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Adolescent Nutrition_Roche
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Weekly Iron Folic Acid Supplementation to
reduce Adolescent Anemia: From Policy to
Programs
Marion Roche, Micronutrient Initiative
CORE Group Spring 2015, Global Health Practitioners
Conference,
Alexandria, April 14th
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Anemia in Adolescent Girls & Women
โข 21 countries assessed by UNICEF, > 1 in 3 girls are anaemic a
โข 4 of 8 African countries reviewed >40% anemia in 12-14 years of age
โข In India 55.8% of adolescents aged 15โ19 years are reported to be
anaemic
โข Ages 15โ19 have the greatest total energy requirement compared to
any age group (~2,420 kcal/day)b
โข Higher needs for micronutrients: Iron, vitamin D, calcium & Zinc
โข Low dietary availability of iron
โข Parasitic infections add to iron deficiency burden
(aUNICEF, 2012, bWoodruff and Duffield, 2000)
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WHO Review in 2007: Ten successful pilot
projects in 6 countries were identified
โข Population size targeted varied from large to small:
โ 4 in India (several million school age girls)
โ 2 in Vietnam (30,000 to 250,000 WRA in communities)
โ 1 in Cambodia (30,000 WRA in factories, communities &
schools)
โ 1 in the Philippines (30,000 WRA in communities and schools)
โ 1 in Lao PDR (1,500 schoolgirls and WRA in villages)
โ 1 in Egypt (6 million school girls and boys)