The Micronutrient Report
Current Progress and Trends in the Control of Vitamin A, Iron, and Iodine Deficiences

John B. Mason, Mahshid Lotfi, Nina Dalmiya, Kavita Sethuraman, and Megan Deitchler, with Scott Geibel, Kari Gillenwater, Amy Gilman, Karen Mason, and Nancy Mock

MI 2001, ISBN 1-894217-18-7, $20
140 pp., paper, 6¾" x 9¾"

Résumé français à venir 

Micronutrient deficiencies are a significant cause of malnutrition and associated ill health throughout the world. This is particularly true in the developing world, where nearly 20% of the population suffers from iodine deficiency, about 25% of children have subclinical vitamin A deficiency, and more than 40% of women are anaemic. Micronutrient deficiencies also lead to impaired growth and cognitive development, birth defects, cretinism, and blindness, as well as decreased school and work performance and poor general health.

The Micronutrient Report summarizes current data on the prevalence of vitamin A, iodine, and iron deficiencies and reports on the implementation and progress of programs to battle these deficiencies in developing countries. Prepared by the Department of International Health at Tulane University, the Micronutrient Initiative, and UNICEF, this report is the first in what will be a ongoing series on the state of micronutrient nutrition and the battle against micronutrient deficiency. It sets a reference point by which priorities for program content and coverage can be better informed and a baseline from which progress in deficiency prevention can be measured. Part 1 summarizes prevalence trends for deficiencies of vitamin A, iodine, and iron; part 2 describes the status of current programs aimed at preventing or reducing micronutrient deficiencies. The report is illustrated with numerous statistical tables, figures, and maps.

The Authors

John B. Mason is a professor in the Department of International Health and Development at Tulane University (USA). From 1986 to 1996, he was Technical Secretary of the United Nations Coordinating Committee on Nutrition based at the World Health Organization in Geneva. He is also past Director of the Cornell Nutritional Surveillance Program.

Mahshid Lotfi is Senior Program Specialist for IDRC and the Micronutrient Initiative, where she monitors and helps to develop international health, nutrition, and development programs in Asia, Africa, and Latin America. She holds a doctorate in physiological nutrition from the University of London (UK).

Nita Dalmiya works for the Nutrition Division in the United Nations Children’s Fund (UNICEF) in New York.

Kavita Sethuraman is currently completing doctoral research at the Centre for International Child Health, University College, London, UK. She has worked for the United Nations Coordinating Committee on Nutrition and as a community-based nutritionist in the inner city of Boston and in the South Pacific.

Megan Deitchler currently works at Tulane University as program coordinator for a multicentre micronutrient project. She holds a master’s degree in public health from Tulane University.

Scott Geibel is a data analyst with the Population Council’s Horizons Project in Washington, DC. From 1996 to 1998, he was HIV/AIDS program coordinator in Malawi with the Ministry of Health/US Peace Corps.

Kari Gillenwater is a second-year medical student at Tulane University. She has worked for the US National Institutes of Health and UNICEF on childhood malnutrition and infectious disease research projects in South Asia and South America.

Amy Gilman received a master’s degree in public health from Tulane University in 1998. She is currently working in Nepal.

Karen Mason is an epidemiologist working at the Medical Center of the Louisiana State University (USA).

Nancy Mock is Director of the Tulane Center for International Resource Development and a tenured associate professor in Tulane’s Department of International Health and Development. She has nearly 20 years of international experience in health sector program design and research.


Foreword — M.G. Venkatesh Mannar, Werner Schultnik, and Robert Magnani
Executive Summary

Part I. Trends in Prevalences
1. Introduction — What Are We Trying To Find Out?
2. Data and Analytical Methods
Measurement and Indicators; Data Sources for Population Assessments; Issues in Aggregating Data, Making Comparisons, and Assessing Trends
3. Results: Trends in Reducing Micronutrient Deficiencies
Recent Trends in Prevalences of Vitamin A Deficiency; Recent Trends in Prevalence of Iodine Deficiency Disorders;Recent Trends in Prevalence of Anemia; Levels of Vitamin A, Iodine, and Iron Deficiencies; Overlaps and Multiple Deficiencies
4. Conclusions

Part II. Program Implementation in the 1990s
1. Introduction
2. Types of Programs
3. Methods, Data Sources, and Treatment of Data General Principles of Data Treatment; Vitamin A; Iodine; Iron; Multiple Micronutrient Programs
4. Results: Progress in Micronutrient Deficiency Control Programs Control of Vitamin A Deficiency; Control of Iodine Deficiency Disorders; Control of Iron Deficiency; Addressing Multiple Deficiencies
5. Conclusions


1. Prevalence of clinical signs of vitamin A deficiency in preschool children
2. Prevalence of subclinical vitamin A deficiency
3. Prevalence of iodine deficiency disorders
4. Prevalence of anemia in pregnant women 15–49 years of age
5. Prevalence of anemia in nonpregnant women 15–49 years of age
6. Prevalence of underweight for 1995
7. Prevalence of underweight in 1995 and most recent survey years
8. Status of micronutrient supplementation policies and fortification legislation
9. Procurement of vitamin A capsules in relation to need for children 6–12 and 12–59 months of age
10. Countries with national immunization days (NIDs), micronutrient (M-NUT) days, extended immunization programs (EPIs) coupled with vitamin A capsule distribution, or policies for postpartum supplementation, 1998
11. Households consuming adequately iodized salt
12. Reported program coverage for iron supplementation during pregnancy, 1996
13. Estimated adequacy of supply and reported program coverage for vitamin A, iodine (through iodized salt), and iron

ID #: ISBN 1-894217-18-7
Price · Prix · Precio : $20.00