Document Detail


Lessons learned from national food fortification projects: experiences from Morocco, Uzbekistan, and Vietnam.
MedLine Citation:
PMID:  23444709     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Fortification of staple foods has been repeatedly recommended as an effective approach to reduce micronutrient deficiencies. With the increased number of fortification projects globally, there is a need to share practical lessons learned relating to their implementation and responses to project-related and external challenges.
OBJECTIVE: To document the achievements, challenges, lessons learned, and management responses associated with national fortification projects in Morocco, Uzbekistan, and Vietnam.
METHODS: Independent end-of-project evaluations conducted for each project served as the primary data source and contain the history of and project activities undertaken for, each fortification project. Other sources, including national policy documents, project reports from the Global Alliance for Improved Nutrition (GAIN) and other stakeholders, industry assessments, and peer-reviewed articles, were used to document the current responses to challenges and future project plans.
RESULTS: All projects had key achievements related to the development of fortification standards and the procurement of equipment for participating industry partners. Mandatory fortification of wheat flour was a key success in Morocco and Uzbekistan. Ensuring the quality of fortified foods was a common challenge experienced across the projects, as were shifts in consumption patterns and market structures. Adjustments were made to the projects' design to address the challenges faced.
CONCLUSIONS: National fortification projects are dynamic and must be continually modified in response to specific performance issues and broader shifts in market structure and consumption patterns.
Authors:
James P Wirth; Arnaud Laillou; Fabian Rohner; Christine A Northrop-Clewes; Barbara Macdonald; Regina Moench-Pfanner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Food and nutrition bulletin     Volume:  33     ISSN:  0379-5721     ISO Abbreviation:  Food Nutr Bull     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2013-02-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7906418     Medline TA:  Food Nutr Bull     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  S281-92     Citation Subset:  IM    
Affiliation:
Global Alliance for Improved Nutrition (GAIN), P.O. Box 55, Geneva 1211, Switzerland. jwirth@gainhealth.org
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