Improve Stakeholder Engagement Research Articles

Strategic Transformation and Sustainability: Unveiling the EFQM Model 2025

The EFQM Model (European Foundation for Quality Management), established in 1991, serves as a framework for organizational excellence, helping achieve sustainable success through an integrated management system. The Model’s evolution is driven by the need to adapt to global trends, threats, and technological innovations such as digital transformation, employee engagement and well-being, remote work, agile performance management, diversity, equity and inclusion (DEI), sustainability, AI (Artificial Intelligence), and big data. The new EFQM Model 2025, presented in Istanbul in June 2024, introduces significant changes, emphasizing sustainability, innovation, and technology. These changes are analyzed based on the logic of three questions: Why, How, and What. Why: There is a necessity for better alignment of organizations with contemporary challenges through flexibility, risk resilience, and innovation capabilities in a dynamic business environment, including alignment with the Unated Nations Sustainable Development Goals (SDGs). How: The Model introduces an integrated approach to performance management and transformation, incorporating advanced technologies such as AI and data analytics. What: Implementing the EFQM Model 2025 enhances organizational adaptability, innovation, and flexibility, improving financial, operational, and strategic outcomes. Better alignment with sustainability goals leads to long-term value and social responsibility. Improved stakeholder engagement methods enhance understanding and satisfaction. The use of advanced technologies supports innovation and operational efficiency, while better strategic and operational performance and risk management ensure greater stability and the ability to anticipate future challenges.

Analysis of the Correlation Between Enterprise Digital Transformation and ESG Performance

This essay explores the intricate relationship between enterprise digital transformation and Environmental, Social, and Governance (ESG) integration within modern business strategy and operations. It addresses the dynamic and rapidly evolving nature of today’s business environment, emphasizing the necessity for companies to embed sustainability and digital transformation in their strategic decision-making processes. The essay examines how digital transformation, characterized by the adoption of technologies like artificial intelligence, big data analytics, and cloud computing, fundamentally alters business processes, organizational structures, and corporate culture, leading to enhanced operational efficiency, innovative business models, and improved stakeholder engagement. It also delves into how integrating ESG principles with digital strategies enables companies to address environmental challenges, such as pollution reduction and resource management, as well as social and governance issues, fostering transparency, accountability, and sustainable growth. However, the essay acknowledges the complexities and challenges in merging digital and ESG strategies, including technological integration, data management, and the necessity for cultural change within organizations. Overall, it posits that the successful integration of digital transformation and ESG principles can significantly enhance a company’s competitive advantage while contributing to sustainable development and ethical business practices.

A technology‐enabled framework for stakeholder engagement in a destination management system: Evidence from DMS Puglia

AbstractIn tourism, the presence of different stakeholders, sometimes with conflicting interests, requires a clear understanding of how to manage and engage them effectively. Despite the importance of this topic, tourism studies lack a univocal framework for destinations aiming to develop a destination management system (DMS) focused on empowering stakeholder engagement. To fill this gap, this study aims to identify the key dimensions that can strengthen stakeholder engagement in the tourism sector. Particular attention is given to the role of technology in mediating relationships among DMS participants and to the role of ‘intermediary’ stakeholders in facilitating collaboration and engagement. By adopting a cross‐disciplinary approach that integrates stakeholder theory, stakeholder engagement and destination management, and by examining a case study of an Italian best practice, DMS Puglia, a technology‐enabled framework for stakeholder engagement in a DMS was elaborated. This study contributes to the advancement of the literature on stakeholder engagement in tourism by demonstrating that the structure and composition of a DMS, and the communication methods it enables, along with the role of the destination management organisation and the preparedness of stakeholders to participate in a DMS, significantly influence stakeholder engagement and can strengthen relationships among participants in a technologically advanced tourism system. This study also provides directions to stakeholder bridges about how to effectively improve stakeholder engagement through technology‐focused tools and strategies.

An evidence-based nipple care pathway for new breastfeeding mothers: a Delphi study

Background/Aims Only 1% of UK mothers maintain exclusive breastfeeding for the first 6 months, as per global recommendations. Early breastfeeding cessation often involves complex issues, with nipple-related injuries being a common cause. This study aimed to develop an evidence-based tool for early identification and management of breastfeeding-related nipple injuries through expert consensus. Methods A mixed method approach was used, including a 5-stage scoping review and a modified Delphi consensus technique with 26 UK-based maternal health experts and experienced breastfeeding mothers. Results Consensus (80% agreement) was reached on recommendations, including the provision of realistic information, early peer support engagement and Lanolin use. Some commonly recommended practices, such as letting the nipple air dry, did not reach consensus, highlighting a misalignment between expert consensus and published guidance. Conclusions This study generated evidence-based, expert-validated self-management guidance, emphasising the need for improved stakeholder engagement in policy development.

