Gabon Vitamin A

Gambia

Iodine

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EPIDEMIOLOGICAL DATA
   
Goiter  
Most Recent Goiter Survey  
Date: 1999
Groups Surveyed: Children 8 - 12 years
Sample Size: 3000
Sampling Method: Thirty schools were randomly selected from the 5 administrative divisions of the country with Banjul and Kanifing representing the urban population.  In each school, 100 pupils were palpated for goiter.  Urine samples were collected from every 5th child, thus 600 urine samples were collected for the measurement of urinary iodine.  All the children examined were requested to come to school with a pinch of salt from their homes to be tested for iodine.  607 samples salt samples were tested.
Estimated Goiter Prevalence:

Region

Sample Size

TGR (%)

Est. Population Affected
       
URD 700 19.3  
CRD 701 17.4  
LRD 708 12.4  
Banjul/Kanifing 301 0.7  
Western Div. 300 0.7  
North Bank Div. 300 2.3  
Total 3010 11.8  

Source:  Consultancy on Iodine Deficiency Disorders Survey in the Gambia.
 
Urinary Iodine
Most Recent Urinary Iodine Survey -- Same as goiter survey.
 
Estimated Prevalence of IDD:
 

Area

Sample size

Median Urinary Level (ug/dl)
Banjul/Kanifing 60 7.37
Western Div. 60 3.59
North Bank Div. 60 4.75
Lower River Div. 135 2.76
Central River Div. 149 6.88
Upper River Div. 140 3.18
Total 594

 

 
 
 

POLICY AND LEGISLATION
 

Legislation on IDD
     Currently there is no legislation, however it is being developed.
 
Government Agency to Address IDD
    

National Nutrition Agency
     Contact Info:  Executive Director, 80 OAU Blvd, Banjul, The Gambia
 
     

PROGRAM DATA
Supplementation  --Not Reported
Fortification  -- No fortification programs.
Retail
   

*  The average retail cost of salt -- Not Reported
 
Household Consumption
     The estimated daily per capita consumption of salt  --  Not Reported
     The estimated percent of adequately iodized salt consumed as a national average:  8% HH's with >= 15 ppm*            
Source:  MICS 20000
 
Other Programs Related to Control of IDD  -- Not Reported
 
 
Surveys of Iodized Salt

 

Survey Level

(producer/ retail/ household)

 

Geographic area/ other grouping

 

Sample size

 

Sampling Method

%  of samples with >= 15 ppm

 HH

Banjul 

 NR

NR

 3%

 

Kanifing Municipal Council

 

 

 5%

 

Brikama (Western Division)

 

 

 4%

 

Central River Division (Average)

 

 

23-24.5

 

Kerewan (North Bank Division)

 

 

2%

 

Janjanbureh (Central River Divisio)

 

 

33%

 

Kuntaur (Central River Division)

 

 

16%

 

Basse (Upper River Division)

 

 

21%

 

URBAN

 

 

5%

 

RURAL

 

 

10%

 

NATIONAL

 

 

  8%

 
   
 
MONITORING
 

Salt Iodine
     Current monitoring activities for iodine levels in salt  --  Not Reported
     Are surveys described above being repeated  --  Not Reported
     Is there facility or community-based monitoring of salt iodine  --  Not Reported
 

IDD Indicators
     Is there monitoring of goiter rate  --  Not Reported
     Are there lab facilities for biochemical measurements  --  Not Reported
     
     
PROGRAM RESOURCES
 
Donor and Implementing Agencies Involved in IDD Programs
     What donors and implementing agencies are involved in IDD programs  --  Not Reported

Total IDD Program Funding History and Forecast for Country  --  Not Reported