Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Dec 16;18(24):13292.
doi: 10.3390/ijerph182413292.

Scoping Review of Intervention Strategies for Improving Coverage and Uptake of Maternal Nutrition Services in Southeast Asia

Kauma Kurian  1 , Theophilus Lakiang  1 , Rajesh Kumar Sinha  1 , Nishtha Kathuria  1 , Priya Krishnan  1 , Devika Mehra  1 , Sunil Mehra  1 , Shantanu Sharma  1   2
Affiliations
Review

Scoping Review of Intervention Strategies for Improving Coverage and Uptake of Maternal Nutrition Services in Southeast Asia

Kauma Kurian et al. Int J Environ Res Public Health. .

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 understand 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.

Keywords: community mobilization; counselling; coverage; home visits; maternal nutrition.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
A PRISMA flow chart illustrating search and screening results.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Ahmed T., Hossain M., Sanin K.I. Global Burden of Maternal and Child Undernutrition and Micronutrient Deficiencies. Ann. Nutr. Metab. 2012;61((Suppl. S1)):8–17. doi: 10.1159/000345165. - DOI - PubMed
    1. Christian P., Smith E.R., Zaidi A. Addressing inequities in the global burden of maternal undernutrition: The role of target-ing. BMJ Glob. Health. 2020;5:e002186. doi: 10.1136/bmjgh-2019-002186. - DOI - PMC - PubMed
    1. Development Initiatives . Global Nutrition Report 2017: Nourishing the SDGs. Development Initiatives; Bristol, UK: 2017.
    1. Directorate of Community Nutrition, Ministry of Health Atmarita: Nutrition problems in Indonesia; Proceedings of the Integrated International Seminar and Workshop on Lifestyle-Related Diseases 2005; Yogyakarta, Indonesia. 19–20 March 2005.
    1. Swaminathan S., Hemalatha R., Pandey A., Kassebaum N.J., Laxmaiah A., Longvah T., Lodha R., Ramji S., Kumar G.A., Afshin A., et al. The burden of child and maternal malnutrition and trends in its indicators in the states of India: The Global Burden of Disease Study 1990–2017. Lancet Child Adolesc. Health. 2019;3:855–870. doi: 10.1016/S2352-4642(19)30273-1. - DOI - PMC - PubMed