Presentation on theme: "Iron Deficiency in Sri Lanka Dr. Renuka Jayatissa (M.B.B.S., M.Sc, M.D.) Nutrition Specialist, UNICEF."— Presentation transcript:
Iron Deficiency in Sri Lanka Dr. Renuka Jayatissa (M.B.B.S., M.Sc, M.D.) Nutrition Specialist, UNICEF
Major micronutrient deficiencies in Sri Lanka 1.Vitamin A 2.Iodine 3.Iron
Supplementation with vitamin A capsules since year 2000 Bitot’s spot Blindness Vitamin A Deficiency
Fortification of salt with Iodine since 1995 and elimination of IDD Successful programme of public and private partnership Fortification of salt with Iodine since 1995 and elimination of IDD Successful programme of public and private partnership Iodine Deficiency Renuka/SL/2014 Goitre
Anaemia and Iron deficiency Renuka/SL/2014
Trends in the prevalence of anaemia among under five children (Source: MRI 1973, 1996, 2001, DHS 2006 & MRI 2009, 2012) Not much improvement since Only 0.6% reduction per year.
Trends in the prevalence of Anaemia in Sri Lanka (Source: Mudalige and Nestel, 1996, MRI-1970, 1989, 1998, 2001, 2009, 2012 & DHS 2006 Reduction of anaemia in all age groups over 39 years. Still around 20% of the population has anaemia. When the prevalence of anaemia is >5% it will be considered as a public health problem by WHO. Renuka/SL/2014
Millions of anaemic children, adolescent girls and women in Sri Lanka Renuka/SL/2014 Iron is critical for the early development of a child because it improves learning ability, physical coordination, and emotional development. Irreversible damages.
Prevalence of Anaemia in different sectors and age groups in Sri Lanka (Source: Medical Research Institute 1996, 2001, 2009) High in urban sector among children and high in plantation sector among adult female Renuka/SL/2014
Prevalence of anaemia in children aged 6-59 months of age by District IN 2012 Renuka/SL/2014
Percentage Renuka/SL/2014 Anaemia in Women years of age by Districts in 2009 Source- MRI 2009
Causes of anaemia – 6-59 months children in 2012 Renuka/SL/2014
Prevalence of Iron deficiency (serum ferritin <12µg) in children aged 6-59 months by District (n=5741) Renuka/SL/2014
Causes of Anaemia in adults Population groupNoAnaemiaID Free trade zone female garment workers in %66.6% Adult female (20-39 years) in central province in %41.4% Source: MRI 2004, 2005 It estimates that major cause of anaemia is iron deficiency Renuka/SL/2014
Iron deficiency (serum ferritin <12µg) among children age 6-59 months, by wealth quintile (MRI 2012) Not much variation between wealth quintiles. Renuka/SL/2014
Why Should Fighting Iron Deficiency Anemia be a National Priority? For each US $1 spent on an iron supplementation program for pregnant women, there is a US $24 return in increased lifelong wages and decreased disability, For each US $1 spent on iron fortification of food there is a US $84 return in increased productivity and decreased disability of the consumer, Work output in many occupations can increase 10 to 30% when workers are given iron supplementation, Prevention and treatment of iron deficiency and anemia can raise national productivity by 20%.