Applied formative research investigating the multi-level determinants of Multiple Micronutrient Supplementation among pregnant women in Bangladesh and Madagascar – a biocultural perspective

Multiple Micronutrient Supplementation (MMS) is recommended to mitigate the effects of maternal malnutrition in Madagascar and Bangladesh. Data collected from focus groups, community workshops, and interviews elucidated the multilevel determinants of pregnant women’s potential MMS acceptability and compliance. Findings suggest that the most salient determinants at the community, institutional, interpersonal, and individual levels are similar across settings yet culturally and contextually bound, providing insights into tailored implementation strategies for introducing MMS within antenatal care services.