{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:46:26Z","timestamp":1792057586238,"version":"4.4.0"},"reference-count":39,"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:p>Iron\u2010deficiency anemia is the most common micronutrient deficiency and a leading cause of disability\u2010adjusted life years among adolescent girls and young women (AGYW) globally. Although multiple micronutrient supplementation (MMS) provides a broader range of micronutrients than iron\u2010folic acid supplementation (IFAS) prior to conception, the acceptability of MMS and home\u2010based supplementation strategies remains underexplored. We assessed the acceptability of MMS, IFAS, and a contextualized nutrition curriculum delivered via school clubs in a two\u2010arm cluster\u2010randomized trial across three rural secondary schools in Monapo District, Mozambique. Fourteen teachers (clusters) were randomized to deliver either weekly school\u2010based IFAS or daily home\u2010based MMS. A total of 492 AGYW aged 13\u201320 years were enrolled (240 IFAS; 252 MMS); both arms received the same nutrition curriculum. Participants in both arms reported increased energy, improved appetite, and relief from menstrual symptoms. IFAS was significantly more acceptable than MMS for smell, and some participants perceived the once\u2010weekly IFAS regimen as less burdensome than daily MMS. Some AGYW also reported that male peers perceived MMS as birth control, or assumed the girls were pregnant, due to the image of a pregnant woman on the pill bottle. Ratings of the nutrition curriculum and teachers' facilitation were positive in both arms. Participants generally preferred the regimen they were assigned, and family support facilitated adherence. These findings suggest home\u2010based supplementation may be a feasible and acceptable strategy for reaching in\u2010school and out\u2010of\u2010school AGYW in Mozambique. Including boys in future interventions and redesigning the MMS label could help reduce misconceptions and enhance acceptability.<\/jats:p>","DOI":"10.1111\/mcn.70211","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T10:28:17Z","timestamp":1781864897000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adolescent Acceptability of School and Home Micronutrient Supplementation and Nutrition Curriculum in Mozambique"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6911-8021","authenticated-orcid":false,"given":"Sarah","family":"Bauler","sequence":"first","affiliation":[{"name":"World Vision International London England UK"},{"name":"Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine Marie","family":"George","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elli","family":"Leontsini","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mateus","family":"Mandlate","sequence":"additional","affiliation":[{"name":"World Vision Mozambique Monapo Nampula Province Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"Gittelsohn","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Perin","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Titus","family":"Kirwa","sequence":"additional","affiliation":[{"name":"World Vision International London England UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Tse","sequence":"additional","affiliation":[{"name":"World Vision International London England UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tui","family":"Bernardo","sequence":"additional","affiliation":[{"name":"World Vision Mozambique Monapo Nampula Province Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Davis","sequence":"additional","affiliation":[{"name":"Global Health Consultant Torrevieja Alicante Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asrat Dibaba","family":"Tolossa","sequence":"additional","affiliation":[{"name":"World Vision Canada Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Santana","family":"Dias","sequence":"additional","affiliation":[{"name":"World Vision International London England UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julianne","family":"Wong","sequence":"additional","affiliation":[{"name":"World Vision International London England UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucilia","family":"Moises","sequence":"additional","affiliation":[{"name":"World Vision Mozambique Monapo Nampula Province Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022-3514.79.1.5"},{"key":"e_1_2_10_3_1","unstructured":"Bauler S. L.Moises J.Perin et al.2025. School\u2010Based Iron\u2013Folic Acid Versus Home\u2010Based Multiple Micronutrient Supplementation to Reduce Anemia in Mozambican Adolescents: A Cluster\u2010Randomized Trial Unpublished Manuscript."