{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:46:14Z","timestamp":1792057574930,"version":"4.4.0"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp;amp; Child Nutrition"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Effective transition from iron\u2010folic acid (IFA) to multiple micronutrient supplementation (MMS) requires context\u2010specific evidence. Using the MMS pilot program in Burkina Faso, this study aimed to evaluate the feasibility and acceptability of MMS and identify factors that can influence a successful scale\u2010up. We conducted a qualitative study. In\u2010depth interviews (\n                    <jats:italic>n<\/jats:italic>\n                    = 57) with policymakers, clinicians and community actors as well as focus group discussions (\n                    <jats:italic>n<\/jats:italic>\n                    = 12) were conducted with pregnant\/lactating women, husbands, and community leaders. Attitudes, barriers, and enablers to MMS access\/utilization were assessed after two\u2010years of piloting. A total of 153 participants were interviewed either through focus groups (\n                    <jats:italic>n<\/jats:italic>\n                    = 96) or In\u2010depth interviews (\n                    <jats:italic>n<\/jats:italic>\n                    = 57). The MMS intervention was perceived to be highly acceptable to most participants. Strong stakeholder engagement, supported by coordination meetings and targeted training increased fidelity to the program. MMS's integration through the use of existing IFA distribution channels, and the high level of participant awareness about micronutrient deficiencies\u2014particularly during pregnancy\u2014were key enablers for effective transition. Stakeholders across all levels perceived MMS as more effective than IFA in preventing anemia and supporting maternal\u2010fetal health even if their perceptions collected through interviews and have not been verified through clinical measurements. However, barriers include women forgetting to take pills, supply chain disruptions, fragmented interdepartmental coordination, mild side effects (i.e. nausea) and cultural practices like food taboos. The barriers raised emphasized the need for increasing the reach of culturally\u2010adapted nutrition education targeting women and influencers in the family. Facilitators found associated to program sustainability were mainly community engagement, health partners' support and awareness campaigns on the MMS. The piloting of the MMS helped identify numerous context\u2010specific enablers and barriers that if addressed could lead to a smoother and more effective transition.\n                  <\/jats:p>","DOI":"10.1111\/mcn.70185","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T05:28:41Z","timestamp":1779427721000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Qualitative Evaluation of the Pilot Introduction of Multiple Micronutrient Supplementation in Burkina Faso"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2007-136X","authenticated-orcid":false,"given":"Fabrice","family":"Bationo","sequence":"first","affiliation":[{"name":"Research Institute for Applied Sciences and Technologies (IRSAT\/CNRST) Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5562-9696","authenticated-orcid":false,"given":"Aristide Romaric","family":"Bado","sequence":"additional","affiliation":[{"name":"Research Institute for Health Sciences (IRSS\/CNRST) Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wend\u2010Timbe\u2010Noma Arlette Ra\u00efssa","family":"Zongo","sequence":"additional","affiliation":[{"name":"Research Institute for Health Sciences (IRSS\/CNRST) Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertine","family":"Ouaro","sequence":"additional","affiliation":[{"name":"United Nations Children's Fund (UNICEF) Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanne","family":"Desormeaux","sequence":"additional","affiliation":[{"name":"United Nations Children's Fund (UNICEF) Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aissa","family":"Soumana","sequence":"additional","affiliation":[{"name":"United Nations Children's Fund (UNICEF) Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ousmane","family":"Ouedraogo","sequence":"additional","affiliation":[{"name":"United Nations Children's Fund (UNICEF) Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Laillou","sequence":"additional","affiliation":[{"name":"United Nations Children's Fund (UNICEF) Dakar S\u00e9n\u00e9gal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simeon","family":"Nanama","sequence":"additional","affiliation":[{"name":"United Nations Children's Fund (UNICEF) Dakar S\u00e9n\u00e9gal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donatien","family":"Kabor\u00e9","sequence":"additional","affiliation":[{"name":"Research Institute for Applied Sciences and Technologies (IRSAT\/CNRST) Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Parkouda","sequence":"additional","affiliation":[{"name":"Research Institute for Applied Sciences and Technologies (IRSAT\/CNRST) Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamoudou Hama","family":"Dicko","sequence":"additional","affiliation":[{"name":"Laboratory of Biochemistry, Biotechnology, Food Technology and Nutrition, Department of Biochemistry and Microbiology, University Joseph Ki\u2010ZERBO, Ouagadougou, Burkina Faso Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7298-1096","authenticated-orcid":false,"given":"Kaleab","family":"Baye","sequence":"additional","affiliation":[{"name":"Center for Food Sciences and Nutrition, Addis Ababa University Research Center for Inclusive Development in Africa (RIDA) Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-081359"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-24885-5"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1079\/phn2005665"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.13712"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/87559129.2019.1608558"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-14"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.14121"},{"key":"e_1_2_10_10_1","unstructured":"DHS. (2021). Enqu\u00eate D\u00e9mographique et de Sant\u00e9 du Burkina Faso 2021. Ouagadougou Burkina Faso et Rockville Maryland USA: INSD et ICF p768."},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.14132"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3026(23)00160-6"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3026(23)00160-6"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.14756"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.14545"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.13713"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004905.pub6"},{"key":"e_1_2_10_18_1","unstructured":"Minist\u00e8re de la sant\u00e9 andF.Burkina(2021). Guide de mise en \u0153uvre de la phase a petite \u00e9chelle du programme de renforcement de la nutrition maternelle int\u00e9grant la suppl\u00e9mentation en micronutriments multiples des femmes enceintes p22."},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0379572116647830"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-2758-9"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cdnut.2024.102921"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.advnut.2025.100455"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(17)30371-6"},{"key":"e_1_2_10_24_1","unstructured":"World Health Organization. (2020). WHO Antenatal Care Recommendations for a Positive Pregnancy Experience. Nutritional Interventions Update: Multiple Micronutrient Supplements During Pregnancy."},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.115.116798"}],"container-title":["Maternal &amp; Child Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.70185","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/mcn.70185","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.70185","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:00:08Z","timestamp":1792054808000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/mcn.70185"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,21]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/mcn.70185"],"URL":"https:\/\/doi.org\/10.1111\/mcn.70185","archive":["Portico"],"relation":{},"ISSN":["1740-8695","1740-8709"],"issn-type":[{"value":"1740-8695","type":"print"},{"value":"1740-8709","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,21]]},"assertion":[{"value":"2025-07-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70185"}}