Bolivia Vitamin A

Brazil

Iron

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EPIDEMIOLOGICAL DATA
   
Anemia
Most Recent Anemia Survey  
Estimated Anemia Prevalence:

Region/Group*

Sample Size

Population in Region/Group       (if available)

Indicator (s)           Specify cutoff and/ or median serum retinol

Prevalence in Sample %

 

Northeastern Region – The State of Alagoas. Survey realized in 2000 with representative samples of scholars (6 to 100 years) in the city of Maceió through the Coutler STKS method.

426

Not available

Hb<120 g/L

25.4

 

Northeastern Region – The State of Sergipe. Survey realized in 1998 with scholars (4 to 24 years) in the city of Aracaju through the Hemocue method.

354

Not available

Hb<110 g/L: 4-6 years

Hb<120 g/L: 7-14 years

26.7

 

Northeastern Region – The State of Sergipe. Survey realized in 1998 with scholars (6 to 50 months) in the city of Aracaju through the Hemocue method.

720

Not available

Hb<110 g/L

31.4

 

Northeastern Region- The State of Pernambuco.  Survey realized in 1997 with a representative sample of children with less then 5 years of age and women from 10 to 49 years of age through the Hermocue method.

Children- 780

 

  Women- 1196

Not available

Hb<110 g/L

 

        Hb<120 g/L

46.7

 

24.5

 

 Northeeastern Region- The State of Bahia.  Survey realized in 1996 with representative samples in children with less then 5 years of age in the capital Salvador through the Hermocue method.

606

Not available

Hb<110 g/L

46.4

 

 Northeastern Region- The state of Pernambuco.  Survey realized in 1992 with pregnant women in a public maternity through the CELM Counting method. 

1007

Not available

Hb<110 g/L

30.9

 

 Southeastern Region- The State of Espíritu Santo.  Survey realized in 2000 with children between 6 and 72 months in municipal schools of the capital (Vitória) through the Coulter STKS method.

760

Not available

Hb<110 g/L: 6-59 months

Hb<115 g/L: 60-72 months

28.6

 

 Southeastern Region- The State of São Paulo.  Survey realized in 1995/6 with representative samples of children with less than 5 years of age in the city of São Paulo through the Hermocue method.

1256

Not available

Hb<110 g/L

46.9

 

 Southern Region- The State of Rio Grande do Sul.  Survey realized in 1997 with representative samples of children between 0 and 36 months of age in the capital (Porto Alegre) through the Hermocue method.

557

Not available

Hb<110 g/L

47.8

 

 Southern Region- The State of Santa Catarina.  Survey realized in 1996 with representative samples of children between 0 and 36 months of age in the city of Criciuma, through the Hemoglobinometro BMS Mod. 10-101D method.

476

Not available

Hb<110 g/L

54.0

 More groups

 

 

 

National Total:

Not applicable  (The surveys cited do not include all the regions of Brazil) Currently a Survey about micronutrients (Vitamin A and Iron) is being planned which will be developed on a national scale with the participation of the Micronutrient Initiative.

 
 

POLICY AND LEGISLATION
Legislation on IDA
 
     Brazil does have legislation to address IDD deficiency.
     The government has published documents concerning the national policy with the National Policy on Feeding and Nutrition. 
 Supplementation
     There is a policy on iron supplementation for pregnant women, which is given through the Only Health System (SUS).  This agency controls the distribution of iron sulfate composition to women carrying iron anemia.
     There is a policy for iron supplementation for children which is also given through the Only Health System (SUS).  This agency controls the distribution of iron sulfate composition to women carrying iron anemia.
 Fortification
     There is a national policy for iron fortification
     The Technical Regulation in 2002 made the addition of iron and folic acid to the flour of wheat, maize, and the products of maize mandatory.  This regulation requires that at least 4.2mg of iron and 150mcg of folic acid be added to products weighing 100g.   
 
Government Agency to Address IDD
     The government agency that deals with IDA is the Unit Food and Nutrition Policy under the Ministry of Health.  This agency function is coordination, monitoring, and funding.
     Contact information:  Denise Costa Coitinho.
     
