Applying Implementation Science to Secure a Sustainable Supply of UNIMMAP MMS for National Antenatal Care Services in Indonesia.
Background: The United Nations International Multiple Micronutrient Antenatal Preparation of a multiple micronutrient supplement (UNIMMAP MMS or MMS) is replacing iron and folic acid supplementation (IFAS) in antenatal care (ANC) in low- and middle-income countries (LMICs). An investigation into det...
| Published in: | Nutrients Vol. 18; no. 13; pp. 2162 - 2182 |
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| Main Authors: | , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
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MDPI
Jul2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195440983&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195440983 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20726643 B0TT jtl: Nutrients issn: 20726643 maglogo: N pubinfo: dt: Jul2026 vid: 18 iid: 13 pid: 97109 pub: MDPI artinfo: ui: 195440983 195440983 195440983 10.3390/nu18132162 195440983 ppf: 2162 ppct: 20 formats: tig: atl: Applying Implementation Science to Secure a Sustainable Supply of UNIMMAP MMS for National Antenatal Care Services in Indonesia. aug: au: Holik, Holis Abdul Santika, Otte Suwantika, Auliya Atwater, John de Lange, Jarno Thaha, Abdul Razak Achadi, Endang Laksminingsih Nurlita, Hera Rahmawati, Erni Rimbawan Ajello, Clayton affil: Center of Excellence for Pharmaceutical Care Innovation (PHARCI), Faculty of Pharmacy, Padjadjaran University, Jl. Ir Soekarno KM 21, Jatinangor Sub-District, Sumedang Regency 45363, West Java Province, Indonesia sug: subj: Dietary Supplements Supply and Distribution Implementation Science Micronutrients Supply and Distribution Prenatal Care Maternal Health Services Indonesia Human Funding Source Female Pregnancy Indonesia United Nations National Health Programs Government Programs Nutrition Policy Iron Compounds Administration and Dosage Folic Acid Administration and Dosage Maternal Nutritional Physiology Legislation, Drug Cost Effectiveness Analysis Cost Benefit Analysis Descriptive Statistics Comparative Studies Female ab: Background: The United Nations International Multiple Micronutrient Antenatal Preparation of a multiple micronutrient supplement (UNIMMAP MMS or MMS) is replacing iron and folic acid supplementation (IFAS) in antenatal care (ANC) in low- and middle-income countries (LMICs). An investigation into determining how to secure a sustainable supply of MMS began in response to the Indonesian Ministry of Health (MOH)'s decision to introduce MMS into its national health services. Objective: We aimed to identify and test sustainable strategies for securing MMS supplies. Methods: A three-phase implementation science framework was applied to (1) foster an enabling environment for securing MMS supplies, (2) undertake implementation research (IR) to compare sourcing strategy options, and (3) plan and execute actions to scale MMS supply availability and distribution. The MOH assumed ownership of the initiative and guided policy, procurement, and program decisions. Results: (1) Landscaping resulted in recommendations that triggered supply-related policies, an accommodating regulatory framework, integration of MMS into key government support systems (i.e., budget, finance, procurement, and distribution), and identification of supply strategy options. (2) IR resulted in the selection of a local manufacturing and sourcing strategy for acquiring a sustainable supply of high-quality MMS product while retaining an option to import a limited supply of MMS during scaling. (3) A multi-year plan was developed to scale MMSs within ANC services. Conclusions: Applying implementation science provided an evidence-based framework with which to identify, establish, and test a sustainable strategy for securing MMS supplies and yielded insights useful for other countries introducing MMS into their national health systems. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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