The mixed effects of a package of multilevel interventions on the health and care of pregnant women in Zinder, Niger

Anaemia is prevalent among pregnant women in rural Niger and antenatal care (ANC) attendance is suboptimal. We designed a programmatic intervention including community-based behaviour change communication, provision of essential drugs (including iron folic acid (IFA) supplements) and quality improvement activities at selected integrated health centres (IHCs).To assess the impact of the programmatic intervention on: (1) utilisation of ANC, (2)...