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Stakeholder's Perceptions of Mexico's Federal Corn Flour Fortification Program: A Qualitative Study
Anna W Waller1, Astrid Dominguez-Uscanga1, Emely Lopez Barrera1
1Department of Food Science and Human Nutrition, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
Nutrients
|February 13, 2020
Summary
Mexico
Area of Science:
- Food Science and Technology
- Public Health Nutrition
- Food Policy and Regulation
Background:
- Mexico mandates fortification of corn/wheat flours with iron, zinc, folic acid, and B-vitamins.
- Understanding of the monitoring and evaluation (M&E) for this food fortification program is limited.
- Focus on technology research and development within the M&E framework is needed.
Purpose of the Study:
- To investigate the monitoring and evaluation (M&E) processes of Mexico's mandatory food fortification program.
- To identify areas for improvement in technology, research, and development related to food fortification M&E.
- To provide insights for enhancing the effectiveness of national food fortification initiatives.
Main Methods:
- Conducted open-ended exploratory interviews with key stakeholders in the food industry and regulatory agencies (n=13).
- Employed content analysis methodology for theme identification from transcribed interviews.
- Assessed inter-rater reliability using the intraclass correlation coefficient (ICC), achieving 0.87.
Main Results:
- Identified three key themes: manufacturing/processing, monitoring logistics, and nutrition.
- Revealed a need for enhanced internal and external M&E for improved manufacturing, logistics, and nutritional impact.
- Highlighted specific areas for fortification improvement in tortilla production and nutritional outcomes.
Conclusions:
- The study offers valuable insights into Mexico's food fortification program.
- Findings can inform policymakers on best practices for effective food fortification M&E.
- Recommendations provided for strengthening fortification programs to improve public health outcomes.
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