Scoping review of intervention strategies for improving coverage and uptake of maternal nutrition services in southeast asia
(2021) In International Journal of Environmental Research and Public Health 18(24).- Abstract
Maternal undernutrition can lead to protein-energy malnutrition, micronutrient deficiencies, or anemia during pregnancy or after birth. It remains a major problem, despite evidence-based maternal-nutrition interventions happening on ground. We conducted a scoping review to under-stand different strategies and delivery mechanisms to improve maternal nutrition, as well as how interventions have improved coverage and uptake of services. An electronic search was conducted in PubMed and Google Scholar for published studies reporting on the effectiveness of maternal-nutrition interventions in terms of access or coverage, health outcomes, compliance, and barriers to intervention utilization. The search was limited to studies published within... (More)
Maternal undernutrition can lead to protein-energy malnutrition, micronutrient deficiencies, or anemia during pregnancy or after birth. It remains a major problem, despite evidence-based maternal-nutrition interventions happening on ground. We conducted a scoping review to under-stand different strategies and delivery mechanisms to improve maternal nutrition, as well as how interventions have improved coverage and uptake of services. An electronic search was conducted in PubMed and Google Scholar for published studies reporting on the effectiveness of maternal-nutrition interventions in terms of access or coverage, health outcomes, compliance, and barriers to intervention utilization. The search was limited to studies published within ten years before the initial search date, 8 November 2019; later, it was updated to 17 February 2021. Of 31 studies identified following screening and data extraction, 22 studies were included for narrative synthesis. Twelve studies were reported from India and eleven from Bangladesh, three from Nepal, two from both Pakistan and Thailand (Myanmar), and one from Indonesia. Nutrition education and counselling, home visits, directly observed supplement intake, community mobilization, food, and conditional cash transfer by community health workers were found to be effective. There is a need to incorporate diverse strategies, including various health education approaches, supplementation, as well as strengthening of community participation and the response of the health system in order to achieve impactful maternal nutrition programs.
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- author
- Kurian, Kauma ; Lakiang, Theophilus ; Sinha, Rajesh Kumar ; Kathuria, Nishtha ; Krishnan, Priya ; Mehra, Devika LU ; Mehra, Sunil and Sharma, Shantanu LU
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Community mobilization, Counselling, Coverage, Home visits, Maternal nutrition
- in
- International Journal of Environmental Research and Public Health
- volume
- 18
- issue
- 24
- article number
- 13292
- publisher
- MDPI AG
- external identifiers
-
- pmid:34948904
- scopus:85121104727
- ISSN
- 1661-7827
- DOI
- 10.3390/ijerph182413292
- language
- English
- LU publication?
- yes
- id
- fd63395f-0fec-4127-aac9-9983ebd57c5b
- date added to LUP
- 2022-01-27 12:21:26
- date last changed
- 2024-03-23 17:48:15
@article{fd63395f-0fec-4127-aac9-9983ebd57c5b,
abstract = {{<p>Maternal undernutrition can lead to protein-energy malnutrition, micronutrient deficiencies, or anemia during pregnancy or after birth. It remains a major problem, despite evidence-based maternal-nutrition interventions happening on ground. We conducted a scoping review to under-stand different strategies and delivery mechanisms to improve maternal nutrition, as well as how interventions have improved coverage and uptake of services. An electronic search was conducted in PubMed and Google Scholar for published studies reporting on the effectiveness of maternal-nutrition interventions in terms of access or coverage, health outcomes, compliance, and barriers to intervention utilization. The search was limited to studies published within ten years before the initial search date, 8 November 2019; later, it was updated to 17 February 2021. Of 31 studies identified following screening and data extraction, 22 studies were included for narrative synthesis. Twelve studies were reported from India and eleven from Bangladesh, three from Nepal, two from both Pakistan and Thailand (Myanmar), and one from Indonesia. Nutrition education and counselling, home visits, directly observed supplement intake, community mobilization, food, and conditional cash transfer by community health workers were found to be effective. There is a need to incorporate diverse strategies, including various health education approaches, supplementation, as well as strengthening of community participation and the response of the health system in order to achieve impactful maternal nutrition programs.</p>}},
author = {{Kurian, Kauma and Lakiang, Theophilus and Sinha, Rajesh Kumar and Kathuria, Nishtha and Krishnan, Priya and Mehra, Devika and Mehra, Sunil and Sharma, Shantanu}},
issn = {{1661-7827}},
keywords = {{Community mobilization; Counselling; Coverage; Home visits; Maternal nutrition}},
language = {{eng}},
number = {{24}},
publisher = {{MDPI AG}},
series = {{International Journal of Environmental Research and Public Health}},
title = {{Scoping review of intervention strategies for improving coverage and uptake of maternal nutrition services in southeast asia}},
url = {{http://dx.doi.org/10.3390/ijerph182413292}},
doi = {{10.3390/ijerph182413292}},
volume = {{18}},
year = {{2021}},
}