2. AGENDA
2
1. Snapshot: Global Food Fortification Status
2. Three Case Studies on the Private Sector in
Food Fortification
3. Global Summit on Food Fortification
4. SALT IODIZATION IN OVER 150 COUNTRIES HAS IMPROVED IODINE
NUTRITION. THE OPPORTUNITY EXISTS TO VIRTUALLY ELIMINATE IDD
PRIMARILY THROUGH THE SALT INDUSTRY
4
5. GRAIN FORTIFICATION STATUS: 82 countries mandate fortification of
wheat, maize flour and/or rice. However, quality and coverage issues
adversely influence impact. Increased attention needed to improve
standards and compliance.
5
August 2014. Source: Food Fortification Initiative.
http://www.ffinetwork.org/global_progress/index.php
6. OIL FORTIFICATION STATUS: Approx. 20 countries mandate fortification
of edible oils. Edible oil, especially imports from Malaysia & Indonesia,
represents a major opportunity but needs more attention.
6
References- Global Regulatory Landscape for the Use of Condiments and Seasonings
as Dietary Vehicles for Micronutrient Fortification, Mejia, L et al, 2014;Theory of Change,
GAIN internal data.
Voluntary fortification
with high potential for
scale up
Mandatory
7. CONDIMENT FORTIFICATION STATUS 2014: Several countries in Africa and Asia
have significant condiment fortification programs (excluding salt). Condiments
are still largely untapped as a vehicle for fortification.
Soy sauce
Fish sauce
Fish and soy sauce
MSG
References: Murphy, P. 1995. History of Technology Development for Vitamin A Fortification of
Foods in Developing Countries. Rome, Italy. Food and Agriculture Organization. Solon, F. S.,
Sanchez-Fermin, L. E. & Wambangco, L. S. 2000. Strengths and weaknesses of the food
fortification programme for the elimination of vitamin A deficiency in the Philippines. Food and
Nutrition Bulletin. 21: 239-246. Report on Regulatory Status of Micronutrient Fortification in
Southeast Asia. 2011. Washington, DC. International Life Sciences Institute - Southeast Asia.
Preedy, V. R., Srirajaskanthan, R. & Patel, V. B. 2013. Handbook of Food Fortification and Health:
From Concepts to Public Health Applications, Volume 2. New York, NY: Humana Press.
Fish and soy sauce
and cooking brine
Bouillon Cubes
8. 8
2. Three Case Studies: Food Fortification and the Private Sector
9. www.gainhealth.org
PRIVATE SECTOR DRIVES FORTIFICATION
PROCESS ALONG THE VALUE CHAIN
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Food
Production
& Storage
Industrial
food
processing
Fortification
Process
QA&QC Storage &
Transport
Marketing
&
Promotion
Farming practices,
harvest and post
harvest techniques
Food
manufacturing,
refining, milling &
polishing
Premix
production,
addition of
premix,
homogenisation
Laboratory
testing, rapid test
kits, training
Nutrition-
sensitive
packaging,
storage,
transport
Nutrition-
sensitive retail
packaging &
branding.
Raising
awareness of
benefits, etc
GAIN engages with more than 1000 companies in fortification, both medium and large,
across 30 countries. Food fortification can provide industry with an opportunity to
demonstrate corporate social responsibility. Fortification may at times provide industry a
competitive edge.
10. Case 1: Changing consumption patterns
and bouillon cubes: private sector helping
on iodine nutrition in West Africa
Ongoing iodine deficiency in Africa.
Borderline iodine deficiency has
reemerged in Canada, USA, the UK,
Australia and New Zealand
Processed
foods
75-80%
Table salt
20-25%
Lesson: countries with growing processed
food and condiment consumption:
Must consider potential sources of iodine
from iodized salt in the diet including
processed foods Photo: Nestle South Africa 3
11. Iodized table salt coverage does not
always align with urinary iodine
concentrations
4
12. Contribution of bouillon to
iodine intake based on GAIN-led study
(Senegal). Brands such as Knorr, Maggi
are leading way
I
D
Sample
weight
(g)
%
weight
Sodium
%
Sodium
from
MSG
Sodium
from
salt (g)
Salt
content
of
sachet
(g)
Iodine
content
of
sachet
(mg)
Iodine
content
of salt
used
(ppm)
Potential
daily
iodine
intake
(mg)
(urban)
% RNI
(150ug)
urban
Potential
daily
iodine
intake
(mg)
(rural)
% RNI
(150ug)
rural
F 15 19.6 0.5 2.9 7.2 0.05 7.3 0.03 20% 0.015 10%
J 15 23.9 0.8 3.5 8.7 0.17 19.1 0.10 63% 0.048 32%
M 10 25.8 2.2 2.4 5.9 0.20 34.0 0.17 115% 0.086 57%
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Measured
Iodine
content
(mg/kg) *
sample
weight
Iodine content
of sachet/salt
content of
sachet
Private sector led the way
and ensured use of adequately iodized salt
13. www.gainhealth.org
CASE 2. CARGILL AND EDIBLE OILS IN INDIA
In India, 14g of edible oil a consumed daily per capita****
Cargill India Pvt. Ltd is one of the key players in Indian branded
edible oil market
Cargill’s Country Head understood the obvious fit with the
company’s mission and scope. Cargill paved the way to changes
in strategy and process throughout its business in order to fortify
edible oils.