     

PROGRAM DATA
   
 Supplementation
Program Description - Pregnant Women and Women of reproductive age.

    

To provide iron supplements to pregnant women and women of reproductive age who present iron deficiency during medical consultation.
 
Targeting- Not Reported
   
Capsule Information

    

Type of supplement provided is Ferrous Sulphate (40 mg iron).
   
Implementation

    

Iron capsules are taken during medical consultation.

    

The intended frequency of supplementation doses is daily. Coverage depends on period of training where anemia was diagnosed.  
   
Program Description - Children

    

The current iron supplementation program for children targets those children who present an iron deficiency during medical consultation.  Children facing nutritional risks are also targeted in the supplementation.

    

Type of supplement provided is Ferrous Sulphate solution (25 mg/ml iron).

    

Capsules are given during medical consultations.

    

The intended frequency of supplementation doses is daily, during period of treatment.
Implementation
Fortification
     There is food fortification in Brazil with a regulation in 2002 making it mandatory to add iron and folic acid to the flour of wheat, maize, and the products of maize that are prepared and ready for consumption.

    

Pre-mixes that weigh 100g should contain 4.2mg of iron and 150mg of folic acid.
 
Other Programs
Education Campaigns
     There are large-scale or national programs, including papers, chards, and folders.
     Radio transmission is being developed to give information to the population regarding nutritional deficiencies including anemia of iron.

Community-based Programs
     There are community-based programs in Brazil.  During medical consultations, public health units are provided that detail the importance of prevention and the treatment of iron anemia.
     Program also details of the incentive to the consummation of aliments carriers of this mineral.
     These programs are currently being conducted in health centers and by health professionals.
   
Health in Family Program
     Created in 1994 by the Ministry of Public Health, the purpose of program is to reconfigure health attendance to new models.  This brings the healthcare closer to the family level therefore improving quality of life in Brazil. 
     Program attendance is given in the basic health unit or in the residence.
     Priority of program deals with prevention, promotion, and recuperation of the health of the people on an integral and continuous form.    
   
Alimentation Bonus Program
     The Ministry of Public Health created this program in 2001 that primarily focuses on  prevention and to promote health and nutritional conditions in various groups of people through the complementation of the family income to improve the alimentation and feeding to basic actions of health. 
     Program is geared towards pregnant women, nursing mothers, their children of less then 6 months of age, children from 6 months- 6 years, and children 11 months of age with nutritional risk or of families without income of with a monthly income less than US$30,000
     Program consists of basic actions families need to focus on such as pre-natal care, vaccinations, the accompanying of the growth and children's development besides the participation in activities of health and nutritional education.
     Families receive a monthly bonus for six months or more depending on the families progress after a six-month period.
   
Pastoral Child Program
     Program entails training of community leaders in each community with the mobilization of the families with the care for their children.  
     Several tasks are practiced such as providing information needed for the survival and complete development of the children, improving the quality of life of poor families, and addressing physical as well as spiritual needs of the entire unit.
     
 

MONITORING
 
Anemia
     Not Reported 
   
Programs
     Not Reported
     

PROGRAM RESOURCES
Donor and Implementing Agencies

 

Implementing Agency

 

Description of Activities

Expenditure and source of funds in

Current year

Supplementation

Fortification

National/State governments

 Secretaries of Public Health of Municipals and States lllllllllllllllllllllllllllllllllllllllllllllllllllll                        Aid for the distribution of iron sulfate.

EMPRAPA llllllllllllllllllllllllllllllllllllllllllllllllllllll               Studies about the technological viabilities of enrichment of flour.

 Yes

 

 

 

Yes

 

 

 

 

Yes

 

Yes

           

         Yes          

 

           Yes           

Exterrnal Agencies

 

 Pan-American Health Organization (OPS)  Technical Consultancy

Industry of Ailments (Flours of wheat and maize) Modernization of equipment to make feasible the enrichment of flours.

Micronutrient Initiative (IM) llllllllllllllllllllllllll Financing the Project              
Total Iron Program Funding History and Forecast for Country - Not Reported

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