Liberia Vitamin A

madagascar

Iron

 Iodine Malawi
     
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Country Profile Policy & Legislation
Program Data
Monitoring
Program Resources
     

EPIDEMIOLOGICAL DATA
   
Anemia
Most Recent Anemia Survey:   National Survey (MOH/USAID/Seecaline)
Date: May 2000
Groups Surveyed: School Children aged 6-14 years.
Sample Size: 833
Sampling Method: Using the General Census of the Population habitat, determined two stratified clusters.  30 survey clusters were selected from each stratified cluster for the survey.
Estimated Anemia Prevalence: 

Group

Sample size

Population in  region/group (if known)

Indicator

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

Prevalence in sample %
Children 6-14 years

883

<120 g/L

69

<100 g/L

29

National Total

 

 
 

POLICY AND LEGISLATION
Legislation on IDA
     There is legislation to address iron deficiency in Madagascar covering supplementation.  Legislation was adopted in 1998 and has not been significantly revised.
     There is national policy on iron supplementation for children and pregnant women.  The policy for children primarily regards school children.
     There is no national policy regarding iron fortification programs and it is not under consideration.
 
Government Agency to Address IDD
     Department of Nutrition- Ministry of Health.  The function of this agency is both coordination and monitoring.
     Contact Information: Dr. Simon Rakotonirina.
     
     

PROGRAM DATA
   
 Supplementation - (Women)  
Targeting

    

Pregnant women
   n
Capsule Information

    

60 mg/day of Iron folate tablets
Implementation

    

Supplements are distributed to pregnant women attending antenatal clinics

    

The intended frequency of supplementation is for 60 mg/day for 3 months.

    

The national program started in 1998.
   
Supplementation - (Children)
Targeting

    

School children
Targeting
Capsule Information

    

Iron folate tablets.
Targeting
Implementation

    

Supplements are distributed through school-based programs.

    

The intended frequency of supplementation is weekly for 3 months.

    

The national program started in 1999.
 
Fortification

    

No food is currently fortified.
Dietary Change

    

There are no national campaigns in Madagascar.
Other Programs

    

No other programs reported. 
     
     
 

MONITORING
 
Anemia
Current monitoring activities for iron deficiency anemia:
    

Surveys in 10 Iron/vitamin A sentinel sites are conducted every 2 years.
    

There are laboratory facilities at the Nutrition Lab-Ministry of Health using Hb blood spot assays for Hb estimates.
    

Field tests are also used in Hb estimates. 
     
     

PROGRAM RESOURCES
Donor and Implementing Agencies

 

Implementing Agency

 

Description of Activities

Expenditure and source of funds in

current year

Suppl.

Fortif.

Other (specify)

National/State governments

Coordination, Monitoring, and Evaluation of interventions. 

 

External agencies

UNICEF

Technical and financial support

Supplies:  iron tablets, laboratory reagents, etc.