Micronutrient status of populations and preventive nutrition interventions in South East Asia

N Roos, M Campos Ponce, C M Doak, M Dijkhuizen, K Polman, C Chamnan, K Khov, M Chea, S Prak, S Kounnavong, K Akkhavong, L B Mai, T T Lua, S Muslimatun, U Famida, E Wasantwisut, P Winichagoon, E Doets, V Greffeuille, F T Wieringa & 1 others J Berger

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Objectives Since the 1990s, programs for the control of micronutrient deficiencies became a public health priority for many governments, including the countries partnering the project "Sustainable Micronutrient Interventions to Control Deficiencies and Improve Nutritional Status and General Health in Asia" (SMILING): Cambodia, Indonesia, Laos-PDR, Thailand and Vietnam. The aim of this study was to map which micronutrient deficiencies have been addressed and which interventions were in place in the SMILING countries. Methods The mapping covered the period up to 2012. Updated information from relevant surveys after 2012 is included in this paper after the completion of the SMILING project. The mapping of micronutrient status was limited to either national or at least large-scale surveys. Information on nutrition interventions obtained through a systematic mapping of national programs combined with a snowball collection from various sources. Results Among the five SMILING countries, Thailand differed historically by an early implementation of a nationwide community-based nutrition program, contributing to reductions in undernutrition and micronutrient deficiencies. For Cambodia, Indonesia, Laos PDR, and Vietnam, some national programs addressing micronutrients have been implemented following adjusted international recommendations. National surveys on micronutrient status were scattered and inconsistent across the countries in design and frequency. Conclusion for practice In conclusion, some micronutrient deficiencies were addressed in national interventions but the evidence of effects was generally lacking because of limited nationally representative data collected. Improvement of intervention programs to efficiently reduce or eliminate micronutrient deficiencies requires more systematic monitoring and evaluation of effects of interventions in order to identify best practices.

Original languageEnglish
Pages (from-to)29-45
Number of pages17
JournalMaternal and Child Health Journal
Volume23
Issue numberSuppl 1
DOIs
Publication statusPublished - Jan 2019

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Far East
Micronutrients
Population
Laos
Cambodia
Indonesia
Vietnam
Thailand
Health Priorities
Nutritional Status
Practice Guidelines
Malnutrition
Public Health
Health

Keywords

  • Adolescent
  • Adult
  • Anemia/etiology
  • Anemia, Iron-Deficiency
  • Asia, Southeastern
  • Child
  • Female
  • Folic Acid Deficiency/complications
  • Humans
  • Iron/deficiency
  • Male
  • Malnutrition/prevention & control
  • Micronutrients/deficiency
  • Middle Aged
  • Nutritional Status
  • Program Evaluation
  • Vitamin A Deficiency/complications
  • Vitamin B 12 Deficiency/complications
  • Young Adult

Cite this

Roos, N ; Ponce, M Campos ; Doak, C M ; Dijkhuizen, M ; Polman, K ; Chamnan, C ; Khov, K ; Chea, M ; Prak, S ; Kounnavong, S ; Akkhavong, K ; Mai, L B ; Lua, T T ; Muslimatun, S ; Famida, U ; Wasantwisut, E ; Winichagoon, P ; Doets, E ; Greffeuille, V ; Wieringa, F T ; Berger, J. / Micronutrient status of populations and preventive nutrition interventions in South East Asia. In: Maternal and Child Health Journal. 2019 ; Vol. 23, No. Suppl 1. pp. 29-45.
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abstract = "Objectives Since the 1990s, programs for the control of micronutrient deficiencies became a public health priority for many governments, including the countries partnering the project {"}Sustainable Micronutrient Interventions to Control Deficiencies and Improve Nutritional Status and General Health in Asia{"} (SMILING): Cambodia, Indonesia, Laos-PDR, Thailand and Vietnam. The aim of this study was to map which micronutrient deficiencies have been addressed and which interventions were in place in the SMILING countries. Methods The mapping covered the period up to 2012. Updated information from relevant surveys after 2012 is included in this paper after the completion of the SMILING project. The mapping of micronutrient status was limited to either national or at least large-scale surveys. Information on nutrition interventions obtained through a systematic mapping of national programs combined with a snowball collection from various sources. Results Among the five SMILING countries, Thailand differed historically by an early implementation of a nationwide community-based nutrition program, contributing to reductions in undernutrition and micronutrient deficiencies. For Cambodia, Indonesia, Laos PDR, and Vietnam, some national programs addressing micronutrients have been implemented following adjusted international recommendations. National surveys on micronutrient status were scattered and inconsistent across the countries in design and frequency. Conclusion for practice In conclusion, some micronutrient deficiencies were addressed in national interventions but the evidence of effects was generally lacking because of limited nationally representative data collected. Improvement of intervention programs to efficiently reduce or eliminate micronutrient deficiencies requires more systematic monitoring and evaluation of effects of interventions in order to identify best practices.",
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author = "N Roos and Ponce, {M Campos} and Doak, {C M} and M Dijkhuizen and K Polman and C Chamnan and K Khov and M Chea and S Prak and S Kounnavong and K Akkhavong and Mai, {L B} and Lua, {T T} and S Muslimatun and U Famida and E Wasantwisut and P Winichagoon and E Doets and V Greffeuille and Wieringa, {F T} and J Berger",
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Roos, N, Ponce, MC, Doak, CM, Dijkhuizen, M, Polman, K, Chamnan, C, Khov, K, Chea, M, Prak, S, Kounnavong, S, Akkhavong, K, Mai, LB, Lua, TT, Muslimatun, S, Famida, U, Wasantwisut, E, Winichagoon, P, Doets, E, Greffeuille, V, Wieringa, FT & Berger, J 2019, 'Micronutrient status of populations and preventive nutrition interventions in South East Asia' Maternal and Child Health Journal, vol. 23, no. Suppl 1, pp. 29-45. https://doi.org/10.1007/s10995-018-2639-2

