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Micronutrient fortification programs face several critical issues impacting their effectiveness. Key factors include the choice of fortificant and vehicle, levels of addition, safety, taste acceptability, stability, quality control, and bioavailability. Additionally, considerations for specific micronutrients like iodine and iron highlight the importance of forms, stability under various conditions, and absorption enhancers. Cost-effectiveness and effective communication among industry, government, media, and consumers are crucial for successful implementation and acceptance of these programs.
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“CRITICAL ISSUES IN MICRONUTRIENT FORTIFICATION PROGRAM” KalyanSrinivasan (New Delhi- January 8, 2011)
Critical factors include inter alia, • Choice of the fortificant/ vehicle • Levels of addition/safety • Taste/acceptability • Stability • Quality control • Bioavailability • Cost • Communication
Bioavailability • Iodine: • Forms of Iodine • Stability (humidity, cooking conditions) • Iron: • Heme/inorganic iron • Oxidation state of iron • Interfering factorsUse of enzymes • Enhancers of absorption • Chelated forms of iron
Cost • Cost-benefit analysis • Other beneficial effects/ research needs
Communication • Role of: • Industry • Government • Media • Consumers