A Proposed Measurement Model for Enhancing Strategic Business Transformation Performance

This research was conducted at PT XYZ, an Indonesian digital telecommunications leader, to address declining profits and increasing competition which threaten its mission to provide reliable and innovative business services. The study aimed to develop a strategic measurement model to enhance business transformation performance. A mixed-methods approach was utilized, collecting qualitative data through in-depth interviews with 7 key individuals and focus group discussions with 6 participants, along with quantitative data from surveys involving 100 internal employees and 100 external stakeholders. This comprehensive approach helped identify several key factors affecting transformation success. Key findings included the necessity of a progressdriven approach with regular strategic alignment checkpoints, a significant gap in organizational capabilities due to insufficient training, lack of stakeholder engagement resulting in minimal buy-in, and the absence of clear Key Performance Indicators (KPIs) complicating progress tracking and decision-making. To overcome these challenges, the study proposes optimizing resource allocation via a robust management system, investing in ongoing training programs to enhance organizational capabilities, improving stakeholder engagement through continuous communication, and establishing definitive performance metrics and regular evaluation mechanisms. Implementing these strategies could significantly boost PT XYZ’s financial profits, customer satisfaction, and competitive standing in the telecommunications sector.

Eco-efficient well planning: Engineering solutions for reduced environmental impact in hydrocarbon extraction

This paper explores the concept of eco-efficient well planning, aiming to minimize the environmental impact of hydrocarbon extraction through engineering solutions. Faced with increasing environmental concerns, the industry necessitates a shift towards sustainable practices. The paper analyzes technologies such as advanced drilling techniques, intelligent reservoir management, and real-time environmental monitoring. Key findings showcase the potential of eco-efficient well planning to significantly reduce the carbon footprint, water usage, and land disturbance associated with hydrocarbon extraction. Real-world examples demonstrate successful implementation in diverse contexts, highlighting economic viability, regulatory compliance, and improved stakeholder engagement. This research advocates for integrating eco-efficient well planning as a fundamental practice in the future of hydrocarbon extraction. The engineering solutions proposed offer a pathway to a more sustainable and environmentally conscious industry, contributing to a responsible energy landscape amidst global transitions to renewable sources.

Environmental costing and sustainable accounting: A comprehensive review: Delving into methods of accounting for environmental impacts in financial statements

This study provides a comprehensive review of the integration of environmental costs into financial reporting within the framework of sustainable accounting. The main objectives were to explore the historical evolution, current practices, challenges, and future trends in environmental accounting, and to assess its impact on businesses, the economy, and stakeholders. Employing a systematic literature review and content analysis methodology, the study analyzed peer-reviewed journal articles, industry reports, and policy documents from 2013 to 2023. Key findings reveal a significant evolution in environmental accounting, transitioning from a marginalized practice to a mainstream component in financial reporting. Current practices are characterized by innovative approaches and technological advancements, reflecting a shift towards holistic and sustainable business operations. The study identified challenges such as the complexity of integrating environmental costs, the need for standardized reporting frameworks, and the requirement for skilled expertise. Opportunities include enhanced corporate transparency, improved stakeholder engagement, and alignment with global sustainability goals. The study concludes with strategic recommendations for business leaders and policymakers, emphasizing the adoption of environmental accounting as a strategic business approach and the development of comprehensive environmental accounting standards. Future research directions include exploring the impact of environmental accounting across different industries, the role of emerging technologies, and the long-term effects on business performance and sustainability. This study contributes to the understanding of environmental costing within sustainable accounting, highlighting its growing importance in the corporate world.

