Fortification for
control of anemia
Dr Sudharshini Subramaniam
Food based approaches for
micronutrient deficiencies
Supplementation Dietary diversification
Anaemia control
Food fortification Nutrition education
Food based approaches for
micronutrient deficiencies
Supplementation Dietary diversification
Anaemia control
Food fortification Nutrition education
Food fortification
• process of adding micronutrients (essential trace elements and
vitamins) to food.
Food fortification Vs Enrichment
Food fortification Vs Enrichment
Food Fortification Food Enrichment
• the practice of deliberately • addition of micronutrients to a
increasing the content of an essential food which are lost during
micronutrient, i.e. vitamins and processing
minerals (including trace elements)
in a food irrespective of whether the
nutrients were originally in the food
before processing or not, so as to
improve the nutritional quality of the
food supply and to provide a public
health benefit with minimal risk to
health
Food Fortification is not a NEW
idea
Principles of fortification
• the nutrient intake is lower than the desirable content for a
considerable fraction of the population.
• Fortified food should be consumed in enough amount.
• nutrients should not create disequilibrium of vital nutrients in the
body.
• the nutrients should be biologically available.
• the fortifiers should remain stable under storage as well as usage
conditions.
• the fortifiers should not cause potential toxicity in the human body.
Types of fortification
Mass Targeted
fortification fortification
Point of use Bio
fortification fortification
Food Fortification
Fortificant Vehicle Fortifiers
• Iron • Wheat • Ferrous sulphate
• Iodine • Rice • Ferrous bisglycinate
• Vitamin A • Maize • NaFeEDTA
• Vitamin D • Milk • Ferrous fumarate
• Vitamin B12 • Cooking oil • Ferric
• Folic Acid • Sugar pyrophosphate
• Zinc • Salt
• Spices
Monthly Per Capita Consumption &
Expenditure on Staples and Other
Foods
Source: Household Consumer Expenditure Survey, NSS, 68th Round, June 2014
Potential benefits of food
fortification across lifecycle
Types of Iron Used in
Fortification
Factors
for
choosing
Iron
compoun
d
Food fortification for control of
anemia in India
• MANDATORY PROVISION OF IRON AND FOLIC ACID FORTIFIED
FOODS IN GOVERNMENT-FUNDED HEALTH PROGRAMMES
• use of fortified salt, wheat flour and oil in foods served under
Integrated Child Development Services (ICDS) and Mid-day Meal
(MDM)
• scale‑up in PDS in pan India by 2024
• fortified wheat, rice (with iron, folic acid and vitamin B12),
• double fortified salt (with iodine and iron), and
• oil (with vitamin A and D)
Other
methods
of Iron
fortificatio
n
Benefits of fortification
• a proven, simple, low-cost technology.
• a preventive, population-wide approach.
• Since staple foods are centrally processed and micronutrients are
added in very low doses, fortification poses no risk of excessive
intake
• The cost is miniscule on a per-person-per-year basis & benefits
enormous !
Benefits of consuming fortified
food
• Regular consumption of micronutrients-fortified staple foods, helps to
meet 25% - 30% of our daily requirement of micronutrients.
• There is a high acceptability of fortified foods by the consumers.
• There is a high bioavailability of micronutrients through fortified
foods
• Regular consumption of fortified foods has a rapid impact on our
health and nutritional status
• Consumption of fortified foods does not require behavior change
Does food fortification work?
Food Fortification: Benefits
Outweigh Cost
Thank You