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Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management

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Recommendations for India-specific multiple micronutrient supplement through expert consultation.

Reema Mukherjee¹, Priyanka Gupta Bansal¹, Tanica Lyngdoh¹

¹Division of Reproductive, Child Health & Nutrition, Indian Council of Medical Research, New Delhi, India.

The Indian Journal of Medical Research

|October 9, 2024

Summary

An expert group designed a specific multiple micronutrient supplement (MMS) for pregnant women in India. This India-specific MMS aims to improve feto-maternal health and birth outcomes, addressing key nutritional concerns.

Keywords:

Multiple micronutrient supplements maternal anaemia maternal health micronutrient deficiency neonatal outcomes

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Area of Science:

Public Health
Maternal Nutrition
Formulation Science

Background:

Maternal anaemia and feto-maternal health are critical concerns in India, impacting birth outcomes.
Micronutrient deficiencies in pregnancy pose risks to fetal growth and neonatal health.
The World Health Organization (WHO) advises rigorous research for multiple micronutrient supplement (MMS) use.

Purpose of the Study:

To develop an India-specific multiple micronutrient supplement (MMS) formulation for pregnant women.
To guide the use of MMS in research settings for improving maternal and neonatal health outcomes.
To address the need for tailored nutritional interventions in the Indian context.

Main Methods:

An Indian Council of Medical Research (ICMR)-led expert group convened over six months.
Evidence on micronutrient deficiencies, supplementation benefits, and nutrient interactions was reviewed.
A consensus was reached on the composition of the India-specific MMS.

Main Results:

The India-specific MMS formulation comprises 10 vitamins and five minerals.
It is similar to the UNIMMAP composition but with adjusted quantities for most nutrients.
Specific adjustments were made for Zinc, Vitamin E, and Vitamin B6 quantities.

Conclusions:

The expert group successfully finalized an India-specific MMS formulation for research use.
This tailored supplement aims to address the unique nutritional needs of pregnant women in India.
The report details the evidence-based process for developing this crucial maternal health intervention.