Land use planning and climate change adaptation in river-dependent communities in Nigeria

Land use planning and climate change adaptation are critical for ensuring sustainable development and resilience in river-dependent communities in Nigeria. This study examines land use planning and climate adaptation in river-dependent communities in the Lower Niger River region of Nigeria. The research utilizes a mixed-methods approach. Data for the study were gathered from 198 households through surveys, complemented by 17 qualitative interviews and remote sensing techniques to assess land use changes and community perceptions. Findings reveal a notable trend where poor farmers face heightened vulnerability to climate change due to financial constraints, hindering their adoption of adaptive land use strategies. Specifically, more than half of the sampled households possess individual land for agricultural purposes yet lack the resources to effectively mitigate climate-related risks. Among the studied communities, Odekpe emerged as particularly vulnerable, with a prevalence of vulnerability at 32.3% and higher exposure to flood-prone zones.The quantitative analysis delineates community engagement in land management practices, showcasing proactive resource allocation and conflict resolution efforts among over 60% of participants. However, a significant portion (57.6%) lacked awareness of hydrological changes, potentially impeding effective land use planning and adaptation measures.Further analysis through remote sensing and mapping techniques revealed shifts in land use land cover, highlighting a transition from predominantly vegetated areas to built-up regions over the past three decades. The flood vulnerability assessment maps underscored substantial vulnerability across the Lower Niger basin, especially in downstream regions, indicating heightened risks due to proximity to the Niger River and heavy rainfall.Qualitative insights from stakeholder interviews identified challenges impeding effective land use planning, including uncertain climate projections, insufficient data, institutional capacity constraints, and conflicting priorities. Additionally, participants emphasized the need for resilient land use decisions to address urbanization impacts, altered drainage patterns, and diminishing green spaces. The study recommends several key actions to enhance the effectiveness of land use planning and climate adaptation in the Lower Niger River region. These include the imperative to strengthen institutional capacities, improve stakeholder engagement processes, integrate traditional knowledge and practices into planning efforts, fortify legal frameworks governing land use, and prioritize the promotion of sustainable livelihoods among local communities.

A VALUE-BASED NETWORK ANALYSIS FOR STAKEHOLDER ENGAGEMENT THROUGH PREFABRICATED CONSTRUCTION LIFE CYCLE: EVIDENCE FROM CHINA

Over the past decade, prefabricated construction has increasingly gained popularity in addressing environmental concerns while meeting the high construction demand, particularly in developing countries. Accordingly, the concept of stakeholder engagement increasingly garnered attention as it is highly relevant for understanding and explaining the relationships among various stakeholders, like contractors, suppliers, and producers, especially within the fragmented context of prefabrication. To further the field, this study aims to provide a comprehensive qualitative and quantitative analysis for stakeholder engagement in the realm of prefabricated construction via a value-based network. This value-based network analysis is utilized to model multiple relationships between stakeholders as value exchanges, thus enabling to engage them though management with a focus. Specifically, A total of 110 values were identified and analyzed among 12 stakeholders throughout the whole lifecycle via an extensive literature review, interviews, and questionnaires directed at prefabrication practitioners in China. This data collection process garnered 194 valid responses with a 64.7% response rate. The findings show that enhancing stakeholder engagement requires improvements in both the abilities and experiences of developers, and in the collaborative relationships among key stakeholders. These improvements can be achieved by prioritizing the engagement of prefabrication consultants and encouraging the government to issue policies that support developers, producers, and consultants in fostering collaboration. This in-depth network analysis offers practical insights for decision-makers in the management of core stakeholders and value-based relationships, thereby improving stakeholder engagement. Additionally, it expands the current body of knowledge on stakeholder engagement by incorporating the value-based network analysis into the exploration of its stakeholders and relationships.

Evaluating theory of change to improve the functioning of the network for improving quality of care for maternal, newborn and child health.

In 2017, WHO and global partners launched 'The Network for Improving Quality of Care for Maternal, Newborn and Child Health' (QCN) seeking to reduce in-facility maternal and newborn deaths and stillbirth by 50% in health facilities by 2022. We explored how the QCN theory of change guided what actually happened over 2018-2022 in order to understand what worked well, what did not, and to ultimately describe the consequences of QCN activities. We applied theory of change analysis criteria to investigate how well-defined, plausible, coherent and measurable the results were, how well-defined, coherent, justifiable, realistic, sustainable and measurable the assumptions were, and how independent and sufficient the causal links were. We found that the QCN theory of change was not used in the same way across implementing countries. While the theory stipulated Leadership, Action, Learning and Accountability as the principle to guide network activity implementation other principles and varying quality improvement methods have also been used; key conditions were missing at service integration and process levels in the global theory of change for the network. Conditions such as lack of physical resources were frequently reported to be preventing adequate care, or harm patient satisfaction. Key partners and implementers were not introduced to the network theory of change early enough for them to raise critical questions about their roles and the need for, and nature of, quality of care interventions. Whilst the theory of change was created at the outset of QCN it is not clear how much it guided actual activities or any monitoring and evaluation as things progressed. Enabling countries to develop their theory of change, perhaps guided by the global framework, could improve stakeholder engagement, allow local evaluation of assumptions and addressing of challenges, and better target QCN work toward achieving its goals.

