Maternal and Child Nutrition最新文献

{"title":"The Use of Home Fortification Products in Humanitarian Settings: A Scoping Review.","authors":"Jacqueline M Lauer, Alexandra DeShaw, Isabelle Ward, Davidson H Hamer, Lindsey M Locks","doi":"10.1111/mcn.70128","DOIUrl":"https://doi.org/10.1111/mcn.70128","url":null,"abstract":"<p><p>Home fortification products (HFPs), including multiple micronutrient powders and small-quantity lipid-based nutrient supplements, are specialized, nutrient-filled products added to foods with the aim of filling critical nutrient gaps. Despite their potential, there is limited documentation of the use of HFPs in humanitarian settings. The aim of this scoping review was to explore the evidence base and feasibility of implementing HFP programming in humanitarian settings specifically among young children 6-59 months of age and pregnant and lactating women. Electronic databases (PubMed, Embase, and CINAHL) were searched in December 2024, yielding 70 articles after duplicates were eliminated. Two research assistants independently selected articles that met inclusion criteria and analyzed them thematically. A total of eight studies (six quantitative, one qualitative, and one mixed methods) were included. The limited studies examined indicate that the use of HFPs is more feasible when carried out in the context of ongoing humanitarian programming, including general food distribution, growth monitoring, and behaviour change communication. Adherence and acceptability monitoring, along with sensitization and education efforts, also contributed to successful HFP programming. Hindering the use of HFPs were logistical issues, including delays in obtaining the products, sharing of HFPs across household members, and a lack of trust in both implementers and HFPs. HFPs appeared to have mixed results regarding improving health outcomes, such as growth, anaemia, and morbidities, though effects were difficult to isolate. Overall, this review demonstrates that HFPs are feasible to implement and potentially beneficial; however, more studies, including implementation research and effectiveness trials, are needed to better determine whether and how HFP programming should be implemented in humanitarian settings.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70128"},"PeriodicalIF":2.6,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of the ABA-Feed Infant Feeding Intervention: A Qualitative Study With Women, Peer Supporters and Coordinators.","authors":"Joanne Clarke, Nicola Crossland, Stephan Dombrowski, Pat Hoddinott, Jenny Ingram, Debbie Johnson, Kate Jolly, Christine MacArthur, Jennifer McKell, Ngawai Moss, Julia Sanders, Nicola Savory, Beck Taylor, Gill Thomson","doi":"10.1111/mcn.70124","DOIUrl":"https://doi.org/10.1111/mcn.70124","url":null,"abstract":"<p><p>UK breastfeeding rates are low, with health inequalities in initiation and continuation. Breastfeeding peer support interventions are recommended in UK and global policy. The Assets-based feeding help Before and After birth (ABA-feed) trial tested the effectiveness of proactive, woman-centred support for infant feeding delivered by trained peer supporters (infant feeding helpers; IFHs) in addition to usual care at 17 UK sites. Using data from an embedded process evaluation, this paper reports the views and experiences of women receiving, and the IFHs and coordinators delivering, ABA-feed. Women (n = 2475) were recruited to the trial antenatally; 1458 were allocated to the intervention. Thirty women from five study sites took part in qualitative interviews between 9 and 23 weeks postnatal. IFHs (n = 72) and coordinators (n = 25) from across all sites participated in individual or group interviews towards the end of the intervention period. Interview transcripts were analysed alongside 1147 free-text responses from an 8-week postnatal follow-up survey using Framework Analysis. The ABA-feed intervention was highly acceptable to women, including younger women, those with less education, from diverse ethnic groups, single mothers, and those who intended to formula feed, as well as to IFHs and coordinators. Both remote and in-person support was acceptable. While women valued proactive daily contact during the first 14 days postpartum, some IFHs found this challenging, and some struggled with supporting women who chose formula feeding or were less engaged. This study highlights the value of flexible, proactive, woman-centred infant feeding support. TRIAL REGISTRATION: ISRCTN17395671.