Large-scale Fortification of Rice in India and Its Distribution in Public Distribution System

Kavita Kachhawa, R. Mogra
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Abstract

Rice fortification with micronutrients is getting popularity in supplementation programmes as it provides cost-effective, easy and public-health-solution to treat anaemia and protein-energy-malnutrition. In India, A pilot scheme for rice- fortification and its distribution under Public Distribution System in fifteen districts was started for a period of 3 years (2019–2022). To examine effect of fortified rice on nutritional status of population, its supplementation studies in Indian government’s social safety programmes were reviewed. The reviewed studies showed that supplementation of fortified rice was significantly effective in reducing prevalence of anaemia, increase in haemoglobin level, and improvement in cognitive scores. However, all the reviewed studies were limited only to supplementation of fortified rice at mid-day meal programme. Thus, it can be inferred that fortification of rice can be a cost-effective tool to combat anaemia at community level but more conclusive evidences are still required.
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印度大米的大规模强化及其在公共分配系统中的分配
添加微量营养素的大米强化剂在补充计划中越来越受欢迎,因为它为治疗贫血和蛋白质能量营养不良提供了成本效益高、简便易行的公共卫生解决方案。印度启动了一项为期 3 年(2019-2022 年)的大米强化试点计划,并在 15 个县的公共分配系统中进行分配。为了研究强化大米对人口营养状况的影响,我们对印度政府社会安全计划中的大米补充研究进行了回顾。回顾的研究表明,补充强化大米在降低贫血患病率、提高血红蛋白水平和改善认知能力评分方面有明显效果。然而,所有综述研究都仅限于在午餐计划中补充强化大米。因此,可以推断强化大米是在社区一级防治贫血症的一种具有成本效益的工具,但仍需要更多确凿证据。
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