Funding deficits, supply gaps threaten maternal health MMS scale up, report warns

President Bola Tinubu

THE Federal Government’s planned scale up of Multiple Micronutrient Supplementation (MMS) for pregnant women faces severe bottlenecks driven by fragmented financing, affordability barriers, and an inadequate national supply chain.

These indicators were contained in a new research finding on MMS landscaping and segmentation in Nigeria, launched jointly by the Federal Ministry of Health and Social Welfare, international nutrition outfit Sight and Life, and the development Research and Projects Centre (dRPC) in Abuja.

The study, supported by the Children’s Investment Fund Foundation (CIFF), revealed that despite a high policy ambition to curb maternal anaemia, structural deficits could stall implementation across the federation.

Presenting the findings, the dRPC Director of Programms, Dr Stanley Ukpai, disclosed that Nigeria records approximately 7.8 million pregnancies annually with a substantial number of expectant mothers battling chronic anaemia.

He noted that while pregnant women highly accept MMS over traditional iron and folic acid supplements, the transition remains hamper by economic realities.

“The research findings show that policy ambition alone will not deliver impact unless financing, access and supply constraints are addressed together.

“Financing for MMS is still inconsistent and heavily donor dependent. Women are willing to use MMS but many cannot afford it consistently and current supply remains significantly below the level required for nationwide coverage,” he said.

The report subsequently recommended the institutionalisation of public financing, the implementation of fair pricing measures to protect low income women and transition toward local manufacturing to secure supply lines.

Country Programme Manager for Sight and Life, Zainab Abubakar, explained that the research was commissioned to map out how existing health financing architectures can absorb the scale up cost without overburdening the populace.

She pointed that “Limited funding, weak insurance inclusion and heavy dependence on out of pocket spending continue to create barriers to equitable access to maternal nutrition services in Nigeria.

“The assessment identified practical pathways for sustainable MMS financing, highlighted implementation bottlenecks, and produced recommendations to help policymakers align financing decisions with national health priorities.”

In her presentation, Special Adviser to the President on Health, Dr Salma Ibrahim-Anas, emphasized that maternal nutrition remains central to the administration’s human capital development agenda.

According to Anas, “The evidence supporting MMS is already strong. The priority now is not whether MMS works, but how to scale it effectively and equitably.”

Earlier, the Director of Nutrition at the Federal Ministry of Health and Social Welfare, Adegbite Olufunmilola, stated that the government had already integrated MMS into the revised national guidelines for antenatal care.

She argued that the ongoing health sector renewal investment serves as a gateway to introduce local manufacturing, which would guarantee long term product availability.

Also speaking, Executive Director of Nutrition at CIFF, Anna Hakobyan, added that the data provides “valuable evidence and practical insights to support Nigeria’s efforts to integrate micronutrient supplementation as part of wider sustainable maternal and child nutrition strategies.”

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