This chapter describes the recommendations and norms guiding current policies and programs to address undernutrition, the existence of policies and programs in low- and middle- income countries, some of their strengths and challenges, and provides examples of how better generation and use of information could accelerate progress in nutrition.
Food fortification is a cost-effective strategy for addressing demonstrated nutrient deficiencies in the contexts of a combination of marginal diets, vulnerable population segments, and other drivers of deficiency. In this chapter, we present and discuss issues pertaining to the development of national strategies to prevent and control micronutrient deficiency, with specific focus on the role of food fortification.
This chapter provides an overview of monitoring and evaluation issues related to food fortification. It presents the foundational 2006 WHO monitoring and evaluation framework for food fortification and briefly describes regulatory and household individual monitoring and evaluation components.
This chapter looks at the need to rededicate and double down efforts to eliminate the global micronutrient problem. It outlines how new technologies, improved communications, and an expanded public infrastructure all can be leveraged to ensure food fortification can be scaled up to reach entire countries helping populations better achieve their full social, physiological, and economic potential.
This chapter provides an overview of quality assurance data from national fortification programs. It also outlines key barriers to compliance against national fortification standards. Recommendations to improve fortification compliance are then provided.
This chapter reviews the evidence basis for prevention of folic acid-sensitive neural tube defects through public health interventions in women of reproductive age, the proven vehicles for delivery of folic acid, and what is needed to effectively scale these, and provide a snapshot of potential innovations that require future research.
This chapter provides the evidence that in many countries, food fortification is one of the better examples available of a sustained and effective partnership between business and government in the food sector over this past decade.
This chapter summarises the global status of national mandated fortification programs, and outlines a national fortification delivery model to illustrate how policy can be designed that builds, improves, measures and sustains mandatory large-scale industrial fortification as an effective public health tool.
The main objective of this study was to evaluate the consumption coverage of iron-fortified wheat flour and folic acid and vitamin A-enriched vegetable oil in Côte d'Ivoire. It has deployed a scientific device that combines a survey of the target of the fortification, the Ivorian population, with a sampling of the oils and flours consumed by it, and with laboratory analyses to evaluate the adequate fortification,
The program has an emphasis on improving fortification processes, regulations and monitoring in the region, in particular for flour exports from Kazakhstan to Afghanistan and edible oil exports from Pakistan to Afghanistan.
