Cambodia Vitamin A

China

Iron

Iodine India
     
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Policy & Legislation
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Monitoring
Program Resources

CURRENT SITUATION

     

The prevalence of anemia in China was measured in all age groups and disaggregated by gender.  The prevalence of anemia in children ages 0 to 59 months were 21.2% in males, and 16.1% in females.  Prevalence in children 5 to 14 years of age were 15.1% in males, and 17.5% in females.  Prevalence of anemia in people 15 years old and older were 16.9% in males, and 22.7% in females.  Currently there are no supplementation and fortification programs, nor education campaigns to change dietary habits.  The government however have been screening for parasites and de-worming programs in children in primary and middle schools.

     
     

EPIDEMIOLOGICAL DATA

   
Anemia
Most Recent Anemia Survey  
Date: 1992, National Nutrition Survey
Groups Surveyed: People of all ages
Sample Size: 100,201
Sampling Method: Cluster survey that included 25,033 urban and rural households.
Estimated Anemia Prevalence:

Group

Sample Size

Indicator

Prevalence in Sample

Estimated Population Affected*(x1000)

Males

Females

Males

Females

Males

Females

0-59 months

3359

2844

Hb< 119g/L

 

21.2%

16.1%

10,829.3

7,477.4

 5-14 years

7633

6918

5 -11 yrs:  Hb< 115g/L

12-14 years:  Hb<20g/L

Pregnant women of any age:  Hb< 110g/L

15.1%

17.5%

17,660.7

18,617.0

15+ years

21809

27996

Non-pregnant women 15yrs or older:              Hb< 120g/L

Men 15yrs or older:       Hb< 130g/L

Pregnant women of any age: Hb< 110g/L

16.9%

22.7%

81,278.4

104,426.5

National Total

 

109,768.4

130,521.0

 

 

POLICY AND LEGISLATION

Legislation on IDA
   
    

China has a policy that calls for a focus on supplementation, fortification, and dietary change.  The policy is to be revised.  There is no current policy on iron supplementation for children and pregnant women.  In addition, there is no national policy or legislation for iron fortification.

 
Government Agency to Address IDD
     There are no government agencies specifically established to address IDA.
     
     

PROGRAM DATA

   
Supplementation
 There are no iron supplementation programs.
 
Fortification
There are no iron fortification programs, but the possibility of fortifying soy sauce is being considered.  A pilot study is underway “The control of Iron Deficiency Anemia by Sodium Iron EDTA Fortified Soy Sauce”.  The study began in 2000 and is to be completed in 2002.  Soy sauce was selected as the food carrier because 70% of the Chinese population consumes soy sauce, and NaFeEDTA was selected as the iron compound because of its high bioavailability for people consuming a plant based diet.  The study will determine whether or not fortified soy sauce is feasible and effective in combating IDA.  It will also investigate the effect of fortification on vitamin A and anthropometric status
Other Programs
    

There are no large-scale programs to address dietary changes, nor community- based programs to promote improved iron status.

De-worming Programs

     The Chinese Ministry of Health has started to screen for parasites and de-worm children in primary and middle schools.
     
     
 

MONITORING

 
Anemia
Current monitoring activities for iron deficiency anemia:
     There are no national monitoring activities of IDA, but the 4th National Nutrition Survey will begin in 2002 and will investigate the extent of IDA.  There is facility and community based monitoring for IDA with laboratory facilities available for hemoglobin estimates.
   
Programs
    

There is no monitoring of supplementation and fortification programs.

     
     

PROGRAM RESOURCES

 

Donors and Implementing Agencies

 

 

Implementing Agency

Source of funds in current year

Supplementation

Fortification

Other

National/State Governments

Government body

NR

NR

NR

External Agencies

 

 

 

UNICEF

NR

NR

NR

The Micronutrient Initiative

NR

X

(pilot study)

NR

 

 
Total Iron Program Funding History and Forecast for Country

There is a study to investigate the effect of iron and other micronutrient supplementation on the health of pregnant women and subsequent growth/development of the fetus and infant.  It is estimated to cost $USD 300,000.00.

Another study is to develop standard diagnostic techniques of IDA in elderly populations. The estimated cost of this study is $US 150,000.00