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70124"},"PeriodicalIF":2.6,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"USAID Funding Cuts Highlight the Stark Lack of Investment in Adolescent Health and Nutrition Globally.","authors":"Tawanda Mukwekwezeke, Natasha Lelijveld","doi":"10.1111/mcn.70103","DOIUrl":"https://doi.org/10.1111/mcn.70103","url":null,"abstract":"","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70103"},"PeriodicalIF":2.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diet and Care Mediate the Effects of Parenting and Nutrition Interventions on Childhood Infections.","authors":"Nazia Binte Ali, Arjumand Rizvi, Saima Siyal, Wafaie W Fawzi, Aisha K Yousafzai, Christopher R Sudfeld","doi":"10.1111/mcn.70127","DOIUrl":"https://doi.org/10.1111/mcn.70127","url":null,"abstract":"<p><p>The effect of community-based multi-input interventions that promote health, nutrition, and development on childhood infections, and the pathways that explain these effects remain unclear. We conducted a secondary analysis of a factorial-designed clustered randomized controlled trial (N = 1489) conducted in rural Pakistan to estimate the effects of responsive stimulation and enhanced nutrition (responsive feeding and multiple micronutrient powders (MNPs)) interventions on diarrhoea, fever, and acute respiratory infection (ARI) among children under 2 years using Poisson regression models. We used a counterfactual framework and weighting-based approach to conduct mediation analyses through diet and care-related factors. The responsive stimulation intervention reduced diarrhoea between 12 and 24 months of age (rate ratio (RR): 0.87; 95% CI: 0.77, 0.97), fever from 6 to 24 months (RR: 0.80; 95% CI: 0.73, 0.88), and ARI from 6 to 24 months (RR: 0.91; 95% CI: 0.83, 0.99). In contrast, enhanced nutrition increased rates of fever from 6 to 24 months (RR: 1.34; 95% CI: 1.22, 1.48). Reductions in maternal depressive symptoms partially mediated the positive effects of responsive stimulation on diarrhoea, fever, and ARI between 6 and 24 months (54.7%, 15.6%, and 49.1% mediated, respectively) and also provided positive indirect effects for the enhanced nutrition intervention on these outcomes. Improvements in meal frequency contributed to reductions in child diarrhoea for both interventions. Responsive stimulation and enhanced nutrition had contrasting effects on childhood infections, but both interventions improved diet and care-related mediators that contributed positive indirect effects. The provision of iron-containing MNPs may explain the overall negative effect of the enhanced nutrition package on fever. Trial Registration: Clinicaltrials.gov identifier: NCT007159636.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70127"},"PeriodicalIF":2.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anaemia Among Mother-Child Dyads in India: Trends, Drivers, and Future Projections.","authors":"Sarang Pedgaonker, Trupti Meher, Monali Gupta, Suman Chakrabarti, Phuong Hong Nguyen, Shri Kant Singh, Laxmi Kant Dwivedi, Aditi, Samuel Scott","doi":"10.1111/mcn.70106","DOIUrl":"https://doi.org/10.1111/mcn.70106","url":null,"abstract":"<p><p>Anaemia among mothers and their children is a widespread public health challenge with profound consequences for individuals and societies. While anaemia has been studied separately in women and children, there remains a literature gap examining anaemia in mother-child dyads, limiting insights on interventions that may simultaneously address anaemia in both groups. Our study examines trends and drivers of anaemia among mother-child dyads (mothers aged 15-49 years and their children aged 6-59 months; N = 408,342) in India using nationally-representative data from 2006 to 2021 and estimates the potential future reduction in anaemia among mother-child dyads based on changes in selected drivers. We employed descriptive statistics, multivariable logistic regression and population attributable fraction (PAF) analysis. The co-occurrence of anaemia among mothers-child dyads changed very slightly, from 35% in 2006% to 33% in 2016 and to 37% in 2021. Subnational analyses revealed varying trends by states, with Delhi showing the highest increase (17%-32%) and Sikkim the largest decrease (29%-16%) between 2006 and 2021. Maternal education, regular consumption of nonvegetarian food and green leafy vegetables, consumption of iron folic acid supplements, utilization of government health services, and improved sanitation at both household and community levels were associated with lower likelihood of anaemia among mother-child dyads. The cumulative PAF suggested that addressing these factors collectively could reduce anaemia prevalence among mother-child dyads by 18% to 28% (under different scenarios) by 2030. The study underscores the need for comprehensive, multi-sectoral interventions targeting both maternal and child health to effectively combat anaemia in mother-child dyads.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70106"},"PeriodicalIF":2.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Insult to Injury: Exploring the Associations Between Severe Malnutrition in Childhood, Rehabilitation Weight Gain and Adult Adiposity in a Prospective Cohort Study","authors":"Debbie S. Thompson,&nbsp;Kimberley McKenzie,&nbsp;Asha Badaloo,&nbsp;Charles Opondo,&nbsp;Jonathan Wells,&nbsp;Mubarek Abera,&nbsp;Amir Kirolos,&nbsp;Albert Koulman,&nbsp;Marko Kerac,&nbsp;Michael S. Boyne,&nbsp;and the CHANGE Study Collaborators","doi":"10.1111/mcn.70101","DOIUrl":"10.1111/mcn.70101","url":null,"abstract":"<p>The relationships between severe malnutrition (SM), rehabilitation weight gain, and cardiometabolic risk in adult survivors have not been fully elucidated. We utilised a previously collected data set to explore these associations in a cohort of adults who were hospitalised for SM as children from 1963 to 1995. We studied 278 adult SM survivors: 60% male; median age (IQR) 26.5(11.3) years; mean BMI 23.6(5.2) kg/m²). Children's minimum weight-for-age z scores after hospitalisation (minWAZ) were analysed against adiposity as adults in sex-disaggregated regression models. Higher minWAZ was associated with greater adult waist circumference (mean difference:1.8 cm, 95%CI 0.7, 2.9, <i>p</i> = 0.001), fat mass (difference:2.4 kg, 95%CI 0.17,1.06, <i>p</i> = 0.007) and android fat mass (difference:0.19 kg, 95%CI 0.09, 0.29, <i>p</i> &lt; 0.001) in bivariate analyses. Approximately 13% of the effect of minWAZ on adult fat mass was mediated by rehabilitation weight gain in g/kg/day (Sobel's <i>p</i> = 0.053). In male and not female adult survivors, rehabilitation weight gain &gt; 12.9 g/kg/day was associated with greater adult fat mass (difference:5 kg, 95%CI 2, 9, <i>p</i> = 0.006) and android fat (difference:0.5 kg, 95%CI 0.1, 0.8, <i>p</i> = 0.006). Female sex was the strongest predictor of adult fat mass (difference:12.7 kg, 95%CI 9.6, 15.7, <i>p</i> &lt; 0.001) and android fat mass (difference:0.9 kg, 95%CI 0.6, 1.2 <i>p</i> &lt; 0.001) and adult age the strongest predictor of adult waist circumference (difference:0.67 cm, 95%CI 0.39, 0.94, <i>p</i> &lt; 0.001). Faster rehabilitation weight gain as an independent, causal risk factor for adiposity in male SM survivors requires further exploration and more modest weight gain targets may contribute to reducing their risk of adult cardiometabolic disease.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"22 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7618648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distance From Treatment Is Associated With Poorer Admission Status and Worse Outcomes Among Acutely Malnourished Children.","authors":"Suvi T Kangas, Abel Khisa, Zachary Tausanovitch, Bareye Ouologuem, Issa Niamanto Coulibaly, Koniba Diassana, Alhousseyni Haidara, Grace Heymsfield, Christian Ritz, André Briend, Jeanette Bailey","doi":"10.1111/mcn.70119","DOIUrl":"https://doi.org/10.1111/mcn.70119","url":null,"abstract":"<p><p>Distance from health facilities is an important predictor of treatment seeking and health outcomes. We aimed to describe the relationship between distance from care with admission characteristics and treatment outcomes among children admitted to malnutrition treatment. Data was collected as part of an observational study on the effectiveness of a simplified malnutrition treatment program in the Nara district of Mali. Treatment was provided at 37 health centers and 51 community health sites. Linear and logistics mixed models were fitted to estimate associations between