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At a cost of USD$3 per child, the package includes deworming tablets and vitamin A capsules, multi-micronutrient supplements for household fortification of food, and enough oral rehydration salts to treat one episode of diarrhoea. The Child Health Day is also an opportunity to pass important messages on handwashing and to make sure that children are reaching the correct developmental milestones. They are particularly screened for acute malnutrition and if needed, children will be referred for further treatment. (...) They queued quietly, registered with a nurse and were then ushered into a room where young children received their vitamin A capsules and were screened for malnutrition.
Language:English
Score: 1292840.6 - https://www.unicef.org/dprk/st...alth-day-jongju-city-dpr-korea
Data Source: un
This will provide the machinery for correcting entries and keeping the data base current by adding and deleting foods and modifying those nutrients whose data have changed. (...) Maintenance The maintenance of a food composition data base consists, at minimum, of correcting mistakes. Additionally, there may be a need to modify data or add or delete foods. (...) Users should identify a particular edition of a data base that is used, so that possible or necessary corrections can be made when 18 a newer edition is available.
Language:English
Score: 1240337.8 - https://www.fao.org/uploads/me..._Composition_Data_Bases_02.pdf
Data Source: un
DEFICIENCIES OF MICRONUTRIENTS MOZAMBIQUE (MISAU, 2002, 2004)  Deficiencies of micronutrients like Vitamin A, Iron and Iodine are very common and have High prevalence in children under- five years of age and women.  Iron aproximatelly 89% of children 6-24 months of age  Vitamin A about 69% of children 6-59 months of age  Iodine about 68% of children under 5 years Nutrition Situation in Mozambique 55% 53% 45% 47% 44% 42% 36% 36% 27% 23% 23% Chronic Malnutrition 43% (IDS, 2011) Nampula C Delgado Zambézia Niassa Tete Manica Sofala Inhambane Gaza Maputo P Maputo C Magnitude and impact of micronutrient deficiencies in Mozambique Source: Mozambique "Vitamin and Mineral Deficiency - UNICEF / MI 2003"  1,470 maternal deaths occur due to severe anemia  14,000 child deaths are precipitated by vitamin A deficiency  subclinical deficiency in children <6 years estimated at 26%.  1,500 children are born with diseases resulting from defects in the neural tube.  1 in 2 children suffer from chronic malnutrition in Mozambique (MICS, 2008) Geografic Distribution of Chronic Malnutrion & Food Insecurity & Agricultural Production 7 Food Insecurity Agricultural Production Chronic Malnutrition Gaza Manica Tete Niassa C. (...) Strategies against, control and prevention of the Deficiencies of Micronutrients Integrated Interventions Supplementation Public Health Measures Fortification Dietary improvement 2000 2005 2010 R el at iv e co nt ri bu tio n of in te rv en tio ns to e lim in at e M N D INTEGRATED INTERVENTIONS Suplementation Public Health Measures Fortification ̸ Biofortification Dietary Improvement •High Cost •Short –medium period •Low Costs •Long period -sustainables Food Fortification:  Simple Process their success depends on the correct selection of food to be used as a vehicle for fortification and the type of compound or micronutrient to be added.  Strategy more cost-effective and sustainable prevention of multiple micronutrient deficiencies  Being the food industry the focus of activities for adding micro nutrients Biofortification:  Biofortification: breeding crops to increase their nutritional value.  Develop basic rich crops (staple) in order to achieve micronutrient is the provitamin A, and the concentrations of iron and zinc, from deficiency of these micronutrients and with a view to improving the nutritional status of the population.  Easy reach rural populations in situations of malnutrition - Intervention low cost - No recurring costs beyond the cost of maintenance of varieties Mozambique Interventions for prevention of micronutrient deficiencies Prevention of macrounient deficiencies Salt Iodization Industrial Food Fortification Bio fortification The home Food Fortification (nutritional supplements) Food and nutrition Education Promotion of breastfeeding Nutritional Supplementation (Health Week) FOOD FORTIFICATION IN MOZAMBIQUE:  The National Committee for Food Fortification in Mozambique (CONFAM) was created in April 2010 and Official launched in March 2012, and is fully operational.  