PMID- 32605672 OWN - NLM STAT- MEDLINE DCOM- 20210810 LR - 20230619 IS - 1475-2727 (Electronic) IS - 1368-9800 (Print) IS - 1368-9800 (Linking) VI - 23 IP - 15 DP - 2020 Oct TI - Public health interventions to improve maternal nutrition during pregnancy: a nationally representative study of iron and folic acid consumption and food supplements in India. PG - 2671-2686 LID - 10.1017/S1368980020001007 [doi] AB - OBJECTIVE: Despite a reduction in maternal mortality in recent years, a high rate of anaemia and other nutrient inadequacies during pregnancy pose a serious threat to mothers and their children in the Global South. Using the framework of the WHO-Commission on Social Determinants of Health, this study examines the socioeconomic, programmatic and contextual factors associated with the consumption of iron and folic acid (IFA) tablets/syrup for at least 100 d (IFA100) and receiving supplementary food (SF) by pregnant women in India. DESIGN: We analysed a nationally representative cross-sectional survey of over 190 898 ever-married women aged 15-49 years who were interviewed as part of the National Family Health Survey (NFHS) conducted during 2015-16, who had at least one live birth preceding 5 years of the survey. SETTING: All twenty-nine states and seven union territories of India. PARTICIPANTS: Ever-married women aged 15-49 years. RESULTS: Less than one-third of women were found to be consuming IFA100, and a little over half received SF during their last pregnancy. The consumption of IFA100 was likely to improve with women's education, household wealth, early and more prenatal visits, and in a community with high pregnancy registration. Higher parity, early and more prenatal visits, contact with community health workers during pregnancy, belonging to a poor household and living in an aggregated poor community and rural area positively determine whether a woman might receive SF during pregnancy. CONCLUSIONS: Continuous monitoring and evaluation of provisioning IFA and SF in targeted groups and communities is a key to expanding the coverage and reducing the burden of undernutrition during pregnancy. FAU - Singh, Prashant Kumar AU - Singh PK AD - Division of Preventive Oncology, ICMR National Institute of Cancer Prevention and Research, Noida, India. FAU - Dubey, Ritam AU - Dubey R AD - Division of Preventive Oncology, ICMR National Institute of Cancer Prevention and Research, Noida, India. FAU - Singh, Lucky AU - Singh L AUID- ORCID: 0000-0003-2590-6135 AD - ICMR National Institute of Medical Statistics, New Delhi110 029, India. FAU - Kumar, Chandan AU - Kumar C AD - Department of Policy Studies, TERI School of Advanced Studies, New Delhi, India. FAU - Rai, Rajesh Kumar AU - Rai RK AD - Society for Health and Demographic Surveillance, Suri, West Bengal, India. FAU - Singh, Shalini AU - Singh S AD - ICMR National Institute of Cancer Prevention and Research, Noida, India. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200701 PL - England TA - Public Health Nutr JT - Public health nutrition JID - 9808463 RN - 935E97BOY8 (Folic Acid) RN - E1UOL152H7 (Iron) SB - IM MH - Adolescent MH - Adult MH - Cross-Sectional Studies MH - *Diet, Healthy MH - Dietary Supplements MH - Female MH - Folic Acid MH - Health Promotion/*methods MH - Humans MH - India MH - Iron MH - Middle Aged MH - Pregnancy MH - *Prenatal Nutritional Physiological Phenomena MH - *Public Health MH - Young Adult PMC - PMC10200584 OTO - NOTNLM OT - Anaemia OT - Food supplements OT - India OT - Iron and folic acid OT - Maternal nutrition OT - Social determinants EDAT- 2020/07/02 06:00 MHDA- 2021/08/11 06:00 PMCR- 2020/10/01 CRDT- 2020/07/02 06:00 PHST- 2020/07/02 06:00 [pubmed] PHST- 2021/08/11 06:00 [medline] PHST- 2020/07/02 06:00 [entrez] PHST- 2020/10/01 00:00 [pmc-release] AID - S1368980020001007 [pii] AID - 10.1017/S1368980020001007 [doi] PST - ppublish SO - Public Health Nutr. 2020 Oct;23(15):2671-2686. doi: 10.1017/S1368980020001007. Epub 2020 Jul 1.