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
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.
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,
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
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
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
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
Part I. Trends
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
Part II. Program
Implementation in the 1990s
2. Types of Programs
3. Methods, Data Sources, and Treatment of Data General Principles
of Data Treatment; Vitamin A; Iodine; Iron; Multiple Micronutrient
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
1. Prevalence of clinical signs of vitamin A deficiency in preschool
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
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,
11. Households consuming adequately iodized salt
12. Reported program coverage for iron supplementation during pregnancy,
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