The terms of reference and the Fortification Program are approved by the Ministers  The Committee was Official approved by the Ministerial Diplom Ministry of Industry and Commerce Production & Industry Legislation &Quality Control / Assurance Advocacy, Social Marketing & Communication Performance Monitoring & Evaluation Ministry of Health Ministry of Industry and Trade MoAgriculture Customs, WFP, UNIDO, WV, Industry Association, Confederation of Economic Associations Costums, Economic Activities Institute, INNOQ, MoH (LNHAA), MoA, WFP, USAID, UNICEF, HKI SETSAN, MoH, MoIndustry and Commerce, USAID, UNICEF, HKI, PSI, WV, Consumers Defence Association One focal point from each one of the 3 working group National Committee for Food Fortification (CONFAM) FOOD FORTIFICATION IN MOZAMBIQUE:  Mozambique is benefit by the GAIN funding for a four year fortification Program (2011-2015), two new donors, Danida and Irish Aid  The Program was draft and adopted by CONFAM  The project was approved in February/2011  HKI is the Executy Agency  Vehicles (wheat flour, edible oils) and micronutrients have been identified for 1st phase – Oil (vit A); wheat (NaFeEDTA, Zn, B12, Folic Acid) Successes :  CONFAM membership is growing and now counts regular participation by line Ministries, private sector, agencies, development partners and producers.  Food Fortification is part of Multisectorial Action Plan for the Reduction of Chronic Undernutrition in Mozambique 2011 – 2014(20) Approved by Ministers Council  Additional donors have shown interest in contributing to the program Successes :  The commitment to fortification among key stakeholders, including millers and oil producers, is still growing strongly  Development of the Mozambican standards for fortification ( Wheat Flour, Wheat maize and edible oils) in line with the WHO recommendations and harmonized in the region.
Language:English
Score: 1235873.6 - https://www.who.int/pmnch/abou...ce/partnersforum/2e_mungoi.pdf
Data Source: un
PowerPoint Presentation Update on the Codex RUTF Guideline Alison Fleet RUTF Pre-tender Industry Consultation UNICEF SUPPLY DIVISION, COPENHAGEN 11-13 JUNE 2018 Codex Alimentarius • International standards for traded foods Ready to Use Therapeutic Food (RUTF) Codex Guideline Summary RUTF has been scaled up since 2007 and the volumes of both production and coverage have increased dramatically over 10 years o Lack of a suitable regulatory framework for these products makes it challenging to justify funding procurement through the national budgets. o In 2015 the UNICEF proposal was accepted for the Codex Committee for Nutrition and Foods for Special Dietary Uses (CCFSDU) to develop a commodity guideline for RUTF The anticipated benefits of a CODEX guideline are: • Provides the International regulatory framework for RUTF, by clarifying its regulatory status as a food for special medical purposes • The Guideline will be an essential tool to assist in building regulatory capacity within national governments to establish their own regulatory framework for RUTF The anticipated benefits of a CODEX guideline are: • Provide an official reference for RUTF so the products are safe, efficacious and of good quality • Provide an opportunity for advocacy for children’s rights to good nutrition and right to survival • The process of the development provides an opportunity to clarify and improve the formulation e.g. contaminants, sugar level, proteins – which may allow for different formulations. 2018 Q1-Q2 • Preamble of the guideline: this is where the background on SAM and also the proper use of RUTF will be described • Vitamin and minerals: the forms of minerals should be as per the WHO Management of severe malnutrition: A manual for physicians and other senior health workers (1999), Appendix 4 • Recommended mineral forms : Potassium chloride, tripotassium phosphate, magnesium chloride, zinc acetate, copper sulphate, sodium selenite, potassium iodide 2018 (Q-4) • Contaminants : risk assessment including all possible ingredients in RUTF (cereals, legumes) • Proteins : an expert meeting has been coordinated by FAO to provide a recommended Protein digestibility-corrected amino acid score (PDCAAS) for RUTF.
Language:English
Score: 1214691 - https://www.unicef.org/supply/...ting-Codex-update-June2018.pdf
Data Source: un
Adolescence provides an opportunity to correct nutritional deficiencies that may have occurred in early life and to catch-up on growth, and to establish good dietary behaviours. (...) Food fortification plays an essential role in preventing vitamin and mineral deficiencies including iron, folic acid, vitamin A, and iodine.
