Publication Brief – Why Pregnant Women Prefer Multiple Micronutrient Supplements (MMS) Compared to Iron and Folic Acid (IFA)

Antenatal multiple micronutrient supplementation (MMS) is globally recognized for its ability to improve birth outcomes more effectively than standard iron and folic acid (IFA) supplementation alone. However, the success of any supplementation program hinges on whether pregnant women are willing and able to take the supplements consistently. This comprehensive review of research shows that pregnant women prefer MMS over standard IFA tablets. MMS not only helps support healthier pregnancies, but also is easier to tolerate, causes fewer or comparable side effects, and is seen as more beneficial for both mothers and babies, in comparison to IFA. To ensure successful program implementation, this review proposes a standardized, comprehensive definition of “acceptability” and underscores the necessity of addressing the socio-cultural, sensory, and socioeconomic factors that influence supplement uptake and adherence. Finally, this review highlights why understanding and incorporating women’s experiences and preferences is key to creating effective nutrition programs for healthier mothers and babies.