Micronutrient status of populations and preventive nutrition interventions in South East Asia. / Roos, N; Ponce, M Campos; Doak, C M; Dijkhuizen, M; Polman, K; Chamnan, C; Khov, K; Chea, M; Prak, S; Kounnavong, S; Akkhavong, K; Mai, L B; Lua, T T; Muslimatun, S; Famida, U; Wasantwisut, E; Winichagoon, P; Doets, E; Greffeuille, V; Wieringa, F T; Berger, J.

In: Maternal and Child Health Journal, Vol. 23, No. Suppl 1, 01.2019, p. 29-45.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Micronutrient status of populations and preventive nutrition interventions in South East Asia

AU - Roos, N

AU - Ponce, M Campos

AU - Doak, C M

AU - Dijkhuizen, M

AU - Polman, K

AU - Chamnan, C

AU - Khov, K

AU - Chea, M

AU - Prak, S

AU - Kounnavong, S

AU - Akkhavong, K

AU - Mai, L B

AU - Lua, T T

AU - Muslimatun, S

AU - Famida, U

AU - Wasantwisut, E

AU - Winichagoon, P

AU - Doets, E

AU - Greffeuille, V

AU - Wieringa, F T

AU - Berger, J

PY - 2019/1

Y1 - 2019/1

N2 - Objectives Since the 1990s, programs for the control of micronutrient deficiencies became a public health priority for many governments, including the countries partnering the project "Sustainable Micronutrient Interventions to Control Deficiencies and Improve Nutritional Status and General Health in Asia" (SMILING): Cambodia, Indonesia, Laos-PDR, Thailand and Vietnam. The aim of this study was to map which micronutrient deficiencies have been addressed and which interventions were in place in the SMILING countries. Methods The mapping covered the period up to 2012. Updated information from relevant surveys after 2012 is included in this paper after the completion of the SMILING project. The mapping of micronutrient status was limited to either national or at least large-scale surveys. Information on nutrition interventions obtained through a systematic mapping of national programs combined with a snowball collection from various sources. Results Among the five SMILING countries, Thailand differed historically by an early implementation of a nationwide community-based nutrition program, contributing to reductions in undernutrition and micronutrient deficiencies. For Cambodia, Indonesia, Laos PDR, and Vietnam, some national programs addressing micronutrients have been implemented following adjusted international recommendations. National surveys on micronutrient status were scattered and inconsistent across the countries in design and frequency. Conclusion for practice In conclusion, some micronutrient deficiencies were addressed in national interventions but the evidence of effects was generally lacking because of limited nationally representative data collected. Improvement of intervention programs to efficiently reduce or eliminate micronutrient deficiencies requires more systematic monitoring and evaluation of effects of interventions in order to identify best practices.

AB - Objectives Since the 1990s, programs for the control of micronutrient deficiencies became a public health priority for many governments, including the countries partnering the project "Sustainable Micronutrient Interventions to Control Deficiencies and Improve Nutritional Status and General Health in Asia" (SMILING): Cambodia, Indonesia, Laos-PDR, Thailand and Vietnam. The aim of this study was to map which micronutrient deficiencies have been addressed and which interventions were in place in the SMILING countries. Methods The mapping covered the period up to 2012. Updated information from relevant surveys after 2012 is included in this paper after the completion of the SMILING project. The mapping of micronutrient status was limited to either national or at least large-scale surveys. Information on nutrition interventions obtained through a systematic mapping of national programs combined with a snowball collection from various sources. Results Among the five SMILING countries, Thailand differed historically by an early implementation of a nationwide community-based nutrition program, contributing to reductions in undernutrition and micronutrient deficiencies. For Cambodia, Indonesia, Laos PDR, and Vietnam, some national programs addressing micronutrients have been implemented following adjusted international recommendations. National surveys on micronutrient status were scattered and inconsistent across the countries in design and frequency. Conclusion for practice In conclusion, some micronutrient deficiencies were addressed in national interventions but the evidence of effects was generally lacking because of limited nationally representative data collected. Improvement of intervention programs to efficiently reduce or eliminate micronutrient deficiencies requires more systematic monitoring and evaluation of effects of interventions in order to identify best practices.

KW - Adolescent

KW - Adult

KW - Anemia/etiology

KW - Anemia, Iron-Deficiency

KW - Asia, Southeastern

KW - Child

KW - Female

KW - Folic Acid Deficiency/complications

KW - Humans

KW - Iron/deficiency

KW - Male

KW - Malnutrition/prevention & control

KW - Micronutrients/deficiency

KW - Middle Aged

KW - Nutritional Status

KW - Program Evaluation

KW - Vitamin A Deficiency/complications

KW - Vitamin B 12 Deficiency/complications

KW - Young Adult

U2 - 10.1007/s10995-018-2639-2

DO - 10.1007/s10995-018-2639-2

M3 - Article

VL - 23

SP - 29

EP - 45

JO - Maternal and Child Health Journal

JF - Maternal and Child Health Journal

SN - 1092-7875

IS - Suppl 1

ER -