Abstract
Limiting axes in the strategy of fortification of wheat flour and cornmeal with iron and folic acid.
Highlights
Food fortification consists of adding the essential nutrients that the population needs the most to processed foods or its ingredients during manufacturing to improve the nutritional quality of the product and benefit public health without jeopardizing health (Allen,Benoist, DaryandHurrell, 2006)
Conclusions managerial factors need to be reagreed upon according to the Social Compromise to Fight Iron-Deficiency Anemia in Brazil
Results:The fifteen study documents were classified as primary and public. Their analysis contemplated five dimensions indicating that: they were created jointly by the government, production sector, universities, and civil society; they were created by the managers responsible for coordinating the action in situ; they had legal, technical, and scientific nature; they discussed iron and folic acid deficiencies in mother/child dyads, their negative impacts on children’s cognitive development, and the associated gestational morbidity and mortality; and they claimed that the pillars of the wheat flour and cornmeal fortification strategy were the National Food and Nutrition Policy and the Social
Summary
Food fortification consists of adding the essential nutrients that the population needs the most to processed foods or its ingredients during manufacturing to improve the nutritional quality of the product and benefit public health without jeopardizing health (Allen,Benoist, DaryandHurrell, 2006). In Brazil mandatory fortification of wheat flour and cornmeal with iron and folic acid was instituted in 1999 and 2001, respectively, to reduce anemia in children and women of childbearing age and the prevalence of neural tube defects (NTDs) (Brasil, 2002). Children because of the prevalence of NTDs in Brazil: anencephaly in 0.862/1000 live births; and spina bifida in. The model proposed by the Guidelines on Food Fortification with Micronutrients is an international reference for the planning and implementation of food fortification with micronutrients. It provides data on the benefits, limitations, conception, implementation, monitoring, assessment, cost-benefit relationship, and regulation, especially for developing countries(Allen, Benoist, DaryandHurrell, 2006)
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