Iron Deficiency Anemia - Cote d'Ivoire

Congo, Democratic Republic

Vitamin A

Cote d'ivoire

Iron

Iodine

Djibouti


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	EPIDEMIOLOGICAL DATA


Anemia
Most Recent Anemia Survey

Date:

Groups Surveyed:

Non-pregnant Women, Pregnant Women of any age, Men>15 years of age, Children 6-60 months of age, Children 5-11 years of age, and Children 12-14 years of age.

Sample Size:

1546

Sampling Method:

Estimated Anemia Prevalence:

Group	Sample size	Population in region/group (if known)	Indicator (e.g. Hb<120g/L, <110g/L, etc.)	Prevalence in sample %
Abidjan	76	Children 2-5 years	<100 g/L	37.5
	125	Children 6-15 years	<110 g/L	62.3
	141	Women	<110 g/L	60.8
	67	Men	<120 g/L	33.3

Bouké	91	Children 2-5 years	<100 g/L	48.9
	145	Children 6-15 years	<100 g/L	32.9
	82	Women	<100 g/L	36.6
	59	Men	<100 g/L	17.0
				28.5
Kolia	80	Children 2-5 years	<100 g/L	62.5
	131	Children 6-15 years	<100 g/L	45.8
	83	Women	<100 g/L	29.8
	117	Men	<100 g/L	12.8
National Total:	1,788			28.5
Guitry	65	Children 2-5 years	<100 g/L	45.5
	120	Children 6-15 years	<100 g/L	42.6
	83	Women	<100 g/L	29.5
	81	Men	<100 g/L	17.3
National Total	1546




	POLICY AND LEGISLATION

Legislation on IDA

	There is legislation to address iron deficiency in Cote d'Ivoire, and the government has published documents stating the national policy regarding iron deficiency.
	Legislation was adopted in 1999. Its objective is to reduce the prevalence of anemia by half in the group of children younger than 11 years of age and in pregnant women from 1999-2003.
	There is national policy on iron supplementation for women, but not for children. It is being considered.
	There is no national policy regarding iron fortification programs, but is under consideration.


Government Agency to Address IDD
	The National Nutrition Programme (NNP). Their function is both coordination and monitoring.



	PROGRAM DATA


Supplementation - (Women)

Targeting
	Pregnant women

	n
Capsule Information
	60 mg/day of Iron and folate tablets


Implementation
	Supplements are distributed in children and maternal protection centers.
	The intended frequency of supplementation is daily from the 12th week of pregnancy to the post-partum period.
	The total number of tablets/capsules of iron distributed is 30 tablets/capsules for each woman.
	The national program started in 1999.


Supplementation - (Children)

	Deworming of children in school with albendazol and supplemented with iron tablets.
Targeting
Targeting
	School-aged children
	Approximately 3 million children are targeted by the supplementation program
Targeting
Capsule Information
	Iron and folate tablets.
Targeting
Implementation
	Supplements are distributed through school and community-based programs.
	The intended frequency of supplementation is 4 days a week (when the children are at school).
	The national program started in 1999.

Fortification
	Soy flour is fortified with a mixture of micronutrients and the process is monitored.

Dietary Change
	There are national programs in Cote d'Ivoire that focus on the promotion of iron status through dietary change.
	These programs are conducted by health professionals.

Other Programs
Community-based
	There are community-based programs that deal with deworming, vitamin A, and iron supplementation for school children.



	MONITORING

Anemia
Current monitoring activities for iron deficiency anemia:
	There is facility or community-based monitoring of anemia.
	Each sanitary district is provided with a laboratory as well as a coulter counter to measure Hb levels.
	HemoCue/field tests are not currenty used but there professionals trained by HKI for this analysis.



	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	Policy Maker	Yes	Yes
External agencies
MI	Feasability Studies, Advocacy, and Training		Yes
HKI	Technical Support and Funding		Yes
UNICEF	Funding	Yes	Yes
WHO	Funding	Yes

EPIDEMIOLOGICAL DATA

POLICY AND LEGISLATION

PROGRAM DATA