distance from treatment with admission anthropometrics and programmatic outcomes. A total of 49,074 children with mid-upper arm circumference (MUAC) < 125 mm or edema were admitted to treatment between December 2018 and December 2023. Most (60%) lived within the village/town where treatment was provided (0 km) while 7%, 27% and 7% lived 1-5 km, 6-15 km and > 15 km from the treatment site, respectively. Up to 91% recovered attaining twice a MUAC ≥ 125 mm. Distance from treatment was consistently associated with lower anthropometrics at admission with 0.63, 1.38 and 2.18 mm lower MUAC among children living 1-5, 6-15, and > 15 km distance from the treatment site, respectively (p < 0.001), compared to 0 km. This suggests later treatment seeking among those living further from treatment. Living > 15 km from treatment site was associated with 49% increased risk of defaulting, 20% decreased risk of referral to inpatient care and 18% increased risk of missing a visit when compared to 0 km, and when adjusting for admission anthropometry. Poorer admission status and worse treatment outcomes are observed among children living farther from treatment sites, emphasizing the need to further decentralize malnutrition treatment.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70119"},"PeriodicalIF":2.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Longitudinal Impact of Fetal Malnutrition on the Anthropometric Growth of Young Children in Leyte, the Philippines","authors":"Mackenzie E. Bruzzio,&nbsp;Jennifer Friedman,&nbsp;Christopher Barry,&nbsp;Emily McDonald,&nbsp;Blanca Jarilla,&nbsp;Veronica Tallo,&nbsp;Susannah Colt","doi":"10.1111/mcn.70120","DOIUrl":"10.1111/mcn.70120","url":null,"abstract":"<p>Poor intrauterine growth has long-term implications for child growth and nutritional status. Fetal malnutrition (FM) is a type of poor intrauterine growth defined by the presence of soft tissue wasting at birth and is identified using the Clinical Assessment of Nutritional Status Score (CANSCORE) tool, independent of gestational age. There is limited evidence evaluating FM as a predictor of longitudinal growth and nutritional status in young children. In this longitudinal birth cohort in Leyte, the Philippines, mother–infant dyads were enroled, and infants were followed for 24 months after delivery. Infants were evaluated using CANSCORE within 48 h of birth by a trained midwife, and FM was defined as CANSCORE &lt; 25. Weight and length were measured at birth, 1-, 6-, 12-, 18- and 24-month visits. Weight-for-age (WAZ), length-for-age (LAZ) and weight-for-length (WLZ) z scores were determined using WHO Anthro. Associations between FM and anthropometric z scores were assessed using multivariable linear regression, adjusting for maternal body mass index (BMI), family socioeconomic status (SES) and child's sex. Among <i>N</i> = 246 infants included for analysis, 8 (3%) were classified with FM at birth. Despite limited power, FM was significantly associated with reduced WAZ, LAZ and WLZ at nearly all timepoints in the fully adjusted models. CANSCORE is a user-friendly tool for assessing FM in areas with limited equipment and predicted that newborns with FM were at continued risk for undernutrition and growth stunting until age 24 months. Identification of FM at birth provides opportunities for targeted early nutrition interventions for high-risk infants.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"22 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.70120","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Water, Sanitation, Hygiene and Animal Ownership With Relapse to Acute Malnutrition Among Children Aged 6-59 Months in Mali, South Sudan and Somalia: A Multi-Site Prospective Cohort Study.","authors":"Lauren D'Mello-Guyett, Sarah King, Sherifath Mama Chabi, Feysal Absdisalan Mohamud, Nancy Grace Lamaka, John Agong, Malyun Mohamed, Karim Koné, Karin Gallandat, Mesfin Gose, Mohamed Sheikh Omar, Magloire Bunkembo, Indi Trehan, Anastasia Marshak, Khamisa Ayoub, Ahmed Hersi Olad, Bagayogo Aliou, Heather C Stobaugh, Oliver Cumming","doi":"10.1111/mcn.70116","DOIUrl":"https://doi.org/10.1111/mcn.70116","url":null,"abstract":"<p><p>Children successfully treated through community-based management of acute malnutrition (CMAM) frequently relapse to acute malnutrition (AM) following recovery and discharge. This prospective