{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:36:20Z","timestamp":1787016980210,"version":"build-2736575974"},"reference-count":23,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"unspecified","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006641","name":"UNICEF","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100006641","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,12,23]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the acceptance of multiple micronutrient supplements and current iron and folic acid supplement utilisation among pregnant and lactating women in rural Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Community-based cross-sectional study using a mixed method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>This study was carried out in five regions (Oromia, Gambela, Sidama, SNNPR (Southern Nations, Nationalities and Peoples Region) and Somali) of Ethiopia, 2022. A multistage random sampling technique was employed. A structured questionnaire was used to collect data from 410 pregnant and lactating women. A purposive sampling technique was used to select participants for the five Focused Group Discussions and fifteen Key Informant Interviews. Both bivariable and multivariable logistic regression analysis was conducted with a p value&lt;0.05, and a 95% CI was considered statistically significant. Qualitative data were coded and analysed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 410 pregnant and lactating women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The overall level of iron-folic acid utilisation was 59.3%. The odds of using iron-folic acid among pregnant and lactating women in the Sidama region are significantly lower compared with Oromia (adjusted OR (AOR)=0.12, 95%\u2009CI: 0.04, 0.38). Lactating women have significantly lower odds of using iron-folic acid compared with pregnant women (AOR=0.09, 95% CI: 0.05, 0.17). Taking medication or supplements significantly increases the odds of iron-folic acid use (AOR=2.41, 95% CI: 1.16, 4.95). Recommending a new nutrition supplement significantly increases the odds of iron-folic acid use (AOR=2.38, 95%\u2009CI: 1.21, 4.68).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The consumption of iron-folic acid supplements among pregnant and lactating women in Ethiopia is lower than in other studies. Factors associated with iron-folic acid utilisation include region, taking medication\/supplements, recommending nutrition and being a lactating mother. To ensure accessibility, the product should be sold in all town shops, pharmacies and through home delivery. Additionally, a strategy should be developed to provide access to the product in each adjacent community centre. Awareness creation should be a priority for community members to avoid misconceptions about pregnancy-related supplements.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-081359","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T01:20:43Z","timestamp":1737508843000},"page":"e081359","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Acceptance of multiple micronutrient supplementations (MMS) and iron and folic acid supplement utilisation among pregnant and lactating women in the rural part of Ethiopia, 2022: a cross-sectional study"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0465-1831","authenticated-orcid":false,"given":"Finina","family":"Abebe","sequence":"first","affiliation":[{"name":"Ethiopian Health Education and Promotion Professionals Association, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4541-7654","authenticated-orcid":false,"given":"Yordanos Tadesse","family":"Kidanemariam","sequence":"additional","affiliation":[{"name":"Addis Ababa University, School of Public Health, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Menen","family":"Tsegaw","sequence":"additional","affiliation":[{"name":"Department of Public Health, Ambo University, Ambo, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zewdie","family":"Birhanu","sequence":"additional","affiliation":[{"name":"Health, Behavior and Society, Jimma University, Jimma, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmednasir","family":"Abdi","sequence":"additional","affiliation":[{"name":"Department of Health Science, Jijiga University, Jijiga, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanley","family":"Chitekwe","sequence":"additional","affiliation":[{"name":"United Nations Childrens Fund Nepal, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachana","family":"Sharma","sequence":"additional","affiliation":[{"name":"UNICEF Ethiopia, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiwot","family":"Getachew","sequence":"additional","affiliation":[{"name":"UNICEF Ethiopia, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramadhani","family":"Noor","sequence":"additional","affiliation":[{"name":"UNICEF Ethiopia, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asli Hassan","family":"Aden","sequence":"additional","affiliation":[{"name":"UNICEF, Jijiga, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tesfaye","family":"Chuko","sequence":"additional","affiliation":[{"name":"UNICEF Ethiopia, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tariku","family":"Dejene","sequence":"additional","affiliation":[{"name":"Center for Population Studies, College of Development Studies, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Mohammed","family":"Dawd","sequence":"additional","affiliation":[{"name":"Jigjiga University, Jigjiga, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"key":"2025121220444610000_15.1.e081359.1","doi-asserted-by":"crossref","DOI":"10.1177\/20503121211049934","article-title":"Adherence status to iron with folic acid supplementation and associated factors among pregnant women receiving antenatal care at public health facilities in Northwest Ethiopia","volume":"9","author":"Demisse","year":"2021","journal-title":"SAGE Open Med"},{"key":"2025121220444610000_15.1.e081359.2","doi-asserted-by":"crossref","first-page":"1206S","DOI":"10.1093\/ajcn\/81.5.1206","article-title":"Multiple micronutrients in pregnancy and lactation: an overview","volume":"81","author":"Allen","year":"2005","journal-title":"Am J Clin Nutr"},{"key":"2025121220444610000_15.1.e081359.3","unstructured":"Weight IB , Study G . 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