Management understood that the company had the opportunity to
take part in the fight against malnutrition as part of its core
business and came on board.
Cargill is a member of the SUN Business Network. Prior was part
of GAIN Business Alliance, learning from and leading like-minded
companies who are active in the fight against malnutrition.
Cargill’s oil products reached an estimated 25 million in 2011
with improved Vitamin A and D intakes. May be up to over 70
million today
13* NFHS-3 India Vol. I; **NFHS-3 Fact Sheets;*** Investing in the future, A united call to action on vitamin and mineral
deficiencies, A Global Report 2009; *** *Household Consumer NSS Report 2011 on Expenditure in India, 2009-10, 66th Round
14. www.gainhealth.org
CASE 3. RICE MILLER LEADER DRIVES
FORTIFICATION EFFORTS IN BRAZIL
GAIN and PATH launched a partnership project with Urbano Rice in 2010 to
voluntarily fortify rice and bring fortified rice products to markets, while raising
awareness of the benefits
Urbano emphasized the public health goals of the initiative and its own approach
of simply passing through the modest incremental cost of fortification in order to
keep the product affordable to the target population.
Urbano embraced fortification as part of its marketing strategy, co-investing
substantially in store collateral, tasting booths, and other marketing materials to
promote the product.
This project benefitted from the support from Brazilian footballer Lucas Moura
and Brazil’s answer to Walt Disney Mauricio de Sousa, creator of ‘Mônica’;
beloved national cartoon character
Promoters were deployed in dozens of hypermarkets and supermarkets in São
Paulo and Rio de Janeiro.
Branded tasting booths were installed where cooked fortified rice would be
prepared and served for consumers to sample next to the rice shelf
14
15. www.gainhealth.org
RESULTS OF RAISING AWARENESS AMONG
CONSUMERS
In the span of 12 months, awareness of fortified rice went from a very
low level to almost one third of the exposed market.
Among current fortified rice purchasers, 89% indicate they intend to
sustain or increase their consumption of the product, and 48% have
recommended it to others.
In terms of sales, fortified rice has shown consistent growth since its
introduction and faster consumer uptake than comparable new rice
subcategories in Brazil
15
Thanks to the great support of Urbano, this project reached an
estimated 2 million consumers with significant consumers
becoming repeat consumers
16. www.gainhealth.org
CASE STUDIES ARE PRIMARILY VOLUNTARY EXAMPLES.
PRIVATE SECTOR ENGAGEMENT IN MANDATORY FORTIFICATION
ENVIRONMENT EVEN MORE CRITICAL
Globally, over 80 countries have mandatory flour fortification and well over 100
mandate the iodization of salt.
Private sector is driving force but enforcement and compliance generally needs
strengthened.
The external pass rate on GAIN supported programs reaching 800 million
(according to quality checks carried out by regulatory agents) among the 54% of
programs reporting, ranged from 23% to 100%, and averaged 80%.
However, these results based only on programs which reported. Additional market
tests of micronutrient levels in foods on these programs infer 50-60% of fortified
foods are adequately fortified.
In Kenya, through increased coverage and compliance of flour fortification
with folic acid, 746 cases of spina bifida could be prevented annually
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17. GLOBAL SUMMIT ON FOOD FORTIFICATION
#FUTUREFORTIFIED
A major focal point to reinvigorate interest, awareness and investment in fortification
of staple foods and condiments
9-11 September 2015 – Naura Springs Hotel, Arusha, Tanzania
Expected participants: 350 leaders from country delegations,
industry, global and regional organisations, and donors
The Summit will:
• Share achievements, challenges and lessons learnt
• Understand current evidence
• Align on the way forward through Arusha Decleration
• Help forge a new sectoral strategy on fortification
Co-conveners: Government of Tanzania, GAIN, BMGF, USAID, UNICEF, WFP, AU and
WHO
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18. GLOBAL SUMMIT ON FOOD FORTIFICATION:
TECHNICAL ADVISORY GROUP (TAG)
All major technical partners and co-conveners are
aligned and working towards delivering event and joint
communications in Technical Advisory Group (TAG).
The TAG:
• Provides input on the major themes and key messages that will
set the tone and direction of the communications campaign and
the Summit;
• Gathers success and innovation stories in fortification from each
participating organization and country delegation to be presented
in the Summit sessions, marketplace and campaign; and
• Assists in the identification and recruitment of key speakers and
panel experts
We are reaching out to Private Sector to join us in Arusha on 9-
11 September for this sectoral call to action.
http://www.gainhealth.org/events/future-fortified/
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