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Coordinated strategies for controlling micronutrient malnutrition: a technical workshop
F L Trowbridge1, S S Harris, J Cook
1Division of Nutrition, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control, Atlanta, GA 30333.
The Journal of Nutrition
|April 1, 1993
Summary
Coordinated strategies for controlling micronutrient deficiencies, including iodine, iron, and vitamin A, are feasible through surveys, fortification, supplementation, and food-based approaches. Success requires political commitment and infrastructure support for global health.
Area of Science:
- Public Health
- Nutrition Science
- International Health
Background:
- Micronutrient deficiencies (iodine, iron, vitamin A) pose significant global health challenges.
- Existing control efforts often lack coordination, limiting their effectiveness.
Purpose of the Study:
- To assess the feasibility of coordinated strategies for controlling multiple micronutrient deficiencies.
- To provide recommendations for planning and implementing effective micronutrient control programs.
Main Methods:
- Workshop participation and consensus building among experts.
- Review of existing and potential intervention strategies including surveys, fortification, supplementation, and food-based approaches.
Main Results:
- Coordinated surveys assessing multiple micronutrients are feasible.
- Multiple micronutrient fortification using common food vehicles (salt, rice, sugar) is possible.
- Supplementation can be integrated into existing healthcare programs.
- Community-based, food-focused strategies with education are effective.
Conclusions:
- Coordinated micronutrient deficiency control strategies are technically feasible and should be prioritized.
- Successful implementation necessitates strong political commitment and supportive infrastructure.
- Key recommendations include establishing national coordinating bodies, information networks, and enhancing technical exchange and training.