Quality Performance Leadership for Political Leadership at the Local Government Level in Nigeria: A Case Study of AMAC Abuja FCT

This study is of significant importance to academic researchers, policymakers, and practitioners, and delves into the impact of quality performance leadership on political leadership at the local government level in Nigeria. The focus is on the case of the Abuja Municipal Area Council (AMAC) in the Federal Capital Territory (FCT). Using the conceptual frameworks of transformational leadership, servant leadership, and performance management frameworks to inspire and motivate their followers to achieve extraordinary outcomes, serve their constituents and set goals, monitor progress, and evaluate outcomes to enhance local government accountability, transparency, and service delivery. Through a qualitative methodology, data was collected via interviews, observations, document analysis, and review of case studies to analyze information provided by participants. The findings revealed that effective leadership in the LGAs could lead to better policy formulation processes because the Chairpersons and their team understand the needs and dynamics of their communities. Such understanding leads to better service delivery, robust community engagement, diligent resource management, and proactive development initiatives tostimulate economic growth and improve the quality of life for citizens living in the LGA. The study recommends implementing a comprehensive training and development program for leaders focusing on leadership skills, communication, and accountability. It also recommends leveraging and adopting emerging technologies to improve service delivery, and efficiency, and improve stakeholder engagement.

Exploring Stakeholder Perceptions and Implementation Challenges of the National Qualification Framework (NQF) 2015 in Pakistan

Introduction: The Pakistan Qualification Framework (PQF) is a mechanism for classifying qualifications based on learning outcomes such as skills, competence, and knowledge. It is levels-based and outcomes-focused, encompassing quality-assured qualifications in Pakistan. Methodology: This study used qualitative approach to evaluate and analyze reports, policies and studies for the PQF's alignment with international standards, stakeholder engagement, and its impact on quality assurance and educational reform through comparative analysis and stakeholder surveys. Results/Findings: Misalignment with international standards and limited stakeholder awareness were identified as key challenges. Improved stakeholder engagement and alignment practices were recommended. Future Direction: Further research will explore international best practices for PQF alignment and strategies to enhance stakeholder involvement and awareness.

Tax information in non-financial corporate reporting

Subject. This article deals with the issues of disclosure of sustainable development as a direction of modern corporate non-financial reporting, which provides an assessment of the implementation of the corporation's strategy in terms of economic, environmental and social aspects of activities. Objectives. The article aims to analyze the current practice of non-financial reporting, identify strengths and weaknesses, and identify aspects of sustainable development for the corporation and stakeholders. The article also aims to develop recommendations and methods for independently conducting the procedure for the formation of non-financial reporting by a corporation, as well as reveal the interaction of elements of reporting in the field of sustainable development with the indicators of consolidated financial statements in various tax jurisdictions, and identify promising areas for the development of the theory and practice of non-financial reporting. Methods. For the study, we used the methods of detailing, observation, generalization, comparison, classification, grouping, etc. Results. The article reflects the formation and disclosure of information on taxes paid by corporations in various tax jurisdictions based on GRI standards, which ensures that stakeholders make informed economic decisions. Based on the results of the study, it is proposed to make disclosure in the consolidated financial statements on the basis of information systematized in the proposed format of management reporting Taxation of Corporations in the Reporting Period. Conclusions and Relevance. Non-financial reporting will improve the transparency of corporate activities, improve stakeholder engagement, and broaden the information base for investment decision-making and corporate social responsibility assessment. The results of the research can be used in the practical activities of corporations when disclosing tax strategies and taxes paid by corporations in various tax jurisdictions in non-financial reporting.

