Prevention of micronutrient deficiencies tools for policymakers and public health workers

Bibliographic Details
Corporate Authors: Institute of Medicine (U.S.). Committee on Micronutrient Deficiencies (-), Institute of Medicine (U.S.). Food and Nutrition Board, Workshop on Micronutrient Deficiencies
Other Authors: Howson, Christopher Paul (-), Kennedy, Eileen T., 1947-, Horwitz, A.
Format: eBook
Language:Inglés
Published: Washington, D.C. : National Academy Press 1998.
Edition:1st ed
Subjects:
See on Biblioteca Universitat Ramon Llull:https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009820298806719
Table of Contents:
  • Prevention of Micronutrient Deficiencies
  • Copyright
  • Acknowledgments
  • Contents
  • Prevention of Micronutrient Deficiencies Tools for Policymakers and Public Health Workers
  • 1 Summary
  • PROJECT CHARGE
  • ORGANIZATION OF THE REPORT
  • FINDINGS AND RECOMMENDATIONS
  • Findings
  • Recommendations
  • 2 Key Elements in the Design and Implementation of Micronutrient Interventions
  • THE IMPORTANCE OF IRON, VITAMIN A, AND IODINE TO HEALTH
  • Iron
  • Vitamin A
  • Iodine
  • THE CONTINUUM OF POPULATION RISK
  • OPTIONS FOR SUCCESSFUL INTERVENTIONS
  • Supplementation
  • Fortification
  • Food-Based Approaches
  • Other Public Health Control Measures
  • COSTS OF INTERVENTIONS
  • FEASIBILITY OF INVOLVING KEY SOCIETAL SECTORS IN THE PLANNING AND IMPLEMENTATION OF MICRONUTRIENT IN ...
  • ELEMENTS OF SUCCESSFUL INTERVENTIONS ACROSS THE CONTINUUM OF POPULATION RISK
  • Interventions for Level IV Populations
  • Interventions for Level III Populations
  • Interventions for Level II Populations
  • INTERVENTIONS FOR LEVEL I POPULATIONS
  • Balancing Approaches to Country-Specific Circumstances
  • Coordinating Interventions Across Micronutrients
  • COMMON ELEMENTS OF SUCCESSFUL MICRONUTRIENT INTERVENTIONS
  • Political Will/Stability
  • Strategic and Program Planning
  • Community Involvement, Participation, and Consumer Demand
  • Physical and Administrative Infrastructure
  • Communications Strategies
  • Use of Appropriate Vehicle
  • Sustainability
  • Information Systems, Monitoring, and Evaluation
  • Biological Indicators
  • Background Papers
  • 3 Prevention of Iron Deficiency
  • DIAGNOSIS OF IRON DEFICIENCY AND ANEMIA
  • CAUSES OF IRON DEFICIENCY
  • IRON EXCESS
  • PREVENTION OF IRON DEFICIENCY IN AT-RISK GROUPS
  • Infancy
  • Preschool Children (3 to &lt
  • 7 Years of Age)
  • School-Age Children and Adolescents
  • Women of Childbearing Age
  • Pregnant Women.
  • SUSTAINABLE APPROACHES TO THE ELIMINATION OF IRON DEFICIENCY
  • Dietary Improvement
  • Improving the Supply and Intake of Food Iron
  • Improving the Bioavailability of Food Iron
  • Food Fortification
  • Fortification Compounds
  • Fortification Strategies
  • Effectiveness of Iron Fortification
  • Iron Supplementation
  • During Pregnancy
  • Prepregnancy Supplementation
  • BENEFITS AND COSTS OF PREVENTING IRON DEFICIENCY
  • Prevention of Iron Loss Due to Parasites
  • SUGGESTED NATIONAL GOALS
  • Short-Term
  • Long-Term
  • APPENDIX
  • Five Studies in Developing Countries Addressing the Effectiveness of Iron Fortification
  • The Thai Study
  • The India Study
  • The South Africa Study
  • The Guatemala Study
  • The Venezuelan Study
  • REFERENCES
  • 4 Prevention of Vitamin A Deficiency
  • MAJOR HEALTH CONSEQUENCES
  • Xerophthalmia and Nutritional Blindness
  • Childhood Morbidity and Mortality
  • Other Health Consequences
  • MAGNITUDE AND EPIDEMIOLOGY OF THE PROBLEM
  • Defining Vitamin A Status
  • Extent of the Problem
  • Risk Factors
  • Age
  • Gender
  • Quality of Diet
  • Disease Occurrence
  • Seasonality
  • Cultural Factors
  • Clustering
  • ECONOMIC COSTS OF VAD
  • INDICATORS OF VAD
  • Identification of Groups and Populations
  • Monitoring Intervention Impact and Outcome
  • CRITICAL ELEMENTS FOR SUCCESSFUL NUTRITION INTERVENTION PROGRAMS
  • APPROACHES TO THE PREVENTION OR CORRECTION OF VAD
  • Food-Based Approaches
  • Dietary Modification: Where Food Sources of Vitamin A Are Available but Underutilized
  • Thailand's Experience in Applying a Social Marketing Methodology to Increase the Utilization of Locally Available Vitamin...
  • Context
  • Design of the Intervention
  • Implementation and Evaluation
  • Results
  • OTHER COUNTRIES' EXPERIENCES
  • Other Social Marketing Experiences.
