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Successful food-based programmes, supplementation and fortification.

M G Venkatesh Mannar

    Journal of Pediatric Gastroenterology and Nutrition
    |January 6, 2007
    PubMed
    Summary

    Addressing nutrient deficiencies in preschool children requires integrated strategies like improved diets, supplementation, and food fortification. Proven interventions, when implemented with public-private partnerships, can sustainably improve child health globally.

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    Area of Science:

    • Nutrition Science
    • Public Health
    • Pediatrics

    Background:

    • Macro- and micronutrient deficiencies pose significant health risks to preschool children worldwide.
    • Effective interventions include dietary improvements, supplementation, and fortification of complementary and staple foods.

    Discussion:

    • Successful strategies involve oral supplements (capsules, tablets, syrups) and fortified foods (commercial and home-based).
    • Micronutrients like vitamin A can be given as high-dose supplements, while others like iron and zinc require daily intake.
    • Fortification of staple foods (cereals, oils, dairy) offers a significant impact, especially for vulnerable populations.

    Key Insights:

    • Home-based fortification using single-serving premixes shows promising results.
    • Public-private partnerships, government commitment, and clear policies are crucial for program success.

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  • Delivering micronutrients affordably and sustainably to remote populations remains a key challenge.

    • Outlook:

    • Proven technologies and infrastructure can meet the nutritional needs of preschool children.
    • Systematic implementation with public and private sector commitment can bridge major deficiencies.
    • Sustained efforts will contribute to improved health and well-being for millions of children.