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41182-025-00768-8"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/156482651003100303"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzz062"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1188\/14.ONF.545-547"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajcnut.2023.09.004"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2016.10.010"},{"key":"e_1_2_10_10_1","volume-title":"Sociological Methods","author":"Denzin N. K.","year":"2006"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/72.6.1424"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"crossref","unstructured":"Gaudet S. andD.Robert.2018A Journey Through Qualitative Research. SAGE Publications Ltd doi: 10 4135\/9781529716733.","DOI":"10.4135\/9781529716733"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/10497323221089880"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"e_1_2_10_16_1","unstructured":"Healthy Mothers Healthy Babies Consortium.2025. Multiple Micronutrient Supplementation in Adolescence: Technical Brief.https:\/\/impekacdn.s3.us-east-2.amazonaws.com\/hmhbconsortium.org\/content\/user_files\/2025\/07\/22014144\/MMS-in-Adolescence-Technical-Brief-ENG-July-2025.pdf."},{"key":"e_1_2_10_17_1","first-page":"19","article-title":"Adolescent Nutrition in Mozambique: Putting Policy Into Practice","volume":"53","author":"Homiak E.","year":"2016","journal-title":"Field Exchange"},{"key":"e_1_2_10_18_1","unstructured":"Humanitarian K.2025. UNIMMAP Formulation Evidence.https:\/\/kirkhumanitarian.org\/evidence\/."},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/109019818801500401"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-21-00664"},{"key":"e_1_2_10_22_1","unstructured":"Mussa F.2024. Head of Monapo Department of Education [Personal Communication]."},{"key":"e_1_2_10_23_1","unstructured":"Nutrition International.2020. MMS Cost\u2010Benefit Tool.https:\/\/www.nutritionintl.org\/learning-resources-home\/mms-cost-benefit-tool\/."},{"key":"e_1_2_10_24_1","unstructured":"Core R.Team.2025. R: A Language and Environment for Statistical Computing R Foundation for Statistical Computing.https:\/\/www.R-project.org\/."},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X02239569"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13045-021-01202-2"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2031-8"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(17)30371-6"},{"key":"e_1_2_10_29_1","unstructured":"UNICEF. (n.d.) Nutrition in Middle Childhood and Adolescence.https:\/\/www.unicef.org\/nutrition\/middle-childhood-and-adolescence."},{"key":"e_1_2_10_30_1","unstructured":"United Nations Development Programme. (n.d.) Gender Inequality Index.https:\/\/hdr.undp.org\/data-center\/thematic-composite-indices\/gender-inequality-index."},{"key":"e_1_2_10_31_1","unstructured":"UN Women. (2025) Engaging Boys and Young Men in Gender Equality UN Women \u2013 Headquarters.https:\/\/www.unwomen.org\/en\/what-we-do\/youth\/engaging-boys-and-young-men-in-gender-equality."},{"key":"e_1_2_10_32_1","unstructured":"USAID Advancing Girls' Education.2023. U.S Agency for International Development.https:\/\/www.usaid.gov\/mozambique\/fact-sheet\/usaid-advancing-girls-education-usaid-age."},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2025.1502585"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0198606"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.12688\/gatesopenres.13589.1"},{"key":"e_1_2_10_36_1","unstructured":"World Health Organization.2018. Adolescent Health in Mozambique. WHO Regional Office for Africa.https:\/\/www.afro.who.int\/sites\/default\/files\/2019-04\/4%20Mozambique%20AH18052018.pdf."},{"key":"e_1_2_10_37_1","unstructured":"World Health Organization.2018. Weekly Iron and Folic Acid Supplementation as an Anaemia\u2010prevention Strategy in Women and Adolescent Girls.https:\/\/www.who.int\/publications\/i\/item\/WHO-NMH-NHD-18.8."},{"key":"e_1_2_10_38_1","unstructured":"World Population Review.2025. Average Age of Having First Child by Country.https:\/\/worldpopulationreview.com\/country-rankings\/average-age-of-having-first-child-by-country."},{"key":"e_1_2_10_39_1","unstructured":"World Vision International.2025. IMPACT + Nutrition Curriculum.https:\/\/www.wvi.org\/publications\/health\/impact-nutrition-curriculum."},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.32614\/RJ-2019-027"}],"container-title":["Maternal &amp; Child Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.70211","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/mcn.70211","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.70211","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:01:17Z","timestamp":1792054877000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/mcn.70211"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":39,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/mcn.70211"],"URL":"https:\/\/doi.org\/10.1111\/mcn.70211","archive":["Portico"],"relation":{},"ISSN":["1740-8695","1740-8709"],"issn-type":[{"value":"1740-8695","type":"print"},{"value":"1740-8709","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"assertion":[{"value":"2025-09-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70211"}}