cohort study examined associations between relapse and household water, sanitation and hygiene (WASH) conditions, as well as animal ownership, in Mali, South Sudan and Somalia. Between April 2021 and June 2022, 1115 children were enrolled, with 964 children followed for 6 months, 242 in Mali, 488 in South Sudan and 234 in Somalia. Relapse to AM occurred in 32%, 63% and 21% of children in Mali, South Sudan and Somalia, respectively. In Mali, relapse risk was higher in households using multiple drinking water sources (aRR 1.71, 95% CI: 1.21-2.43, p = 0.003) or lacking soap (aRR 1.71, 95% CI: 1.03-2.82, p = 0.037). In South Sudan, inadequate drinking water sources, open defecation and the presence of animal faeces in the compound were associated with an increased risk of relapse (aRR 1.20, 95% CI: 1.04-1.38, p = 0.010; aRR 1.16, 95% CI: 1.03-1.30, p = 0.016; aRR 1.13, 95% CI: 1.02-1.26, p = 0.019, respectively). Sheep ownership in Mali (aRR 0.57, 95% CI: 0.40-0.81, p = 0.002) and cattle ownership in South Sudan (aRR 0.78, 95% CI: 0.71-0.85, p = < 0.001) were protective. No significant WASH or animal-related factors were associated with relapse in Somalia. As nearly all household drinking water samples were contaminated across settings and time points, no association could be detected between measured water quality and relapse. While many WASH indicators were not associated with relapse, some inadequate WASH conditions were identified as risk factors for relapse, although heterogeneous across contexts. These findings may help to identify at-risk children during treatment and inform strategies to reduce relapse post-recovery.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70116"},"PeriodicalIF":2.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Video-Based Health Education on Birth Outcomes and Anaemia Status of Mothers in Dirashe District South Ethiopia: A Cluster Randomized Controlled Trial.","authors":"Wanzahun Godana Boynito, Kidus Temesgen Worsa, Befikadu Tariku Gutema, Yordanos Gizachew Yeshitila, Godana Yaya Tessema, Tsegaye Yohanis, Stefaan De Henauw, Piet Cools, Bruno Levecke, Souheila Abbeddou","doi":"10.1111/mcn.70122","DOIUrl":"https://doi.org/10.1111/mcn.70122","url":null,"abstract":"<p><p>Undernutrition and infections during pregnancy result in low birth weight (LBW) and maternal anaemia. Social behaviour change communication (SBCC) can promote recommended health practices, potentially improving maternal and neonatal outcomes. This cluster-randomized controlled trial assessed the effects of video-based health education on adherence to iron-folic acid (IFA) supplementation, pregnancy outcomes, and anaemia status among pregnant women in rural Dirashe District, South Ethiopia. Pregnant women in their first trimester across 16 villages were cluster-randomized into either the intervention or control arms. The control arm received standard antenatal care counselling, while the intervention arm received biweekly video-based nutrition and health education at home until delivery. The primary outcomes included adherence to IFA supplementation, birth outcomes, including neonatal length and weight, and maternal haemoglobin concentrations (Hb) throughout pregnancy. Among 596 enroled pregnant women, 519 provided data until delivery. The intervention significantly improved adherence to IFA supplementation, with a mean difference (95% Confidence Interval) of 25.98 (15.60, 36.36) in IFA disappearance rate and a mean percent difference of 14.80% (3.42, 63.99) in self-reported adherence. The intervention significantly improved birth weight, with a mean difference of 204.9 g (38.7, 371.2). Maternal Hb near delivery improved statistically with a mean difference of 0.22 g/dL (0.15, 0.42), with lower anaemia (Hb < 11.0 g/dL) prevalence, with a mean percent difference of -0.08% (-0.12, -0.04). However, no significant effect on birth length or LBW was observed. Video-based SBCC improved IFA adherence, birth weight, and reduced anaemia near delivery. It is a promising approach for community health education in resource-limited settings. REGISTRATION: The study was registered as a clinical trial with the US National Institute of Health (www//.ClinicalTrials.gov; NCT04414527).</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70122"},"PeriodicalIF":2.6,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}