Optimizing Service Delivery Across Platforms and Sectors to Accelerate Anaemia Reduction: A Scoping Review Protocol in Line with the WHO Comprehensive Framework

Anaemia is a widespread public health concern, especially among women of reproductive age, adolescent girls, and young children. Despite global targets to reduce anaemia by 50% by 2030, progress has been limited. The WHO Comprehensive Framework for Action identifies optimizing service delivery as a key strategy to improve coverage, access, and impact of interventions such as iron and folic acid supplementation, deworming, malaria prevention, maternal care, and food fortification, delivered through health, school, community, food, WASH, and social protection platforms. This scoping review aims to map how anaemia interventions are delivered across multiple platforms and sectors, with a focus on integrated and multi-sectoral approaches. It will examine how service delivery mechanisms operate in practice, identify successes, gaps, bottlenecks, and equity challenges, and highlight innovative practices that improve coverage and access. Expected outcomes include: A synthesis of evidence on effective delivery practices and innovations Identification of gaps, barriers, and equity challenges across sectors Assessment of alignment with global and national anaemia reduction priorities Highlighting of research and programmatic needs to guide future interventions Actionable insights for policymakers and implementers to optimize service delivery and accelerate progress toward anaemia reduction targets By providing a comprehensive map of delivery approaches and their effectiveness in different contexts, this review will support the design of coordinated, accessible, and scalable interventions, ultimately contributing to improved population health and progress toward global anaemia reduction goals.