National Strategy and Plan of Actions on Prevention of Micronutrient Deficiency in Azerbaijan

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National Strategy and Plan of Actions on
Prevention of Micronutrient Deficiency in
Azerbaijan

• Micronutrients Workshop,
• Ankara 13-17 September, 2004

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National Strategy and Plan of Actions on
prevention of micronutrient deficiencyAzerbaijan
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National Strategy and plan of actions on
prevention of micronutrient deficiencyAzerbaijan
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National Strategy and plan of actions on
prevention of micronutrient deficiencyAzerbaijan
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National Strategy and actions on prevention of
micronutrient deficiencyAzerbaijan

• Elimination of micronutrient deficiency
• - prevention of iodine deficiency/universal salt
  iodization
• prevention of iron deficiency anaemia flour
  fortification
• prevention of Vitamin A deficiency -
  supplementation, attached to immunization program

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National Strategy and plan of actions on
prevention of micronutrient deficiencyAzerbaijan

• Legislative and normative documents
• Law On Prevention of iodine deficiency disorders
  and universal salt iodization ( No 242-11)
  December, 2001
• Decree of the President ?n ensurement of
  implementation of the Law on Prevention of iodine
  deficiency disorders and universal salt
  iodization (No 757) August, 2002
• Resolution of the Cabinet of Ministers On iodine
  content in nutritional salt (No 200) December,
  2002
• Decree of the President ?n Strengthening the Law
  on Salt iodization (No 931), September, 2003
• Technical circumstances for iodized nutritional
  salt, December, 2003
• The Rules ?n order of secondary processing and
  iodization of salt, are developed by the
  Ministry of Health by the instruction of Cabinet
  of Ministers and are on the premises of
  confirmation, 2003
• Hygienic Certificate for KAP complex N1,
  confirmed by the Ministry of Health, September,
  2002
• Technical circumstances for wheat flour fortified
  with vitamin and mineral supplements of KAP
  complex N1, December, 2003

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National Strategy and actions on prevention of
micronutrient deficiencyAzerbaijan

• Production of fortified salt and flour
• - Iodized salt is produced by 14 officially
  registered salt enterprises with factual
  productivity from 0,5 up to 12 tons/a day. The
  overall daily output is 30-35 tons/a day
• All enterprises are equipped with iodization
  equipments. The volume of potassium iodate was
  2000 kgs since the year of 1999.
• 3 enterprises received semiautomatic packaging
  machines and WYD checkers for quantitative
  determination of iodine
• Fortified flour is produced by 6 pilot mills with
  productivity from 60 up to 300 tons/a day. The
  overall daily output of the mills is more than
  720 tons/a day.
• - The mills are equipped with 8 dosers
  supplements for forlification of flour of 20 tons

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National Strategy and plan of actions on
prevention of micronutrient deficiencyAzerbaijan
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National Strategy and plan of actions on
prevention of micronutrient deficiencyAzerbaijan

• Communication and social mobilization
• Trainings and seminars.
• - The overall 232 trainings and seminars were
  organized for 5600 people inclusive doctors,
  teachers, representatives of salt and flour
  enterprises, community, different NGOs, Mass
  Media, executive power, and customs officers.
• - Study tour on fortified food control and
  biological monitoring was organized for
  government staff in Bulgaria
• National Conferences.
• - National Day on Fighting with Iodine
  Deficiency and Universal Salt Iodization,
  National Day on Fighting with Iron Deficiency
  ANAEMIA, The Day of Healthy Child with
  involvement of great number of representatives of
  Mass Media and Press
• Communication Campaigns.
• - Campaigns were organized by youth
  organizations in the regions of the Republic
  through distribution of booklets, T-shirts, caps
  and test-kits at schools and to households
• - Youth poster exhibition for best child
  posters dedicated to the micronutrient deficiency
• - More than 70,000 copies of posters, booklets,
  leaflets, educational materials, 4000 child
  t-shirts, and 4000 summer caps with the label
  Iodized salt for your Health and Healthy
  Nutrition and 4 video sets produced and
  distributed
• - Advocacy meetings, TV programs, press releases
  and publication of articles

