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Micronutrient deficiency programs

National iodine deficiency disorders control programme
Deficiency Disorders (IDD) to below 10 percent in all the districts of the country.
  1. Iodine Deficiency Disorders (IDD) is a major public health problem in 241 districts where the prevalence is more than 10%.
  2. Iodine is an essential micronutrient. The required intake of 100-150 micrograms daily is essential for normal human growth and development.
  3. More than 1.5 billion population of the World are at the risk from Iodine Deficiency Disorders (IDD) out of which about 200 million people are in India.
  4. The Government had launched a 100 percent centrally assisted National Goitre Control Programme (NGCP) in 1962 with the following objectives:
  5. Surveys to assess the magnitude of the Iodine Deficiency Disorders.
  6. Supply of iodated salt in place of common salt.
  7. Resurveys to assess iodine deficiency disorders and the impact of iodated salt after      every 5 years.
  8. Laboratory monitoring of iodated salt and urinary iodine excretion.
  9. Health Education & Publicity.
  10. The National Goitre control programme (NGCP) was renamed as National Iodine Deficiency
    Disorders Control Programme (NIDCCP) in August, 1992 with a view of wide spectrum of Iodine Deficiency

Under the programme:
  1. Iodisation plants have been donated to 40 small-scale Manufacturers Associations/Co-   operative societies;
  2. The Salt Department also offers
    1. Grant of loans for the development of salt works to licensed manufacturers. Planning, execution of development works in the salt factories by the various regional Advisory on the recommendation of the Central Advisory Board;
    2. To assess damage to salt works affected due to natural calamities and to work out the ex-gratia relief and loans to be extended;
    3. Promotion of co-operative societies in the Salt Industry and promotion of labour welfare activities of the Salt works.
848 private manufacturers have been licensed by Salt Commissioner out of which nearly 532 units have commenced production so far.

The annual production of iodated salt has been raised from 5 lakh metric tons in 1985-86 to 44 lakh metric tons in 1999-2000.

For testing, kits for on the spot qualitative testing have been developed.
The IEC activities has been intensified by way of video films, posters/danglers and radio/TV spots.
Programme components
  1. Iodized Salt       as – Potassium Iodate
  2. Iodine monitoring     
    Determination of Iodine In salt, In water, soil & food
  • Iodine excretion in urine
Indication for iodine deficiency neonatal hypothyroidism
(B). National nutritonal anemia prophylaxis program
  1. Part of RCH program
  2. Antenatal and nursing mothers are given iron-folic acid tablets containing 100 mg elemental iron and 500-mcg folic acid. Pediatric tablets contain 20 mg elemental iron and 100 mcg of folic acid.
    Prophylaxis against vitamin-a deficiency in children
    1. Starting from 9 months, every child should receive 5 doses of vit-A
    2. 1 lac IU for under 1 year and 2 lac IU for over 1 year
  1. Less intake
  2. Poor availability (5% of intake is absorbed)
  3. Worm infestation
  4. Malaria
  1. Pregnant mother 70%                    HB < 11 g/dl
  2. Non-pregnant 50%
Distribution of IFA tablets ( each containing 100 mg elemental iron and 500 microgram of folic acid)
  1. Pregnant women
  2. Lactating mother
  3. Children up 12 yrs (20mg elemental iron and 100 microgram folic acid)
Fortification of salt
  1. Ferric ortho. Phosphate
  2. Ferrous sulphate with Na bisulphate
Reproductive & Child Health Programme

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