Language:English
Score: 1183154.6 - https://www.unicef.org/rosa/wh...dolescent-and-womens-nutrition
Data Source: un
Many countries now use the opportunity to deliver other health interventions, such as vitamin A, long-lasting insecticide treated nets (LLINs), folic acid, health education, and others. (...) In these countries, growth monitoring, supplementary feeding, health education, vitamin supplementation and immunizations were all provided together in comprehensive child health campaigns. (...) Careful selection of the integration and addition of interventions, as well as close monitoring is warranted, so as not to overburden a weak system, and to identify and correct any unforeseen challenges that arise. Finally, integration of services can make the most efficient use of scarce resources, such as health workers, and respects the burden on families associated with travelling to health facilities.
Language:English
Score: 1182138.7 - https://www.who.int/pmnch/know...ublications/summaries/ks25/en/
Data Source: un
Many countries now use the opportunity to deliver other health interventions, such as vitamin A, long-lasting insecticide treated nets (LLINs), folic acid, health education, and others. (...) In these countries, growth monitoring, supplementary feeding, health education, vitamin supplementation and immunizations were all provided together in comprehensive child health campaigns. (...) Careful selection of the integration and addition of interventions, as well as close monitoring is warranted, so as not to overburden a weak system, and to identify and correct any unforeseen challenges that arise. Finally, integration of services can make the most efficient use of scarce resources, such as health workers, and respects the burden on families associated with travelling to health facilities.
Language:English
Score: 1182138.7 - https://www.who.int/pmnch/know...5_integrating_immunization/en/
Data Source: un
RECOMMENDATION FOR FUNDING FROM OTHER RESOURCES WITHOUT A RECOMMENDATION FOR FUNDING FROM REGULAR RESOURCES : MICRONUTRIENT PROGRAMME FOR THE ANDEAN SUBREGION AND PARAGUAY
Perhaps due to the easy access and abundant availability of food enriched with vitamin A, the situation of vitamin A deficiency in Bolivia, Colombia and Ecuador is only low to moderate among children under three years old. (...) Colombia did not provide vitamin A supplementation since they decreed to fortify sugar with vitamin A in 1998. (...) It is cost-effective, while guaranteeing mass consumption if the correct commodities are fortified. Fortification must be linked to a monitoring plan from the initial stage for quality control and to permit effective adjustments. 18.
Language:English
Score: 1161892.8 - daccess-ods.un.org/acce...n&DS=E/ICEF/2001/P/L.63&Lang=E
Data Source: ods
Identification of the root cause is still an issue • Handling of corrective and preventive actions still needs improvement • Complaint file do not always give a clear “audit trail” • Internal audit performed by properly trained internal auditors Facilities • Dedicated areas are needed – F75 and F100 – infant formula standards – RUF – low moisture foods • HVAC and a good zoning system needed • Logical flow of materials and staff • Surfaces smooth and easy to clean (with special focus on dry cleaning). (...) Add random sampling • Remember is for you – not the inspector/auditor • Pest control: corrective action in case of higher activity • Maintenance: clear procedure / formal assessment before restart of production • Rework of filled sachets is not allowed. (...) Complete information of the raw material manufacturer needs to be present • Only approved suppliers should be used • Audit of key suppliers are needed (e.g. peanuts or peanut paste, milk powders, vitamin and mineral premix, oil mixtures), but audit of all suppliers are highly recommended Quality Control • More analysis (number of nutrients and mixes) needed for RUTF and RUSF (companies can still improve their knowledge on compliance with the finished product specification). 1 tracer per shift / shift • Trend analysis • Internal specifications e.g.
Language:English
Score: 1159719.9 - https://www.unicef.org/supply/...ctions-trends-observations.pdf
Data Source: un
Iron deficiency is one of the most common nutrient deficiencies, affecting an estimated two billion people and causing almost a million deaths a year, and impairing the mental development of about half of the developing world's children. Vitamin A deficiency is compromising the immune systems of approximately 40% of the children in developing countries, leading to the deaths of approximately 1 million young children every year. (...) Zinc intakes are also commonly inadequate, affecting a half or more of the population in those developing countries with the highest mortality rates, and correcting this would have a dramatic impact on young child morbidity and mortality. (...) Several micronutrient deficiencies (iron, vitamin A, folate, iodine, calcium) are associated with pregnancy complications.
Language:English
Score: 1156719.5 - https://www.un.org/en/ecosoc/m.../2005/docs/nut.issue.paper.pdf
Data Source: un