{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T12:59:16Z","timestamp":1777640356783,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"2_suppl1","license":[{"start":{"date-parts":[[2012,6,1]],"date-time":"2012-06-01T00:00:00Z","timestamp":1338508800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Food Nutr Bull"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Maternal undernutrition persists as a serious problem in Ethiopia. Although there are maternal nutrition interventions that are efficacious and effective in improving maternal, neonatal, and child health (MNCH) outcomes, implementation has been limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study explored needs, perceptions, priorities, facilitating factors and barriers to implementation of relevant policies and programs to find opportunities to improve maternal nutrition in Ethiopia<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Background information was compiled and synthesized for a situation analysis. This informed focus group discussions and in-depth interviews with mothers, community leaders, health workers, and district health officials in four woredas (districts) in Tigray and Southern Nations, Nationalities and Peoples Region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings focused on three priority issues: maternal anemia, intrauterine growth retardation (IUGR), and maternal thinness and stunting. Community-level investigations found that women's low status, food insecurity and poverty, and workload were key factors perceived to contribute to women's undernutrition. Awareness of and demand for services to improve women's nutrition were low, except for high demand for supplementary food. On the supply side, barriers included low prioritization of maternal nutrition in health and nutrition service delivery and weak technical capacity to deliver context-sensitive maternal nutrition interventions at all levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Community-based health and nutrition services were promising platforms for expanding access to interventions such as micronutrient supplements and social and behavior change communication. Investments are needed to support these community-based programs, including training, supplies, supervision and monitoring. To address IUGR at scale, increased access to cash or food transfers could be explored.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15648265120332s103","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T15:58:13Z","timestamp":1448467093000},"page":"S27-S50","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Policies and Program Implementation Experience to Improve Maternal Nutrition in Ethiopia"],"prefix":"10.1177","volume":"33","author":[{"given":"Lisa S.","family":"Saldanha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Buback","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica M.","family":"White","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Afework","family":"Mulugeta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solomon G.","family":"Mariam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alemzewed Challa","family":"Roba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiwot","family":"Abebe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John B.","family":"Mason","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,6,1]]},"reference":[{"key":"bibr1-15648265120332S103","doi-asserted-by":"publisher","DOI":"10.1177\/15648265120332S102"},{"key":"bibr2-15648265120332S103","volume-title":"2010 population statistics","author":"Central Statistical Agency (Ethiopia)","year":"2011"},{"key":"bibr3-15648265120332S103","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61690-0"},{"key":"bibr4-15648265120332S103","volume-title":"Ethiopia Demographic and Health Survey 2011, Preliminary Report","author":"Central Statistical Agency (Ethiopia)\/ORC Macro","year":"2011"},{"key":"bibr5-15648265120332S103","volume-title":"Productive Safety Net Programme: programme implementation manual (revised)","author":"Ministry of Agriculture and Rural Development","year":"2010"},{"key":"bibr6-15648265120332S103","volume-title":"Ethiopia Demographic and Health Survey 2005","author":"Central Statistical Agency (Ethiopia)\/ORC Macro","year":"2006"},{"key":"bibr7-15648265120332S103","volume-title":"Ethiopia Health Sector Development Programme III, mid-term review. Volume 1, Component report","author":"Independent Review Team","year":"2008"},{"key":"bibr8-15648265120332S103","volume-title":"Essential services for health in Ethiopia: household endline survey synthesis report","author":"US Agency for International Development","year":"2008"},{"key":"bibr9-15648265120332S103","volume-title":"Growth reference data for 5\u201319 years","author":"World Health Organization","year":"2007"},{"key":"bibr10-15648265120332S103","first-page":"7","volume-title":"Nutritional anemias","author":"Allen L","year":"2001"},{"key":"bibr11-15648265120332S103","volume-title":"Global health risks: mortality and burden of disease attributable to selected major risk factors","author":"World Health Organization","year":"2009"},{"key":"bibr12-15648265120332S103","unstructured":"Imdad A, Bhutta ZA. Routine iron\/folate supplementation during pregnancy: effect on maternal anemia and birth outcomes. Paediatr Perinat Epidemiol (in press)."},{"key":"bibr13-15648265120332S103","volume-title":"Ethiopia National Malaria Indicator Survey 2007: Technical Summary","author":"Federal Ministry of Health","year":"2008"},{"key":"bibr14-15648265120332S103","volume-title":"Low birthweight: country, regional and global estimates","author":"UNICEF\/World Health Organization","year":"2004"},{"key":"bibr15-15648265120332S103","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(82)90012-6"},{"key":"bibr16-15648265120332S103","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1542\/peds.80.4.502","volume":"80","author":"Kramer MS","year":"1987","journal-title":"Pediatrics"},{"key":"bibr17-15648265120332S103","unstructured":"Zimmermann MB. The effects of iodine deficiency in pregnancy and infancy. Paediatr Perinat Epidemiol (in press)."},{"key":"bibr18-15648265120332S103","doi-asserted-by":"publisher","DOI":"10.17730\/humo.42.3.43081445235366lk"},{"key":"bibr19-15648265120332S103","volume-title":"The gatekeeper initiative: lessons learned from four pilots","author":"World Food Programme Ethiopia Nutrition and Education Section","year":"2010"},{"key":"bibr20-15648265120332S103","volume-title":"Progress in nutrition. 6th report on the world nutrition situation","author":"United Nations Standing Committee on Nutrition","year":"2010"},{"key":"bibr21-15648265120332S103","volume-title":"Supplementary feeding for women and young children","author":"Gillespie S","year":"1999"},{"key":"bibr22-15648265120332S103","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(96)02652-5"},{"key":"bibr23-15648265120332S103","volume-title":"Guideline: intermittent iron and folic acid supplementation in menstruating women","author":"World Health Organization","year":"2011"},{"key":"bibr24-15648265120332S103","unstructured":"Ramakrishnan U, Grant FK, Goldenberg T, Bui V, Imdad A, Bhutta ZA. Effect of multiple micronutrient supplementation on pregnancy and infant outcomes: a systematic review. 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