Universal Salt Iodisation: Lessons learned from Cambodia for ensuring programme sustainability
Autor: | Arnaud Laillou, Mam Borath, Karen Codling, Christiane Rudert, Jonathan Gorstein |
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Rok vydání: | 2020 |
Předmět: |
0301 basic medicine
Economic growth National government Population 03 medical and health sciences 0302 clinical medicine salt iodization Salt iodization Humans program sustainability Medicine 030212 general & internal medicine Sodium Chloride Dietary Child regulatory monitoring and enforcement Enforcement education iodine deficiency Family Characteristics Government education.field_of_study 030109 nutrition & dietetics Nutrition and Dietetics business.industry Malnutrition Public Health Environmental and Occupational Health Obstetrics and Gynecology medicine.disease Iodine deficiency Iodised salt Pediatrics Perinatology and Child Health Sustainability Female Supplement Article Cambodia business Iodine Program Evaluation |
Zdroj: | Maternal & Child Nutrition |
ISSN: | 1740-8709 1740-8695 |
DOI: | 10.1111/mcn.12827 |
Popis: | Iodine deficiency is the leading cause of preventable intellectual disability in the world, but it has been successfully prevented in most countries through universal salt iodization (USI). In 2011, Cambodia appeared to be an example of this success story, but today, Cambodian women and children are once again iodine deficient. In 2011, Cambodia demonstrated high‐household coverage of adequately iodized salt and had achieved virtual elimination of iodine deficiency in school‐age children. However, this achievement was not sustained because the USI programme was dependent on external funding, and the national government and salt industries had not institutionalized their implementation responsibilities. Recent programmatic efforts, in particular the establishment of a regulatory monitoring and enforcement system, are turning the situation around. Although Cambodia has not yet fully regained the achievements of 2011 (only 55% of tested salt was adequately iodized in 2017 compared with 67% in 2011), the recent steps taken by the government and the salt industry point to greater sustainability of the USI programme and the long‐term prevention of iodine deficiency in children, women, and the general population. |
Databáze: | OpenAIRE |
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