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A Point-of-Care Method with Integrated Decision Support Tool to Estimate Anemia at Population Level
05:35

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Published on: January 19, 2024

Anaemia control: lessons from the flour fortification programme.

J Sadighi1, K Mohammad, R Sheikholeslam

  • 1Institute for Health Sciences Research, Academic Centre for Education, Culture and Research, P.O. Box 13145-483, Tehran, Iran. jsadighi@ihsr.ac.ir

Public Health
|November 17, 2009
PubMed
Summary

Iron fortification of flour in Iran reduced iron deficiency but did not significantly change iron-deficiency anaemia prevalence. Anaemia prevalence unexpectedly increased post-intervention in women aged 15-49.

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Area of Science:

  • Public Health Nutrition
  • Micronutrient Fortification
  • Iron Metabolism

Background:

  • Anaemia is a significant public health concern in Iran.
  • A national flour fortification program with iron was implemented in two pilot provinces to address this issue.

Purpose of the Study:

  • To evaluate the effectiveness of the iron fortification program on anaemia and iron deficiency indicators.
  • To assess the process and coverage of the flour fortification program.

Main Methods:

  • A before-and-after study design was employed to assess program effectiveness.
  • Blood hemoglobin and ferritin levels were measured in women aged 15-49 years.
  • Iron content in flour and bread samples was analyzed to evaluate the fortification process.

Main Results:

  • The iron fortification program showed a beneficial effect on ferritin levels (indicating reduced iron deficiency).
  • No significant difference was observed in the prevalence of iron-deficiency anaemia before and after the intervention.
  • A significant increase in the prevalence of anaemia (low hemoglobin) was noted post-intervention in both provinces.

Conclusions:

  • Iron fortification can decrease iron deficiency even in populations where anaemia is not solely iron-related.
  • The program's impact on overall anaemia prevalence requires further investigation, especially in contexts with multifactorial aetiologies.