JSI RESOURCES: Journal article

Rethinking integrated nutrition-health strategies to address micronutrient deficiencies in children under five in Mozambique

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In Mozambique, about two-thirds of children 6-59 months of age are affected by vitamin A deficiency and anemia. The objective of this case study is to provide programme considerations for planning, implementing, monitoring, and evaluating vitamin A and iron deficiency interventions within the context of lessons learned to date for vitamin A supplementation, micronutrient powders (MNPs), and food-based strategies.

In Mozambique, a free or subsidized distribution model for MNPs has been rolled out, yet integration of MNPs into infant and young child feeding programming (i.e., cooking demonstrations) is needed to reinforce ____DBL_QUOTE____the who, what, and why____DBL_QUOTE____ of MNPs through culturally sensitive behavior change communication. Food-based strategies to promote dietary diversity, such as through complementary feeding recipes, are also critical. To harmonize efforts, the Mozambique government should consider the development of a national strategy for the prevention and control of micronutrient malnutrition, with clear monitoring and evaluation targets. Ongoing monitoring of the prevalence of micronutrient deficiencies and coverage of implemented micronutrient interventions is needed to make evidence-based decisions to drive nutrition-health programming.

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