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studies need to consider the most efficient level of intervention intensity to make the greatest impact on MNCH attitudes and behaviors. Findings suggest that a demand creation approach-combining participatory approaches with community empowering strategies-can promote shifts in behaviors and attitudes to support the health of mothers and newborns, including use of MNCH services. Future studies need to consider the most efficient level of intervention intensity to make the greatest impact on MNCH attitudes and behaviors. We compared blo