Gross Ursula, Valle Claudia, Diaz Marita Mamani
Agencia Internacional de Seguridad Alimentaria (AISA), Lima, Peru.
Food Nutr Bull. 2006;27(4 Suppl Peru):S122-9. doi: 10.1177/15648265060274S403.
There is a need to better understand the coverage of scaled-up multimicronutrient supplementation programs.
The coverage of the distribution of multimicronutrient supplements in 26 urban communities among women and adolescent girls 12 through 44 years of age and children under 5 years of age was evaluated for purposes of scaling-up.
Formative research and descriptive statistics were used to analyze the distribution of supplements.
Despite a delayed memorandum of understanding with the health sector and delayed delivery by the producer of the supplement, a high coverage rate of supplement distribution to the children (88% on average during the 3 months of supplementation) was still achieved as a result of the strong commitment of the community and the Integrated Food Security Program. The lower coverage rate among women and adolescent girls (47% on average) was the result of too short a period of enrollment in the program. There was no decrease of coverage during the 3 months of supplementation in both groups.
Effective, sustainable, large-scale micronutrient supplementation programs require broad partnerships with commitments of governmental and nongovernmental organizations, communities, and the private sector. Availability of the supplements and communication materials must be secured well ahead of the supplementation campaign and distribution of the supplement.
有必要更好地了解扩大规模的多种微量营养素补充计划的覆盖情况。
为扩大规模，对26个城市社区中12至44岁的妇女和少女以及5岁以下儿童的多种微量营养素补充剂分发覆盖情况进行评估。
采用形成性研究和描述性统计分析补充剂的分发情况。
尽管与卫生部门的谅解备忘录延迟，补充剂生产商的交付也延迟，但由于社区和综合粮食安全计划的坚定承诺，仍实现了向儿童分发补充剂的高覆盖率（补充的3个月期间平均为88%）。妇女和少女的覆盖率较低（平均为47%）是该计划登记期过短的结果。两组在补充的3个月期间覆盖率均未下降。
有效、可持续的大规模微量营养素补充计划需要政府和非政府组织、社区及私营部门共同做出广泛承诺并建立伙伴关系。必须在补充运动和补充剂分发之前确保补充剂和宣传材料的供应。
