Iron Deficiency Anemia

Vitamin A

Bangladesh

Iron

Iodine


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	EPIDEMIOLOGICAL DATA


Anemia
Most Recent Anemia Survey: National Survey- Nutritional Surveillance Project

Date:

2001

Groups Surveyed:

School-age children, adolescents, and non-pregnant mothers.

Sample Size:

4,753

Sampling Method:

Randomly selected households in 24 fixed rural sub-districts with mothers and children who were less than 5 years of age. Blood samples were taken from all mothers and from children who were 19 years and younger.

Estimated Anemia Prevalence: Pre-School Children (48%)

Group	Sample size	Population in region/group (if known)	Indicator (e.g. Hb<120g/L, <110g/L, etc.)	Prevalence in sample %
6-11 months (male)			Hb<110 g/L	80
6-11 months (female)			Hb<110 g/L	65
12-23 months (male)			Hb<110 g/L	57
12-23 months (female)			Hb<110 g/L	45
24-35 months (male)			Hb<110 g/L	42
24-35 months (female)			Hb<110 g/L	40
36-47 months (male)			Hb<110 g/L	38
36-47 months (female)			Hb<110 g/L	45
48-59 months (male)			Hb<110 g/L	38
48-59 months (female)			Hb<110 g/L	40

Estimated Anemia Prevalence: School-aged children and Adolescents (34%)

Group	Sample size	Population in region/group (if known)	Indicator (e.g. Hb<120g/L, <110g/L, etc.)	Prevalence in sample %
5-11 years (male)			Hb<115 g/L	33
5-11 years (female)			Hb<115 g/L	30
12-14 years (male)			Hb<120 g/L	40
12-14 years (female)			Hb<120 g/L	38
15-19 years (male)			Hb<130 g/L	45
15-19 years (female)			Hb<120 g/L	37

Estimated Anemia Prevalence: Mothers (Pregnant-51% & Non-Pregnant-34%)

Group

Sample size

Population in region/group (if known)

Indicator

(e.g. Hb<120g/L, <110g/L, etc.)

Prevalence in sample %

Non-Pregnant Mothers

Hb<120 g/L

Pregnant Mothers

Hb<110 g/L




	POLICY AND LEGISLATION

Legislation on IDA

	There is no legislation to address iron deficiency in Belize.
	There has been documents published stating the national policy.
	There is national policy on iron supplementation for women, but not for children. It is being considered.


Government Agency to Address IDD
	Government Agency: Institute of Public Health Nutrition (IPHN)



	PROGRAM DATA


Supplementation - (Women)

Targeting
	Non-Pregnant Mothers
	Those mothers who were not presently pregnant but had been pregnant in the past.
	Continued supplementation for lactating mothers 0-3 months post-partum.
Targeting
	Pregnant women
	Those mothers who were detected as being pregnant or as soon as the pregnancy began. Continued throughout the pregnancy.


Capsule Information
	Iron folate tablets are give as part of the program
	Non-Pregnant Women
	120 mg iron and 800 µg folic weekly
Capsule Information
	Pregnant Women
	60 mg iron and 400 µg folic daily


Implementation
	Supplements are distributed at ante-natal clinics.
	The intended frequency of supplementation is 2-4 weeks supply.
	The national survey program started in 1997.


Supplementation - (Children)

Targeting
	Children 6-59 months
	Those children found in the survey sample listed above.
Targeting
	School-aged children and Adolescents.
	Children 5-19 years of age also found in the survey sample listed above.
Targeting
Capsule Information:
	Iron folate tablets are give as part of the program
	Children 6-23 months
	12.5 mg iron and 50 µg folic daily.
Targeting
	Children 2- 5 years
	20-0 mg iron and 200 µg folic daily
Targeting
	Adolescent girls
	120 mg iron and 800µg folic weekly
Targeting
Implementation
	Given throughout the survey period.
	Frequency depended on category of survey being conducted.

Fortification
	No food is currently fortified, and a no plans are in discussion since lack of food is currently a national problem.

Dietary Change
	No programs currently in discussion.
Dietary Change
Other Programs
	Programs are currently being discussed to address the iron deficiency by raising awareness of the problem
	Programs such as school discussion and classes as well as other programs to alert the general public of the problem.
	Other programs discuss the inclusion of community-based individuals such as traditional birth attendants, religious leaders, and various women's groups.



	MONITORING

Anemia
Current monitoring activities for iron deficiency anemia:
	A national study on iron deficiency anemia was conducted in 2001 and results from this study are currently being discussed for future program implementation.



	PROGRAM RESOURCES

Donor and Implementing Agencies

Implementing Agency	Description of Activities	Expenditure and source of funds in current year
Implementing Agency	Description of Activities	Suppl.	Fortif.	Other (specify)
National/State governments	Institute of Public Health Nutrition
External Agencies	National Surveillance Project
	Helen Keller International

EPIDEMIOLOGICAL DATA

POLICY AND LEGISLATION

PROGRAM DATA