Miller Faith, Sethi Vani, Hazra Avishek, Schoenaker Danielle, Chowdhury Ranadip, Hirst Jane, Murira Zivai, Saville Naomi M
Institute for Global Health, University College London, London, UK.
United Nations Children's Fund (UNICEF) Regional Office for South Asia (ROSA), Kathmandu, Nepal.
Lancet Reg Health Southeast Asia. 2025 Apr 24;36:100585. doi: 10.1016/j.lansea.2025.100585. eCollection 2025 May.
This paper summarises the research, policy, and program gaps impeding the advancement of preconception nutrition in South Asia. In line with our evidence reviews, qualitative semi-structured interviews with researchers and programme implementers identified gaps in our understanding of the prevalence and burden of preconception malnutrition due to limited survey and programme data, poor coverage of recommended interventions, and gaps in programme knowledge on effective intervention mechanism. Key barriers identified were the lack of evidence linking preconception care with long-term maternal and child health and nutrition outcomes and how to integrate preconception nutrition interventions into national health systems. We highlight the need for evidence-based, context-specific interventions which utilise effective delivery platforms and engage appropriate actors to reach diverse groups of women and men during the preconception period. We, as part of the South Asia Preconception Nutrition Collective, present actionable recommendations to address these gaps.
UNICEF Regional Office for South Asia contract number 43384734.
本文总结了阻碍南亚孕前营养进步的研究、政策和项目差距。根据我们的证据审查,对研究人员和项目实施者进行的定性半结构化访谈发现,由于调查和项目数据有限、推荐干预措施的覆盖范围差以及项目对有效干预机制的了解存在差距,我们对孕前营养不良的患病率和负担的认识存在差距。确定的主要障碍是缺乏将孕前保健与长期母婴健康和营养结果联系起来的证据,以及如何将孕前营养干预措施纳入国家卫生系统。我们强调需要基于证据、因地制宜的干预措施,这些措施要利用有效的实施平台,并让合适的行为者参与进来,以便在孕前阶段接触到不同群体的女性和男性。作为南亚孕前营养集体的一部分,我们提出了可采取行动的建议来填补这些差距。
联合国儿童基金会南亚区域办事处合同编号43384734。