Reconsidering expertise for public policymaking: The challenges of contestability

AbstractIt is commonly claimed there is a crisis of expertise in liberal democracies and that experts who provide evidence‐based policy ideas have become widely distrusted. This paper reconsiders the nature of this perceived crisis in policy advisory systems. The literature has identified four reasons for this trend—politicisation, diversification, diminished policy capacity, and populism. Building on these claims, this paper suggests that the contestability of policy advice has been the key underlying shift in policy advisory processes. Contestability can be positively useful for testing the robustness of policy proposals. However, if the policy debate has no evidentiary standards, the contest becomes a clash of opinions and slogans. Hence, several approaches have been proposed to strengthen the role of professional expertise and improve the quality and legitimacy of evidence‐informed policymaking. One approach is the rebuilding of bureaucratic capacity to provide evidence‐informed policy advice. However, a technocratic–elitist style that invokes scientific authority would be difficult to sustain politically in relation to complex issues affecting citizen well‐being. A second approach is to improve stakeholder engagement and to enhance respect for the expertise embodied in ‘lived experience’. Thus, rebuilding trust and legitimacy may require broadening the range of relevant expertise through multi‐stakeholder approaches.Points for practitioners Types of expert policy advice have evolved and diversified, with many sources and channels both inside and outside government Contestability of policy advice has become more widespread Public service policy capacity has arguably been weakened through outsourcing, use of consultants, interest group lobbying, and the growing influence of ministerial advisors Evidence‐informed advisory systems have been challenged by fast decision‐making, wicked problems, media misinformation, and populist slogans Rebuilding capacity and trust in high‐quality policy systems requires new thinking, including more inclusive processes and a wider view of relevant expertise.

Improving stakeholder engagement in climate change risk assessments: insights from six co-production initiatives in Europe

It is increasingly recognized that effective climate risk assessments benefit from well-crafted processes of knowledge co-production involving key stakeholders and scientists. To support the co-production of actionable knowledge on climate change, a careful design and planning process is often called for to ensure that relevant perspectives are integrated and to promote shared understandings and joint ownership of the research process. In this article, we aim to further refine methods for co-producing climate services to support risk-informed decision-support and adaptation action. By drawing on insights and lessons learned from participatory processes in six case studies in Northern and Central Europe, we seek to better understand how associated challenges and opportunities arising in co-production processes play out in different case-specific contexts. All cases have applied a standardized framework for climate vulnerability and risk assessment, the impact chain method. The analysis builds on multiple methods including a survey among case study researchers and stakeholders, interviews with researchers, as well as a project workshop to develop collective insights and synthesize results. The results illustrate case studies' different approaches to stakeholder involvement as well as the outputs, outcomes, and impacts resulting from the risk assessments. Examples include early indications of mutual learning and improved understanding of climate risks, impacts and vulnerability, and local and regional decision contexts, as well as actual uptake in planning and decision contexts. Other outcomes concern scientific progress and contribution to methodological innovations. Overall, our study offers insights into the value of adopting good practices in knowledge co-production in impact chain-based climate risk assessments, with wider lessons for the climate services domain. While collaborations and interactions have contributed to a number of benefits some practical challenges remain for achieving effective co-production processes in the context of climate change and adaptation. To overcome these challenges, we propose a carefully designed but flexible and iterative participatory approach that enables joint learning; reassessment of stakeholder needs and capacities; and co-produced, actionable climate services with the potential to catalyze climate action.

Reconstructing Neurath's Ship: A Case Study in Reevaluating Equity in a Program of Assessment.

Inequity in assessment has been described as a "wicked problem"-an issue with complex roots, inherent tensions, and unclear solutions. To address inequity, health professions educators must critically examine their implicit understandings of truth and knowledge (i.e., their epistemologies) with regard to educational assessment before jumping to solutions. The authors use the analogy of a ship (program of assessment) sailing on different seas (epistemologies) to describe their journey in seeking to improve equity in assessment. Should the education community repair the ship of assessment while sailing or should the ship be scrapped and built anew? The authors share a case study of a well-developed internal medicine residency program of assessment and describe efforts to evaluate and enable equity using various epistemological lenses. They first used a postpositivist lens to evaluate if the systems and strategies aligned with best practices, but found they did not capture important nuances of what equitable assessment entails. Next, they used a constructivist approach to improve stakeholder engagement, but found they still failed to question the inequitable assumptions inherent to their systems and strategies. Finally, they describe a shift to critical epistemologies, seeking to understand who experiences inequity and harm to dismantle inequitable systems and create better ones. The authors describe how each unique sea promoted different adaptations to their ship, and challenge programs to sail through new epistemological waters as a starting point for making their own ships more equitable.

