{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:46:25Z","timestamp":1792057585125,"version":"4.4.0"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"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:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      To conduct a pragmatic clinical trial with multiple micronutrient powders (MNPs) for anaemia prevention during the first year of life in primary care in Nampula, Mozambique. A total of 275 infants, aged 6\u20138 months, were randomly assigned to intervention (IG,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009145) and control (CG,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009130) groups. The IG received 90 sachets of MNP for daily use up to 180 days; the CG received standard care. Haemoglobin (Hb) was measured at baseline and after 6 months. Analysis used linear regression adjusted for child and maternal variables (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). At baseline, mean Hb (95% CI) was 102.2\u2009g\/L (100.4\u2013104.0) in the IG and 103.8\u2009g\/L (102.0\u2013105.7) in the CG, with corresponding anaemia rates (Hb &lt;\u2009105\u2009g\/L) of 55.2% (47.1; 63.0%) and 47.7% (39.3; 56.2%). After intervention, IG had 106.2\u2009g\/L (104.2\u2013108.1) vs CG 99.5\u2009g\/L (97.3\u2013101.8), with anaemia rates of 36% (27.8; 45.1) and 67.3% (57.9; 75.4), respectively. Adjusted mean intra\u2010group difference of haemoglobin (g\/L) from baseline to follow\u2010up was +2.8 in IG and \u22124.3 in CG. MNPs improved haemoglobin levels, supporting their potential for anaemia control in vulnerable populations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/ensaiosclinicos.gov.br\/rg\/RBR-4r37q7z\">https:\/\/ensaiosclinicos.gov.br\/rg\/RBR-4r37q7z<\/jats:ext-link>\n                      . Registered 11\/11\/2024.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/mcn.70210","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T10:42:09Z","timestamp":1781865729000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Home\u2010Based Multiple Micronutrient Powder Fortification on Haemoglobin Levels in Infants in Nampula, Mozambique: A Pragmatic Clinical Trial"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3539-4236","authenticated-orcid":false,"given":"Ana Raquel Ernesto Manuel","family":"Gotine","sequence":"first","affiliation":[{"name":"Postgraduate Program in Public Health University of S\u00e3o Paulo (USP) S\u00e3o Paulo S\u00e3o Paulo Brazil"},{"name":"Department of Nutrition, Faculty of Health Sciences Lurio University Nampula Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0973-3908","authenticated-orcid":false,"given":"Marly Augusto","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Department of Nutrition School of Public Health S\u00e3o Paulo S\u00e3o Paulo Brazil"},{"name":"Global Health and Tropical Medicine, GHTM, Associate Laboratory in Translation and Innovation Towards Global Health, LA\u2010REAL, Instituto de Higiene e Medicina Tropical, IHMT, Universidade NOVA de Lisboa, UNL  Lisboa Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/86.2.412"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/87.4.929"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3945\/jn.107.086199"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2019.1651275"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.18055\/Finis1501"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-020-01289-7"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0151097"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13071-021-04919-8"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-2978-0"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009666.pub2"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008959.pub2"},{"key":"e_1_2_9_13_1","first-page":"1884","article-title":"Maternal and Child Nutrition in Northern Mozambique: A Mixed Methods Study","volume":"4","author":"Ganh\u00e3o C.","year":"2017","journal-title":"International Journal of Research"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2021.e06899"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(02)07283-5"},{"key":"e_1_2_9_16_1","first-page":"1","article-title":"Wfp, Creation of a Wealth Index; VAM\u2010Guidance Paper","author":"Hjelm L.","year":"2017","journal-title":"Wfp"},{"key":"e_1_2_9_17_1","unstructured":"Instituto Nacional de Estat\u00edstica (INE)2019. 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