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National Trainings
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Training at Custom Department
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Distribution of Information, Education and
Communication Materials among schoolchildren's at
the regions
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National Days on Iodine Deficiency Disorders and
Universal Salt Iodization/Iron Deficiency Anemia
and Food Fortification
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National Strategy and plan of actions on
prevention of micronutrient deficiencyAzerbaijan

• 
  

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National Strategy and actions on prevention of
micronutrient deficiencyAzerbaijan
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National Strategy and actions on prevention of
micronutrient deficiencyAzerbaijan

• Provision of supplies for state structures
  responsible for quality control and utilization
  of fortified food
• 7 sets of laboratory equipments for determination
  of iodine in salt (Centre of Hygiene and
  Epidemiology (CHE), Central Customs Laboratory,
  the Department of Medical University)
• 10 sets of WYD checker have already been used by
  laboratories of CHE, sanitary quarantine service
  and NGOs). 30 more sets have been received
• 58515 test-kits for determination of iodine in
  salt
• 2 spectrophotometers, laboratory equipment and
  chemical reagents for quality control of
  fortified flour (Centres of Hygiene and
  Epidemiology)

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National Strategy and actions on prevention of
micronutrient deficiencyAzerbaijan
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National Strategy and actions on prevention of
micronutrient deficiencyAzerbaijan
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National Strategy and plan of actions on
prevention of micronutrient deficiencyAzerbaijan
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National Strategy and plan of actions on
prevention of micronutrient deficiencyAzerbaijan

• Main Achievements
• National Law On Universal Salt Iodization
• National Standards for iodized salt and fortified
  flour
• Regulations ?n order of secondary processing and
  iodization of salt, are developed and are on the
  premises of confirmation
• Provision of laboratories of public control over
  the quality of fortified products has been
  improved
• The number of salt producers increased up to 14
  from 1999
• Provision of enterprises has been improved for
  internal control of fortification quality
• The common logo is used for fortified products
• Permanent monitoring with quarterly reports,
  enabling to track the situation of fortified food
  in market, at the household level and in food
  industry is carried out by Social organizations
  (ICU, UPT, youth organizations). The monitoring
  of enterprises is also carried out.
• The level of consumption of iodized salt
  increased from 44(2002) up to 82(2004)
• The level of iodized salt production increased
  from 32(2002) to 68(2003)

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National Strategy and plan of actions on
prevention of micronutrient deficiencyAzerbaijan

• Problems
• Lack of legislative base for flour fortification
• Weak public control over the implementation of
  the Law On prevention of iodine deficiency
  disorders and universal salt iodization
• Lack of laboratory for biological monitoring for
  control of prevalence of iodine deficiency
• Plans
• - Adoption of law or legal act on flour
  fortification
• - Advocate for the implementation and monitoring
  of legislation on Universal Salt Iodization
• - To strength monitoring of production, trade and
  consumption of iodized salt
• - To improve cooperation with mass media
• - To acquire a laboratory for determination of
  iodine in urine
• - To carry out a national survey of IDD and USI,
  IDA for evaluation of effectiveness of
  implementation of programs

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National Strategy and plan of actions on
prevention of micronutrient deficiencyAzerbaijan

• Prevention of Vitamin ? deficiency
• In the framework of Expanded Program on
  Immunization (EPI)
• (decree MH N 122 as of 19.09.2003)
• I. Preparation work
• - Development of instructive-methodical material
  Instruction On utilization of Vitamin A for
  prophylaxis as of 25.02.2004, methodical manual
  Apply of Vitamin A in Expanded Program of
  Immunization
• - Correction and printing of immunization cards
  with calendar of vaccines, including Vitamin A
• - Development of information material (posters,
  leaflets)
• II. Trainings (by cascade system) for medical
  staff (epidemiologists, pediatricians,
  gynecologists, workers of maternities) in 51
  regions of the Republic. The trainings are
  completed in 25 regions, about 500 persons were
  involved
• III. 900000 capsules of Vitamin ? were received
  by 200000 IU. Immunization with appliance of
  Vitamin A began from March.
• IV. Implementation of monitoring planned at all
  levels maternities, child policlinics, rural
  area hospitals