| Food Fortification: Household Coverage of Fortifiable Foods [message #16780] |
Fri, 01 March 2019 14:25  |
DataDENT
Messages: 11
Registered: January 2019
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Many low- and middle-income countries have staple food fortification programs to combat micronutrient deficiencies, but lack information on household level reach. We propose six new household fortification coverage indicators for the core household questionnaire that would accompany existing HHQ 145 (coverage of fortified salt). We have also included two generic coverage indicators that can be adapted for additional foods on a per country basis.
Household fortification coverage indicators:
1. Coverage of edible oil
Definition: Proportion of households that report consuming edible oil in the household (in any form)
2. Coverage of fortifiable edible oil
Definition: Proportion of households that report consuming edible oil in the household that is industrially processed (i.e. by large-scale factories, not home-produced)
3. Coverage of wheat flour
Definition: Proportion of households that report consuming wheat flour in the household (in any form) or purchasing foods made from wheat flour
4. Coverage of fortifiable wheat flour
Definition: Proportion of households that report consuming wheat flour in the household that is industrially processed (i.e. by large-scale factories, not home-produced) or purchasing foods made from wheat flour
5. Coverage of salt
Definition: Proportion of households that report consuming salt in the household (in any form)
6. Coverage of fortifiable salt
Definition: Proportion of households that report consuming salt in the household that is industrially processed (i.e. by large-scale factories, not home-produced)
Generic coverage indicators (to be adapted for additional foods on a per country basis):
- Coverage of the food vehicle
Definition: Proportion of households that report consuming a food vehicle in the household (in any form)
- Coverage of the fortifiable food vehicle
Definition: Proportion of households that report consuming a food vehicle in the household that is industrially processed (i.e. by large-scale factories, not home-produced)
Attached to this post is a completed submission form with full justification for the recommendation.
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This recommendation originated in the September 2018 Technical Consultation on Measuring Nutrition in Population-Based Household Surveys and Associated Facility Assessments--a 2-day working meeting convened by the Bill & Melinda Gates Foundation (BMGF) and United States Agency for International Development in collaboration with the World Health Organization (WHO) and United Nations Children's Fund (UNICEF), and coordinated by Data for Decisions to Expand Nutrition Transformation (DataDENT). The consultation included more than 60 technical experts, survey program representatives from DHS, MICS, LSMS and SMART, country data stakeholders, and donors from the nutrition measurement community.
This recommendation was authored by Mduduzi Mbuya (Global Alliance for Improved Nutrition (GAIN)) and Valerie Friesen (GAIN) and reviewed by Maria Jefferds (Center for Disease Control (CDC)), Reina Engle-Stone (UC Davis), and Laura Rowe (Food Fortification Initiative).
This recommendation is endorsed by the WHO-UNICEF Technical Expert Advisory Group on Nutrition Monitoring (TEAM). Out of the ten sets of recommendations endorsed by TEAM, this recommendation was prioritized as Tier 3 of 3 (important but appropriate for a module).
This recommendation is also endorsed by Countdown to 2030, Alive & Thrive, Global Alliance for Improved Nutrition (GAIN), the nutrition team at the Bill & Melinda Gates Foundation, and the Department of International Health at the Johns Hopkins Bloomberg School of Public Health.
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| Re: Food Fortification: Household Coverage of Fortifiable Foods [message #16889 is a reply to message #16780] |
Wed, 13 March 2019 09:08  |
Gwao Omari Gwao
Messages: 1
Registered: March 2019
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Hi, my name is Gwao Omari Gwao. I am a Professional Nutritionist from Tanzania who has built my career as an Officer in the Public Health Sector with Central and Local Government and now as the Food Fortification Program Manager with Helen Keller International (HKI). I possess solid experience in project and program management and development which includes writing quality concept notes, proposals, reports and management of donor funded projects. On the evaluation side, I have participated in several policy and program evaluation using data from various sources including both surveys and routine. I have led several studies within Tanzania and supported work outside the country which cemented my ability in report writing, development of data collection tools, data analysis and giving feedback both to donors, staff and community including putting together monitoring and evaluation frameworks. I have solid experience on food fortification in Tanzania for both larger and small scale fortification. My current role includes coordination of country evaluation efforts in small scale fortification, staff capacity building, program management, monitor project compliance and strategic engagement with partners. Regarding proposed indicators for upcoming DHS I agree with all the indicators, however I suggest if possible to add coverage indicators for fortified and fortifiable maize flour specifically for Tanzania. In Tanzania 90% of Tanzanians consume maize flour as the main source of energy. Although the big proportional of maize flour is produced by medium and small scale producers but the country achieved a lot in supporting maize flour fortification across the country. So by having some indicators of fortified maize flour will help a lot in informing government and other stakeholders on status and hence help in policy making, strategies and programming as well.
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| Re: Food Fortification: Household Coverage of Fortifiable Foods [message #17359 is a reply to message #16780] |
Fri, 15 March 2019 18:47 |
Olutayo
Messages: 12
Registered: March 2019
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This is another very important indicator proposed by DataDENT. Nigeria has mandated the fortification of oil, sugar, wheat and maize flours since 2002, and there are continuous efforts to enforce compliance. Yet there is no representative data about the percentage of the population that is even covered by fortifiable forms of these vehicles and the potential to benefit from fortification. Including the indicator and associated questions will contribute to rectifying the paucity of food-related nutrition coverage indicators in the DHS and increase DHS utility for understanding determinants of malnutrition and designing interventions.
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