health professionals, the capacity of health facilities to screen for iron deficiency and anemia, or the level of compliance among pregnant and lactating women (PLW). Thus, this study explored the alignment between maternal anemia prevention and control services provided and generated evidence for potential policy and program revisions and updates. A cross\u2010sectional survey was conducted between November 2019 and January 2020. A total of 11 counties from 6 provinces across eastern, central and western regions of China were selected for the survey. In the surveyed sites, a total of 42 health institutions were enrolled in the survey, and a total of 201 health providers and 1714 PLW were enrolled in the suervey and completed the questionnaires. The results of this study showed that iron supplements containing 30 and 60\u2009mg of iron were available in one third of the health facilities surveyed. All obstetricians reported ordering the Hb test for pregnant women receiving antenatal care (ANC) services, and 87.6% ordered the ferritin test. The proportion of obstetricians who ordered the ferritin test at the township level facilities (79.4%) was significantly lower than that at the provincial (100%), prefectural (87.5%) and county (87.1%) level facilities (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Around 89.6% and 90.5% of obstetricians prescribed iron to pregnant women when they were diagnosed with anemia and ID, respectively. 41.3% of obstetricians advised women to take preventive iron throughout their pregnancy. The proportion of obstetricians from township level hospitals that advised women to take preventative iron throughout their pregnancy (61.5%) was significantly lower than that from provincial facilities (23.5%) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). A total of 95.2% and 47.9% of PLW reported receiving the Hb test and the serum ferritin test during their pregnancy, respectively. There are some barriers and bottlenecks in the effective implementation of anemia intervention measures for pregnant women in China. Therefore, to achieve international and national targets on further reducing maternal anemia prevalence, comprehensive actions need to be taken.<\/jats:p>","DOI":"10.1111\/mcn.13803","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T23:48:41Z","timestamp":1738885721000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Institutional Capacity and Practices for Maternal Anemia in China"],"prefix":"10.1111","volume":"21","author":[{"given":"Lijun","family":"Liu","sequence":"first","affiliation":[{"name":"Immunization Planning Department Shunyi District Center for Disease Control and Prevention Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5006-1800","authenticated-orcid":false,"given":"Jiangli","family":"Di","sequence":"additional","affiliation":[{"name":"Institution Management Group National Center for Women and Children's Health, NHC, PRC Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaona","family":"Huang","sequence":"additional","affiliation":[{"name":"Child Health and Development Section UNICEF Office for China Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuning","family":"Yang","sequence":"additional","affiliation":[{"name":"Child Health and Development Section UNICEF Office for China Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anuradha","family":"Narayan","sequence":"additional","affiliation":[{"name":"Senior Advisor Nutrition UNICEF Headquarters New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sidi","family":"Chen","sequence":"additional","affiliation":[{"name":"Institution Management Group National Center for Women and Children's Health, NHC, PRC Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(24)01821-X"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.12688\/wellcomeopenres.16699.2"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2023.2190834"},{"key":"e_1_2_10_5_1","unstructured":"Ministry of Health. 2011. \u201cNotice of the Ministry of Health on Issuing Pregnancy and Childbirth Health Care Working Standards.\u201dBeijing."},{"key":"e_1_2_10_6_1","unstructured":"Ministry of Health. 2007. \u201cPre\u2010conception Health Care Service Standards (Trial version).\u201d Beijing. Accessed January 10 2021.http:\/\/www.nhc.gov.cn\/bgt\/pw10703\/200704\/b720ddb845d8408fb32d35d02ad5654a.shtml."},{"key":"e_1_2_10_7_1","unstructured":"National Health and Family Planning Commission. 2017. \u201cNotice of the National Health and Family Planning Commission on Issuing Standards for Screening and Management of High\u2010Risk Pregnancies.\u201d Beijing. Accessed January 10 2021.http:\/\/www.nhc.gov.cn\/fys\/s3581\/201711\/9c3dc9b4a8494d9a94c02f890e5085b1.shtml."},{"key":"e_1_2_10_8_1","unstructured":"National Health and Family Planning Commission. 2015. \u201cGuiding Opinions on Standardized Construction and Standardized Management of Maternal and Child Health Service Institutions.\u201d Beijing. Accessed January 10 2021.http:\/\/www.nhc.gov.cn\/fys\/s3581\/201512\/2e49971eb4154c36ac68af1ed8defafd.shtml."},{"key":"e_1_2_10_9_1","unstructured":"National Health Commission of the People's Republic of China. nd. \u201cNotice on the issuance of the National Basic Public Health Service Regulations (Third Edition).\u201d Accessed January 10 2021.http:\/\/www.nhc.gov.cn\/cms-search\/xxgk\/getManuscriptXxgk.htm?id=d20c37e23e1f4c7db7b8e25f34473e1b."},{"issue":"3","key":"e_1_2_10_10_1","first-page":"145","article-title":"Guidelines for Pre\u2010Conception and Pregnancy Care","volume":"21","author":"Obstetrics Group of the Obstetrics and Gynecology Branch of the Chinese Medical Association","year":"2018","journal-title":"Chinese Journal of Perinatal Medicine"},{"issue":"7","key":"e_1_2_10_11_1","first-page":"451","article-title":"Guidelines for the Prevention and Treatment of Iron Deficiency and Iron\u2010Deficiency Anemia During Pregnancy","volume":"17","author":"Perinatal Medicine Branch of the Chinese Medical Association","year":"2014","journal-title":"Chinese Journal of Perinatal Medicine"},{"key":"e_1_2_10_12_1","unstructured":"State Administration of Traditional Chinese Medicine of the National Council of Health.2018National Essential Drugs List(2018 edition). Accessed January 10 2021.http:\/\/www.gov.cn\/fuwu\/2018-10\/30\/5335721\/files\/e7473e46d9b24aadad3eb25127ffd986.pdf."},{"key":"e_1_2_10_13_1","unstructured":"State Administration of Traditional Chinese Medicine of the National Council of Health.2018. \u201cFurther Strengthening the Management of the Allocation and use of Essential Drugs in Public Medical Institutions.\u201d Beijing. Accessed January 10 2021.http:\/\/www.nhc.gov.cn\/yaozs\/s7657\/201901\/b3f6fb3f55314a7faff97386908bd4f4.shtml."},{"key":"e_1_2_10_14_1","unstructured":"The Central People's Government of the People's Republic of China. 2010. \u201cWhat are The Policies and Regulations on Basic Medical Insurance for the Reimbursement of National Essential Drugs?\u201d Beijing. Accessed January 10 2021.http:\/\/www.gov.cn\/ztzl\/ygzt\/content_1669683.htm."},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2020-003375"},{"key":"e_1_2_10_16_1","unstructured":"WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience: World Health Organization.2016. Accessed January 10 2021.https:\/\/www.who.int\/reproductive_health\/publications\/maternal_perinatal_health\/anc-positive-pregnancy-experience\/en\/."},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1406549"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu16121854"}],"container-title":["Maternal &amp; Child Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.13803","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T05:05:08Z","timestamp":1756530308000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/mcn.13803"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,6]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1111\/mcn.13803"],"URL":"https:\/\/doi.org\/10.1111\/mcn.13803","archive":["Portico"],"relation":{},"ISSN":["1740-8695","1740-8709"],"issn-type":[{"type":"print","value":"1740-8695"},{"type":"electronic","value":"1740-8709"}],"subject":[],"published":{"date-parts":[[2025,2,6]]},"assertion":[{"value":"2024-06-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13803"}}