This Maximizing the Quality of Scaling Up Nutrition (MQSUN) report
examines the potential to scale up micronutrient fortification in
Pakistan in order to reduce micronutrient deficiencies.
Findings from the 2011 National Nutritional Survey reveal that very
little progress has been made with respect to micronutrient deficiencies
among women and children in Pakistan, with the exception of gains in
iodized salt use and large reductions in moderate to severe urinary
iodine deficiency rates. One in five pregnant and lactating women and
one in three children under the age of 5 were anemic due to iron
deficiency in 2011. Night blindness affected 16% of pregnant women, and
more than 50% of children were vitamin A deficient. About 40% of women
and children were deficient in zinc, and 70% of pregnant women and 40%
of children were deficient in vitamin D. Moreover, persistent high rates
of stunting (44%) and wasting (15%) among children under 5 are an
important reminder that this could be a major bottleneck in addressing
child survival in Pakistan. Food fortification is safe and
cost-effective in the prevention of micronutrient deficiencies and has
been widely practiced in developed countries for well over a century.
Commissioned by the UK Department for International Development (DFID)
Pakistan, the scoping study presented here was undertaken by an
international team of consultants to investigate and compare options for
food fortification initiatives in Pakistan. The study focused on three
areas: the regulatory environment for food fortification, the private
sector role, and potential agricultural solutions. Phase 1 of the study
was a descriptive analysis to map the current landscape for food
fortification, Phase 2 included the appraisal of selected options for
fortification with respect to evidence on potential impact and
feasibility of implementation, and Phase 3 included an economic analysis
of these options.
Gaffey, M.; Baloch, Q.; Rana, M.; Swor, M.; Nyaku, A.; Conolly, H.; Horton, S.; Bhutta, Z.A. Assignment Report: Pakistan Food Fortification Scoping Study. PATH, Washington DC, USA (2014) 58 pp.
Assignment Report: Pakistan Food Fortification Scoping Study