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Large-Scale Food Fortification and Biofortification in Low- and Middle-Income Countries: A Review of Programs, Trends, Challenges, and Evidence Gaps

Publication Details

Authors: Saskia J.M. Osendarp, Homero Martinez, Greg S. Garrett, Lynnette M. Neufeld, Luz Maria De-Regil, Marieke Vossenaar, Ian Darnton-Hill
Publication date: May, 2018
Source: Food and Nutrition Bulletin XX(X)


This paper reviewed large-scale food fortification and biofortification programs in low- and middle-income countries, including their efficacy and challenges to implementation.

A literature review of articles and reports published between 2000 and 2017 was undertaken.

The piece concludes that large-scale food fortification and biofortification are cost-effective interventions to reduce micronutrient deficiencies in target populations, however a number of challenges, including need for continued monitoring, improving coverage and quality of delivery, must be overcome to see greatest continued impact.



Evidence Generation and Policy, Folic Acid/Folate, Fortification, Global, Iron, Monitoring and Evaluation, Research Documents, Vitamin A