The Journal of Health, Population and Nutrition
Vol. 39, No. 1, 2020, pp. 1-15
Bioline Code: hn20005
Full paper language: English
Document type: Review Article
Document available free of charge
The Journal of Health, Population and Nutrition, Vol. 39, No. 1, 2020, pp. 1-15
© Copyright 2020 - The Author(s)
Reducing the burden of iron deficiency anemia in Cote D’Ivoire through fortification|
Prieto-Patron, Alberto; Hutton, Zsuzsa V.; Fattore, Giovanni; Sabatier, Magalie & Detzel, Patrick
Background: Iron deficiency anemia (IDA) is highly prevalent in the Cote d’Ivoire and has severe health and
economic consequences. In this paper, we apply a health economic model to quantify the burden of IDA, and the
contribution of nationwide mandatory iron fortification of wheat flour and voluntary iron fortification of condiments
to the reduction of this burden.
Methods: The analysis for the population from 6 months to 64 years builds on published reviews and publicly
available datasets and is stratified by age-groups and socioeconomic strata using comparative risk assessment model.
Results: Without the impact of these fortification strategies, the annual burden of IDA is estimated at 242,100 disability
adjusted life years (DALYs) and 978.1 million USD. Wheat flour and condiment fortification contributed to a reduction
of the IDA burden by approximately 5% each.
Conclusion: In places with high prevalence of malaria and other infectious diseases, such as the Côte D’Ivoire, food
fortification as a nutritional intervention should be accompanied with infectious disease prevention and control. The
findings of this study provide additional input for policy makers about the magnitude of the impact and can support
the conception of future fortification strategies.
Economic evaluation; Micronutrient fortification; Iron deficiency anemia; Cote d’Ivoire; Model; Impact; DALYs
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