Longfils Philippe, Heang Ung Kim, Soeng Hay, Sinuon Muth
Food Security and Nutrition Policy Support, German Technical Cooperation (GTZ), 352 Monivong Blvd., P.O. Box 164, Phnom Penh, Cambodia.
Nutr Rev. 2005 Dec;63(12 Pt 2):S139-45. doi: 10.1301/nr.2005.dec.s139-s145.
The prevalence of anemia decreased from 62% to 12% and from 57% to 26% in children 5 to 11 years of age in two rural primary schools in Kampot Province, Cambodia, after oral weekly supplementation with iron-folic acid tablets for 20 weeks and with vitamin A and mebendazole twice per year. In 12- to 15-year-old children, success was less marked. The prevalence of hookworm infestation did not change, but the number of eggs in the stool decreased drastically. The intervention had no significant influence on stunting and wasting. An integrated community approach including mass deworming, health education, and multi-micronutrient supplementation was very effective in reducing anemia in Cambodian schoolchildren and should be adopted on a larger scale.
在柬埔寨贡布省的两所农村小学，对5至11岁儿童每周口服补充铁叶酸片20周，并每年两次补充维生素A和甲苯咪唑后，贫血患病率从62%降至12%，在另一所学校从57%降至26%。对于12至15岁的儿童，效果不太明显。钩虫感染率没有变化，但粪便中的虫卵数量大幅减少。该干预措施对发育迟缓及消瘦没有显著影响。包括群体驱虫、健康教育和多种微量营养素补充在内的综合社区方法在减少柬埔寨学童贫血方面非常有效，应大规模采用。
