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Assessing Acceptability, Adherence, and Systems Readiness for the Transition from IFA to MMS in Ghana: A Mixed-Methods Implementation Research Study

Assessing Acceptability, Adherence, and Systems Readiness for the Transition from IFA to MMS in Ghana: A Mixed-Methods Implementation Research Study

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
PACTR
Registry ID
PACTR202605613643968
Enrollment
4157
Registered
2026-05-07
Start date
2026-01-07
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Haematological Disorders

Interventions

MMS 180
MMS 90

Sponsors

Eleanor Crook Foundation
Lead Sponsor

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: • 18 – 49 years • Gestational Age (GA): MCHRB shows GA = 21 wks (by last menstrual period (LMP), fundal height, ultrasound biometry, or ANC attendant indication of Early Pregnany [EP], universally understood to mean = 21 wks) • No IFA supplements use during this pregnancy before enrollment • MCHRB shows hemoglobin concentration >7.0 g/dL). • Resides in study district/region

Exclusion criteria

Exclusion criteria: •Intention to move away within 12 months • Refusal to provide informed consent • Unwilling to fully participate in data collection procedures

Design outcomes

Primary

MeasureTime frame
Adherence - • To assess adherence patterns between MMS and IFA and explore contextual factors contributing to observed differences. • To assess whether adherence to MMS varies across socio-economic, demographic and geographic (regional) groups and identify the factors associated with these disparities. • To evaluate the impact of MMS packaging options (90-count and 180-count bottles) on adherence rates and ANC attendance over time.

Secondary

MeasureTime frame
Acceptability. To evaluate the acceptability of MMS among key stakeholders, including pregnant women, healthcare providers, family members, community leaders, and policymakers, and explore the reasons for their perceptions. • To investigate whether beliefs about new medicines or supplements influence the uptake of MMS.;Sustainability of MMS integration into routine ANC services, assessed qualitatively through perceived policy, financing, supply chain, and monitoring arrangements, and the identified facilitators and barriers to maintaining MMS use over time.

Countries

Ghana

Contacts

Public ContactMaame Nkansaa Asamoa Amoakohene

Clinton Health Access Initiative Ghana Ag. Country Director

mamoakohene@clintonhealthaccess.org+233244791017

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026