Zuzanna Kurzawa, Christopher S. Cotton, Natasha Mazurkewich, Allison Verney, Jennifer Busch-Hallen, and Bahman Kashi.

Published: December 7, 2020


This paper describes research on iron and folic acid supplementation (IFAS) adherence among pregnant women within antenatal care (ANC) in two districts of Bangladesh over two years. The program provided frontline health care workers with training on the benefits of IFAS, the use of interpersonal communication and health promotion materials during ANC visits, and health management information systems to track reported adherence to IFAS. Compared with two control districts, this approach was shown to be both effective (40 percentage point increase in the number of women consuming 90+ IFAS during pregnancy) and highly cost-effective ($47 USD per DALY averted).