Lema Dorice C, Mahiti Gladys Reuben, Sunguya Bruno F
Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, United Republic of.
Department of Development Studies, Muhimbili University of Health and Allied Sciences School of Public Health and Social Sciences, Dar Es Salaam, Tanzania, United Republic of.
BMJ Nutr Prev Health. 2024 Nov 24;7(2):e000940. doi: 10.1136/bmjnph-2024-000940. eCollection 2024.
The study aimed to explore factors influencing the implementation of food fortification regulation among corn millers in Dar es Salaam Tanzania.
This phenomenological qualitative study was conducted in Dar es Salaam, Tanzania among purposely interviewed corn millers. In-depth interviews conducted with nine corn millers were analysed using thematic analysis with the aid of N-Vivo software version 12.
The implementation of food fortification regulation among corn millers is influenced by access to knowledge and the right information, lack of consumers' awareness, zero costs for the fortification of corn flour, and lack of punitive measures for non-compliance to the regulation.
Laxity in implementing food fortification as an important population-wide approach in addressing micronutrient deficiency is evident in Tanzania. This is triggered by non-punitive measures for non-compliance of the regulation among micro, small and medium-scale corn millers. Strengthening efforts to identify and implement measures against non-compliers, demand creation for fortified products through educational and advocacy interventions, and supportive supervision can help reach more than 90% of the population with fortified corn flour in Tanzania.
本研究旨在探讨影响坦桑尼亚达累斯萨拉姆玉米磨坊主实施食品强化法规的因素。
本现象学定性研究在坦桑尼亚达累斯萨拉姆对有目的地采访的玉米磨坊主进行。借助N-Vivo 12软件，对与9位玉米磨坊主进行的深入访谈采用主题分析法进行分析。
玉米磨坊主实施食品强化法规受到获取知识和正确信息的难易程度、消费者缺乏意识、玉米粉强化零成本以及对违规行为缺乏惩罚措施的影响。
在坦桑尼亚，将食品强化作为解决微量营养素缺乏问题的一项重要全民措施，实施过程中存在明显的松懈现象。这是由针对中小型玉米磨坊主违规行为的非惩罚性措施引发的。加强识别和实施针对违规者的措施、通过教育和宣传干预创造对强化产品的需求以及进行支持性监督，有助于使坦桑尼亚90%以上的人口获得强化玉米粉。
