scholarly journals PROTOCOL: Large‐scale food fortification (LSFF) efforts for improving health outcomes in low‐ and middle‐income countries: a systematic review

2018 ◽  
Vol 14 (1) ◽  
pp. 1-30
Author(s):  
Emily C. Keats ◽  
Jai Das ◽  
Ayesha Siddiqua ◽  
Daina Als ◽  
Zulfiqar A. Bhutta
Keyword(s):  
Systematic Review ◽  
Health Outcomes ◽  
Large Scale ◽  
Food Fortification ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Large-Scale Food Fortification and Biofortification in Low- and Middle-Income Countries: A Review of Programs, Trends, Challenges, and Evidence Gaps

2018 ◽  
Vol 39 (2) ◽  
pp. 315-331 ◽  
Author(s):  
Saskia J. M. Osendarp ◽  
Homero Martinez ◽  
Greg S. Garrett ◽  
Lynnette M. Neufeld ◽  
Luz Maria De-Regil ◽  
...  
Keyword(s):  
Large Scale ◽  
Food System ◽  
Food Fortification ◽  
Micronutrient Deficiencies ◽  
Middle Income ◽  
Middle Income Countries ◽  
Essential Components ◽  
Quality Of Delivery ◽  
And Control ◽  
Low And Middle Income

Background: Food fortification and biofortification are well-established strategies to address micronutrient deficiencies in vulnerable populations. However, the effectiveness of fortification programs is not only determined by the biological efficacy of the fortified foods but also by effective and sustainable implementation, which requires continual monitoring, quality assurance and control, and corrective measures to ensure high compliance. Objective: To provide an overview of efficacy, effectiveness, economics of food fortification and biofortification, and status of and challenges faced by large-scale food fortification programs in low- and middle-income countries (LMIC). Methods: A literature review of PubMed publications in English from 2000 to 2017, as well as gray literature, targeting nongovernmental organizations whose work focuses on this topic, complemented by national reports and a “snowball” process of citation searching. The article describes remaining technical challenges, barriers, and evidence gap and prioritizes recommendations and next steps to further accelerate progress and potential of impact. Results: The review identifies and highlights essential components of successful programs. It also points out issues that determine poor program performance, including lack of adequate monitoring and enforcement and poor compliance with standards by industry. Conclusions: In the last 17 years, large-scale food fortification initiatives have been reaching increasingly larger segments of populations in LMIC. Large-scale food fortification and biofortification should be part of other nutrition-specific and nutrition-sensitive efforts to prevent and control micronutrient deficiencies. There are remaining technical and food system challenges, especially in relation to improving coverage and quality of delivery and measuring progress of national programs.

scholarly journals Spillover effects on health outcomes in low- and middle-income countries: a systematic review

2019 ◽  
Vol 48 (4) ◽  
pp. 1387-1387
Author(s):  
Jade Benjamin-Chung ◽  
Jaynal Abedin ◽  
David Berger ◽  
Ashley Clark ◽  
Veronica Jimenez ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Outcomes ◽  
Spillover Effects ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income
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