Implement Flour and Rice Fortification Effectively
To ensure fortification programs are sustainable and effective, we help countries implement their plan for fortification when there is clear public, private, and civic support for fortification.
We encourage mandatory rather than voluntary fortification because legislation leads to country-wide fortification which creates the desired health impact. Country-wide fortification is usually not achieved without legislation. The benefits of mandatory programs when compared to voluntary programs are outlined in these studies:
Atta CA, et al. Global birth prevalence of spina bifida by folic acid fortification status: a systematic review and meta-analysis.
Zimmerman S, et al. Mandatory policy: Most successful way to maximize fortification’s effect on vitamin and mineral deficiency.
PHASE 3: Design and Develop
Draft recommended standards
Identify miller, regulatory inspector, and laboratory training needs
Support premix procurement process
Engage the legislative process
Develop a communication and education strategy
Integrate realistic fortification monitoring into existing framework
Train millers on QA/QC practices
Train regulatory monitoring inspectors and lab staff; map agency responsibilities
Facilitate the passage of legislation
Develop a National Fortification Guidelines document and national logo, as necessary