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A blueprint for fortification planning and programming

Lessons learned from an analytical review of existing fortification frameworks

Bibliographic Data

ID15536155
AuthorsRoopa Darwar (0000-0003-2622-2026, Emory University), Laura A Rowe (0000-0002-3073-8749, Nutrition International, corresponding author), Manpreet Chadha (0009-0007-0272-4060, Nutrition International), Ana M Sanson‐Rosas (Nutrition International), Mandana Arabi (Nutrition International)
Year2023
Volume22
Issue1
Pagese13571-e13571
Publication date2023-12-28
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.13571
PMID38155486
OpenAlexW4390397630
LanguageEN
Citations received2
References cited37

With multiple food fortification frameworks, countries can find it challenging to determine optimal methods for planning and implementing food fortification programmes to combat vitamin and mineral deficiencies, especially without additional technical support. To address this challenge, this study aimed to review existing frameworks to determine consistencies, differences, strengths, and weaknesses across the frameworks, and based on the review findings, formulate an enhanced and streamlined fortification framework. Nineteen frameworks were ultimately examined following a comprehensive literature review and key informant interviews. Generally, the reviewed frameworks amply describe motives and methods for the determination of fortification need and feasibility, industry engagement/quality assurance and quality control, and impact evaluations/surveillance. However, there was limited inclusion or discussion throughout the reviewed frameworks around harmonization of fortification with existing micronutrient interventions; fortification policy and/or strategy; enforcement, incentives, and penalties to ensure producer compliance with industry standards; and periodic fortification programme review and reassessment. The findings were used to develop a comprehensive Fortification Blueprint that aims to provide structured guidance and a library of tools and resources to fortification programme managers and key stakeholders to ensure optimal and sustainable programme design

Blueprint · Fortification · Management science · Process management · Child Nutrition and Water Access · Engineering · Folate and B Vitamins Research · Iron Metabolism and Disorders · Medicine

  • Impacts of Vitamin A Degradation on the Effectiveness and Cost-Effectiveness of Vitamin A Fortification Programs

    Open Access•Stephen A Vosti, Michael Jarvis et al.•Food and Nutrition Bulletin•2026

  • Overview

    Open Access•Manpreet Chadha, Daniel López de Romaña et al.•Maternal and Child Nutrition•2025

  • Micronutrient deficiencies among preschool-aged children and women of reproductive age worldwide

    Open Access•G A Stevens, Ty Beal et al.•The Lancet Global Health•2022

  • Understanding drivers of private-sector compliance to large-scale food fortification

    Open Access•Ayako Ebata, Jodie Thorpe et al.•Food Policy•2021

Citations per year2
Citation span2025 - 2026 (2)
Highly citedNo

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Open DOIOpen Access
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