Why won’t water managers use new scientific computer models?: The co-production of a perceived science-practice gap

The uptake of scientific computer models in water management is challenging. Scientists often face calls to improve stakeholder engagement procedures. However, the involvement of representatives of water management agencies has been common practice in scientific projects for at least a decade. It is therefore questionable whether more stakeholder involvement would lead to greater use of scientific models in water management. This study suggests that computer modeling has historically developed differently in water science and water management. Scientific research has focused on continuous improvement of model process representation, while water management has emphasised usability. Today, the reliance on modeling software packages in water management, exacerbated by the dynamics in the field, mitigates against the adoption of new scientific modeling tools.

Memes in Academia - Improving Stakeholder Engagement

Memes in Academia - Improving Stakeholder Engagement

"[T]he laws need to change to reflect current society": Insights from stakeholders involved in development, review or implementation of policies about adolescent consent for HIV testing, care and research in Kenya.

Engaging adolescents in HIV care and research promotes the development of interventions tailored to their unique needs. Guidelines generally require parental permission for adolescents to receive HIV care/testing or participate in research, with exceptions. Nevertheless, parental permission requirements can restrict adolescent involvement in care and research. To better appreciate prospects for policy reform, we sought to understand the perspectives of stakeholders involved in the development, review and implementation of policies related to adolescents living with HIV. Semi-structured individual interviews (IDIs) were conducted from October 2019 to March 2020 with 18 stakeholders with expertise in the (1) development of policy through membership in the Law Society of Kenya or work as a health policy official; (2) review of policy through ethics review committee service; or (3) implementation of policy through involvement in adolescent education. IDIs were conducted in English by Kenyan social scientists, audio-recorded and transcribed verbatim. We used thematic analysis to identify themes around how policies can be reformed to improve adolescent engagement in HIV care and research. Our analysis identified three major themes. First, policies should be flexible rather than setting an age of consent. Stakeholders noted that adolescents' capacity for engagement in HIV care and research depended on context, perceived risks and benefits, and "maturity"-and that age was a poor proxy for the ability to understand. Second, policies should evolve with changing societal views about adolescent autonomy. Participants recognized a generational shift in how adolescents learn and mature, suggesting the need for a more frequent review of HIV care and research guidelines. Third, adults should empower adolescent decision-making. Stakeholders felt that caregivers can gradually involve adolescents in decision-making to equip them to gain ownership over their health and lives, improving their confidence and capacity. Revising relevant laws to consider context, alternative measures of maturity, and evolving societal views about adolescence, along with supporting caregivers to assist in developing adolescent autonomy may promote more equitable and representative participation of adolescents in HIV care and research. Additional research should explore how to support caregivers and other adults to empower adolescents and improve stakeholder engagement in a more routine process of policy reform.

Improving Iron and Folic Acid Supplementation Among Pregnant Women: An Implementation Science Approach in East-Central Uganda.

To address maternal iron-deficiency anemia and low uptake of iron and folic acid supplementation (IFAS) among antenatal care (ANC) clinic attendees in East-Central Uganda, the Anemia Implementation Science Initiative embedded enhanced quality improvement (QI) activities into an integrated health project utilizing QI methodologies. To address 2 bottlenecks of stock-outs and inadequate health education for pregnant women during ANC, an enhanced QI intervention was implemented from July 2019 to September 2020 in 2 districts. We conducted a mixed-methods effectiveness quasi-experimental study to assess whether the intervention increased the availability of IFAS in the intervention districts. We used longitudinal facility-level data from 2 treatment districts and 1 comparison district for the quantitative results. Difference-in-difference estimation was used to measure the impact of the intervention on IFAS health education and IFA availability at the health facility. We used logistic regression modeling to control for factors associated with IFAS uptake and potential differences in baseline values. Researchers conducted exit interviews with ANC clients and in-depth interviews with providers and district managers for greater insights into the implementation process. The intervention increased the probability, at a statistically significant level, of pregnant women both receiving IFAS and receiving health education on IFAS during ANC. According to inter-viewees, the intervention approach improved stakeholder engagement and buy-in, which brought about change at all levels of the health system. The intervention successfully addressed the 2 main bottlenecks to availability of IFAS for pregnant women attending ANC-inadequate provision of IFAS education and a weak drug quantification process. Even without additional funds to purchase commodities, this approach improved district capacity to advocate for and manage IFAS commodities. It could also be used to strengthen overall ANC quality.