{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T19:04:09Z","timestamp":1790103849518,"version":"4.0.1"},"reference-count":35,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"unspecified","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Harvard T.H. Chan School of Public Health India Research Centre","award":["NA"],"award-info":[{"award-number":["NA"]}]},{"DOI":"10.13039\/100015369","name":"Department of Global Health and Population, Harvard T.H. Chan School of Public Health","doi-asserted-by":"publisher","award":["NA"],"award-info":[{"award-number":["NA"]}],"id":[{"id":"10.13039\/100015369","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Narotam Sekhsaria Foundation","award":["NA"],"award-info":[{"award-number":["NA"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,5,6]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      Anaemia remains a major public health concern among Indian adolescents, particularly girls. National-level and state-level initiatives led by the Government of India, such as the Weekly Iron and Folic Acid Supplementation,\n                      <jats:italic>Anaemia Mukt Bharat<\/jats:italic>\n                      and the Intensified National Iron Plus Initiative, aim to control iron-deficiency anaemia through systematic supplementation and behaviour change communication strategies. However, implementation challenges persist. Given the limited evidence on barriers, facilitators and interventions implemented to improve the outlined national schemes, we have designed a systematic review to inform future research and programmes. This review aims to systematically identify and synthesise evidence on barriers and facilitators influencing the implementation of national iron and folic acid supplementation programmes targeting adolescents aged 10\u201319 years in India.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>A comprehensive search will be conducted using five databases, namely PubMed, EMBASE, Web of Science, CINHAL and Scopus, from inception to 30 September 2025. To capture grey literature, we will also search government portals, international agency repositories, clinical trial registries and the Google platform. Eligible studies include experimental, observational, qualitative and implementation research conducted in school-based, community-based or combined delivery settings. Screening, data extraction and quality appraisal will be performed independently by two reviewers using the Covidence platform. The Joanna Briggs Institute tool will be used to assess methodological quality of included studies. Quantitative data will be synthesised descriptively following the Synthesis Without Meta-analysis guidelines, and qualitative data will be analysed using thematic synthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Ethical approval is not required as there is no human participation. The results will be published in a peer-reviewed journal and presented at scientific conferences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PROSPERO registration number<\/jats:title>\n                    <jats:p>CRD420251153248.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-115187","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T10:50:26Z","timestamp":1781779826000},"page":"e115187","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Facilitators and barriers to implementing national iron and folic acid supplementation programmes for adolescents in India: a protocol for systematic review"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1606-0257","authenticated-orcid":false,"given":"Rohan","family":"Shah","sequence":"first","affiliation":[{"name":"Harvard T.H. Chan School of Public Health - India Research Center, Mumbai, India"},{"name":"Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA"},{"name":"Department of Paediatrics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, India"},{"name":"Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6369-4212","authenticated-orcid":false,"given":"Sachin","family":"Shinde","sequence":"additional","affiliation":[{"name":"Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluwakemi","family":"Akagwu","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Surrey, Guildford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7209-6924","authenticated-orcid":false,"given":"Sanjay","family":"Juvekar","sequence":"additional","affiliation":[{"name":"Central Research Facility, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, India"},{"name":"King Edward Memorial Hospital Pune Research Centre, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2908-600X","authenticated-orcid":false,"given":"Wafaie","family":"Fawzi","sequence":"additional","affiliation":[{"name":"Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA"},{"name":"Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA"},{"name":"Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Ahankari","sequence":"additional","affiliation":[{"name":"School of Nursing and Public Health, Manchester Metropolitan University, Manchester, UK"},{"name":"Halo Medical Foundation, Andur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"2026092211252049000_16.6.e115187.1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3026(23)00160-6"},{"key":"2026092211252049000_16.6.e115187.2","unstructured":"World Health Organization (WHO) . Anaemia. Geneva World Health Organization; 2023. 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