Table 7.
Bangladesh micronutrient programs and interventionsa
Program | Regulation | Enforcement | Responsibility/sponsor | Target population | Frequency | Monitoring | Micronutrients | Program evaluation | Program coordination |
---|---|---|---|---|---|---|---|---|---|
Salt iodization | Iodine Deficiency Diseases Prevention Act 1989 | Mandatory | MOHF/UNICEF | All | Ongoing | BRAC | Iodine >15 ppm | UNICEF Survey | NA |
Oil fortification with vitamin A | Fortification of Edible Oil with Vitamin A, law 2013 | Mandatory | MOI/UNICEF | All | Ongoing | BSTI | Vitamin A = 15–30 ppm | GAIN survey 2017 | NA |
Fortified rice with multiple micronutrients | A rice fortification initiative 2014 | Mandatory | MWCA | Vulnerable groups | Initiated in 2014, expanded in 2015 | WFP | Vitamins A, B1, and B12, folic acid, iron, and zinc | WFP 2013 | NA |
Multiple micronutrient powder | National strategy 2015–2024 | National program | MOHF | Subdistricts, informal urban settlements | Periodic | BRAC | Iron, vitamin A, and minerals | II:GAIN, ICDDR,B, CEPA | NA |
Megadoses vitamin A | Nutritional Blindness Programme 1973 | National program | MOHF | Children and postpartum women | Routinely and domiciliary visits | NA | Children 100–200K IU. Women 200K IU | JPGSPH/HKI 2012; DGHS | NA |
Iron and folic acid supplementation | National program 2001 | National program | NNS | Pregnant and nonpregnant, nonlactating women | Ongoing | MOHF | Daily 60 mg elemental iron and 400 μg folic acid | MOHF | NA |
Biofortification | Country strategy 2014 | Voluntary | BRRI and BARI | All | Ongoing | NA | Rice (iron), lentils (iron and zinc), and sweet potato (provitamin A) | NA | NA |
National strategy on prevention and control of micronutrient deficiencies (2015–2024), Government of the people's Republic of Bangladesh, 2015.
BARI, Bangladesh Agricultural Research Institute; BRAC, Building Resources Across Communities; BRRI, Bangladesh Rice Research Institute; BSTI: Bangladesh Standard Testing Institute; MOHF, Ministry of Health and Family Welfare; MOI, Ministry of Industries; MWCA, Ministry of Women and Children Affairs; NNS, National Nutrition Services; WFP, World Food Programme; NA, not available.