  • Lessons Learned in Behavior Modification Where Vitamin A-Rich Foods Are Available
  • Dietary Modification: Home and Community Provisioning to Increase Availability of Vitamin A-Rich Foods
  • Experiences in Bangladesh with Promotion of Home Gardens
  • West Bengal, India: Experience with Horticultural Interventions in a Drought-Prone and Poverty-Stricken Rural Area
  • Vietnam Gardening Project to Increase Production and Consumption of Vitamin A-Rich Foods*
  • Lessons Learned from Successful Gardening Projects
  • Small Animal Husbandry and Fish Production to Increase Household and Community Availability of Preformed Vitamin A Sources
  • Multi-Mix Complementary and Weaning Foods
  • Genetic Selection and Engineering to Improve Vitamin A Activity of Vegetables and Staple Crops
  • Can Vitamin A Nutriture Be Improved by Feeding Plant Sources of Provitamin A?
  • Fortification
  • Vitamin A-Fortified Sugar in Guatemala: A Successful National Experience
  • Indonesian Experience with Fortified Monosodium Glutamate: A National Failure
  • The Philippines Experience with Fortified Margarine: A Promising Government and Private-Sector Partnership
  • Other Fortification Efforts
  • Food-to-Food Fortification
  • Lessons Learned from Fortification Experiences
  • Emergency and Food-Aid Programs
  • Supplementation
  • National Delivery Systems
  • The Experience of Northeast Brazil with Community-Supported Supplement Distribution
  • The Experience of Bangladesh with an Immunization-Linked, Prophylactic Supplementation Program for Infants
  • Possibilities for Low-Dose, Community Supplementation
  • Lessons Learned from Supplementation Programs
  • Public Health Interventions
  • Lessons Learned from Public Health Interventions for Disease Control
  • COMPLEMENTARITY OF INTERVENTIONS
  • Phasing in Vitamin A Interventions
  • Vitamin A with Other Micronutrient Initiatives.
  • COSTS AND BENEFITS
  • BALANCING APPROACHES TO COUNTRY-SPECIFIC CIRCUMSTANCES
  • Two National Case Studies
  • Indonesia
  • Tanzanian Experience
  • SUMMARY
  • REFERENCES
  • 5 Prevention of Iodine Deficiency
  • REQUIREMENTS FOR IODINE
  • CONSEQUENCES OF IODINE DEFICIENCY AND ITS CORRECTION
  • Goiter
  • Mental and Neuromotor Retardation
  • Reproductive Impairment
  • Impaired Agricultural Productivity
  • Economic Stagnation
  • Physical Growth
  • CONSEQUENCES OF THE CORRECTION OF IODINE DEFICIENCY
  • INTERACTION WITH OTHER MICRONUTRIENTS
  • EXTENT OF IODINE DEFICIENCY
  • Assessment Techniques*
  • Goiter Rates
  • Urinary Iodine
  • Measurements of TSH
  • Thyroglobulin
  • Iodine in Food and Water
  • Extent and Distribution of Iodine Deficiency
  • Economic Costs of Iodine Deficiency
  • INDICATORS OF IODINE DEFICIENCY AND IMPACT OF PREVENTION
  • Identifying Target Populations
  • Monitoring Intervention Programs and Their Impact
  • PREVENTION AND CORRECTION
  • Fortification
  • Salt*
  • Iodinated Bread
  • Iodinated Water
  • Supplementation
  • Drops and Tablets of Iodine
  • Iodinated Oil
  • Summary Statement on Fortification and Supplementation
  • NATIONAL PROGRAMS: SOME EXAMPLES OF SUCCESS AND FAILURE
  • Ecuador
  • Context
  • Results
  • Nigeria
  • Context
  • Results
  • Bolivia
  • Context
  • Results
  • Guatemala
  • Context
  • Results
  • United States
  • Context
  • Results
  • Bhutan
  • Context
  • Results
  • Zimbabwe
  • Context
  • Results
  • STRUCTURE OF PREVENTIVE PROGRAMS
  • Assessment
  • Salt Industry
  • Education
  • Legal Approaches
  • IMPEDIMENTS TO IDD CONTROL
  • In the Domain of Policy
  • Inadequate Political and Popular Support
  • Inadequate Involvement of the Salt Industry in Achieving Local or Universal Iodization of Salt
  • Insufficient Education
  • Insufficient Monitoring
  • Complacency
  • In the Domain of Programs
  • In the Domain of Research.
  • In the Domain of Financial Support
  • Conditions
  • Costs and Benefits
  • ACTION PLANS FOR THE INTERNATIONAL AGENCIES
  • Independent Evaluation
  • Strengthening Monitoring
  • Strengthening the Role of Regional and Country Program Directors
  • Enhancing Cooperative Efforts among Agencies
  • Pursuing Relevant Research
  • Extension of a Micronutrient Database
  • Extending and Expanding Communications
  • Extending Advocacy
  • Closing Gaps in Knowledge of the Extent of ID and IDDs
  • Conferences and Workshops at the Country, Regional, and International Levels
  • Resource Development
  • Dedicated Team Approach
  • SUMMARY
  • APPENDIX: ICCIDD GUIDELINES FOR ASSESSMENT OF PROGRESS TOWARD IDD ELIMINATION
  • REFERENCES
  • Appendix: Workshop Agenda.