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World Bank - Enriching lives: overcoming vitamin and mineral malnutrition in developing countries

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    Enriching lives: overcoming vitamin and mineral malnutrition in developing countries
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Vitamin and mineral (micronutrient) deficiencies impose high economic costs on virtually every developing country. But programs for alleviating these deficiencies are among the most cost-effective of all health programswith high rates of return in terms of human resources. World Development Report 1993: Investing in Health highlighted both needs and opportunities in this area. This report provides detailed arguments for addressing micronutrient malnutrition and practical advice drawn from program experience. The book suggests three main strategies: Educate consumers so that they fully appreciate and understand the importance of micronutrients in their diet Encourage the fortification of foodstuffs by combining market incentives and regulatory enforcement Distribute, as a last resort, micronutrient capsules and other supplements, using all public and private channels available. World Bank-assisted projects in 30 countries now have micronutrient components. This number could grow, but the effort will require stronger partnerships with nongovernmental organizations, private industry, and international organizations.

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title Enriching Lives Overcoming Vitamin and Mineral Malnutrition in - photo 1

title:Enriching Lives : Overcoming Vitamin and Mineral Malnutrition in Developing Countries Development in Practice (Washington, D.C.)
author:
publisher:World Bank
isbn10 | asin:0821329871
print isbn13:9780821329870
ebook isbn13:9780585241241
language:English
subjectMalnutrition--Developing countries, Avitaminosis--Developing countries, Minerals in human nutrition--Developing countries.
publication date:1994
lcc:RA645.N87E57 1994eb
ddc:363.8
subject:Malnutrition--Developing countries, Avitaminosis--Developing countries, Minerals in human nutrition--Developing countries.
Page iii
Enriching Lives
Overcoming Vitamin and Mineral Malnutrition in Developing Countries
Page iv 1994 The International Bank for Reconstruction and Development - photo 2
Page iv
1994 The International Bank for Reconstruction
and Development / THE WORLD BANK
All rights reserved
Manufactured in the United States of America
First printing November 1994
The Development in Practice series publishes reviews of the World Bank's activities in different regions and sectors. It lays particular emphasis on the progress that is being made and on the policies and practices that hold the most promise of success in the effort to reduce poverty in the developing world.
The findings, interpretations, and conclusions expressed in this study are entirely those of the authors and should not be attributed in any manner to the World Bank, to its affiliated organizations, or to members of its Board of Executive Directors or the countries they represent.
LibraryofCongressCataloging-in-PublicationData
Enriching lives : overcoming vitamin and mineral malnutrition in
developing countries.
p. cm. (Development in practice)
Includes bibliographical references.
ISBN 0-8213-2987-1
1. MalnutritionDeveloping countries. 2. Avitaminosis
Developing countries. 3. Minerals in human nutritionDeveloping
countries. I. International Bank for Reconstruction and
Development. II. Series: Development in practice (Washington, D.C.)
RA645.N87E57 1994
363.8dc20 94-27022
CIP
Page v
Contents
Foreword
ix
Acknowledgments
xi
Abbreviations and Acronyms
xii
Executive Summary
1
Picture 3
The Need for a Comprehensive Approach
2
Picture 4
Three Types of Approaches
2
Picture 5
Social Mobilization
3
Picture 6
Pharmaceutical Supplementation
3
Picture 7
Effective Regulation and Incentives for the Private Food Industry
4
Picture 8
Developing Nutritional Awareness and Habits
4
Picture 9
The Need for External Start-up Support
5
1
The Challenge of Dietary Deficiencies of Vitamins and Minerals
6
Picture 10
The Strategic Importance of Vitamin A, Iodine, and Iron
6
Picture 11
The Scope of Micronutrient Malnutrition
8
Picture 12
Beyond the Reach of Economic Development
9
Picture 13
Good Health Care Systems: Necessary but Not Sufficient
10
Picture 14
The Need for Special Programs
10

Page vi
2
The Low Costs of Overcoming Vitamin and Mineral Deficiencies
14
Picture 15
Program Designs
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