Lechtig Aarón, Gross Rainer, Vivanco Oscar Aquino, Gross Ursula, López de Romaña Daniel
Agencia Internacional de Seguridad Alimentaria (AISA), Lima, Peru.
Food Nutr Bull. 2006;27(4 Suppl Peru):S160-5. doi: 10.1177/15648265060274S407.
Weekly multimicronutrient supplementation was initiated as an appropriate intervention to protect poor urban populations from anemia.
To identify the lessons learned from the Integrated Food Security Program (Programa Integrado de Seguridad Alimentaria [PISA]) weekly multimicronutrient supplementation program implemented in poor urban populations of Chiclayo, Peru.
Data were collected from a 12-week program in which multimicronutrient supplements were provided weekly to women and adolescent girls 12 through 44 years of age and children under 5 years of age. A baseline survey was first conducted. Within the weekly multimicronutrient supplementation program, information was collected on supplement distribution, compliance, biological effectiveness, and cost.
Supplementation, fortification, and dietary strategies can be integrated synergistically within a micronutrient intervention program.
To ensure high cost-effectiveness of a weekly multimicronutrient supplementation program, the following conditions need to be met: the program should be implemented twice a year for 4 months; the program should be simultaneously implemented at the household (micro), community (meso), and national (macro) levels; there should be governmental participation from health and other sectors; and there should be community and private sector participation. Weekly multimicronutrient supplementation programs are cost effective options in urban areas with populations at low risk of energy deficiency and high risk of micronutrient deficiencies.
启动每周补充多种微量营养素作为一项适当干预措施，以保护城市贫困人口免受贫血困扰。
确定从在秘鲁奇克拉约城市贫困人口中实施的综合粮食安全计划（Programa Integrado de Seguridad Alimentaria [PISA]）每周补充多种微量营养素计划中吸取的经验教训。
从一项为期12周的计划中收集数据，该计划每周为12至44岁的妇女和少女以及5岁以下儿童提供多种微量营养素补充剂。首先进行了基线调查。在每周补充多种微量营养素计划中，收集了有关补充剂分发、依从性、生物学有效性和成本的信息。
补充、强化和饮食策略可在微量营养素干预计划中协同整合。
为确保每周补充多种微量营养素计划具有高成本效益，需要满足以下条件：该计划应每年实施两次，为期4个月；该计划应在家庭（微观）、社区（中观）和国家（宏观）层面同时实施；应有卫生和其他部门的政府参与；应有社区和私营部门参与。在能量缺乏风险低而微量营养素缺乏风险高的城市地区，每周补充多种微量营养素计划是具有成本效益的选择。
