B1 - Thiamin

GAIN Premix Fund To enable fortification of staple foods in the developing world, by helping governments, partnerships, and small and medium-sized enterprises more easily acquire premix of vitamins and minerals.

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India - Targeted Fortification Projects In India, GAIN supports a series of specific targeted fortification programs that aim to improve the health of infants and young children; HIV/Aids patients; and the wider commmunity.

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President Evo Morales and other dignitaries launch the food fortification program in Bolivia

Bolivia - National Food Fortification Program The goal of the national program is to improve the nutritional status of the Bolivian population, particularly children under five years of age and women of reproductive age, through the fortification of wheat flour and vegetable oil. It is expected that the prevalence of iron and vitamin A deficiency and the incidence of neural tube defects (NTD) will be reduced.

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Launch of the GHana fortification program in October 2007

Ghana - National Food Fortification Program The goal is to reduce the prevalence of iron deficiency anemia by 20% within 5 years. This goal will be considered successfully achieved if anemia is reduced in women of reproductive age from the current 64% to 51.2%, and in children 3-5 years of age from 84% to 67.2% by Year 5, as well as to reduce the prevalence of preventable birth defects by at least 33%.

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Flour in the market in South Africa

South Africa - Fortification of Wheat Flour and Maize Meal To provide project monitoring assistance and advisory services to GAIN in support of its funding of the National Program for mandatory flour fortification in South Africa. This includes the provision of independent qualified advice to GAIN at the country level in respect of project performance and accountable use of grant funds.

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Baker with bread made with fortified flour

Dominican Republic - Fortification of sugar and wheat flour This national goal will be achieved if 100% of the wheat flour and 80% of the sugar are fortified with iron, folic acid and other B complex vitamins (flour), and vitamin A (sugar) according to the regulatory standards by the year 2008. The achievement of this goal is expected to reduce anaemia from 27% to 20% and vitamin A deficiency from 22.7% (< serum retinol of 20mg/dl) to 10% in children under five, and result in a 20% reduction of NTD rates between Baseline and 2008.

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Strengthening and Implementation of the National Food Fortification Program The goal of the national program is to improve the nutritional status of the Bolivian population, particularly children under five years of age and women of reproductive age, through the fortification of wheat flour and vegetable oil. It is expected that the prevalence of iron and vitamin A deficiency and the incidence of neural tube defects (NTD) will be reduced. This goal will be achieved if one hundred percent of the domestically produced wheat flour and vegetable oil, and ninety percent of all wheat flour and vegetable oil (including imported products) are fortified according to national fortification standards by the year 2006. The achievement of this goal is expected to reduce the prevalence of iron deficiency from 33% to 20% in children under five years of age, and from 18% to 10% among women of reproductive age, and the prevalence of vitamin A deficiency from 11% to less than 5% in children under five years of age, and result in a 20% reduction of NTD rates between years 2004 and 2008.

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Nigeria - Social Marketing, Capacity Building, Monitoring, Evaluation and Impact Assessment of Fortified foods The goal of this programme is to significantly reduce VAD and IDA resulting in blindness, lowered immunity to infections and anaemia amongst low income families with infants, underfive, and women of reproductive age and other at risk population through Universal vitamin A and iron fortification of wheat and maize flour, vegetable oil and sugar. This goal will be achieved if the incidence of vitamin A deficiency amongst U5 children is reduced from 25% to 20%, and anaemia from 27.8% to 22% between 2004 - 2009. To do this 10 flour mills producing 80% of Nigeria's flour will fortify the flour with vitamin A and iron reaching 100% of the poor and deficient population in Nigeria.

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Zambia - Maize Meal Fortification Project The goal of the maize meal fortification program is to significantly reduce micronutrient deficiencies among vulnerable sub-populations through mandatory fortification of commercially milled maize meal. This goal will be achieved if consumption of fortified flour by the target groups is increased from 5% to about 60% between 2005 and 2008. To do so, 32 commercial maize mills producing 60% of the national maize flour will fortify their products with vitamin A, B1, B2, B6, niacin, B12, folic acid, zinc and iron reaching six million persons, that is 60% of the total population or nearly 50% of the vulnerable and deficient population in the country by 2008. All (32) commercial mills producing maize flour will fortify their products (‘breakfast’ and ‘roller’ maize meal) with fortificant as specified below. The total capacity of these mills is 1,350,000 tons per annum, of which capacity about 50% is presently utilised. This represents 60% of the total market -the remaining 40% is produced by small-scale hammer-mills.

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bakery selling bread made with fortified flour in Uzbekistan

Uzbekistan - Fortification of Wheat Flour To decrease the prevalence of anemia in the Republic of Uzbekistan through flour fortification, and to ensure the sustained, universal fortification of flour through the creation of an appropriate institutional framework. The specific objective is to reduce anemia among women of childbearing age by 20%, from 60% to 48% over five years.

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