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Table 2 Final evaluation report, World Vision Canada, Micronutrient-for-Health Project in Sénégal (2002)

From: The role of NGOs in global health research for development

The objectives of the project initiated in 4 districts in 1997 were to reduce micronutrient malnutrition among women and children, to reduce the incidence of illnesses affecting micronutrient status, and to strengthen local capacity for controlling micronutrient malnutrition. The baseline study revealed a high rate of (iron deficiency) anemia in pregnancy (49%), of low retinol (vitamin A) levels in breastmilk (57%), and of low serum retinol concentrations among preschool-age children. Iodine deficiency was widespread, with 20% of school-age children showing severely low urinary iodine levels. A similar survey was conducted after 4 years of project activities, and included control zones in each district. The final evaluation showed an almost complete elimination of vitamin A deficiency in the project areas, which was primarily attributable to the high coverage of vitamin A supplementation of under-fives and postpartum women. Household use of iodized salt increased from 6% to 14%. Anemia remained high among pregnant women (44%), however, in spite of the iron-folate supplementation scheme. The rate of intestinal parasites declined, but the project did not have an impact on diarrhea. The MICAH project had a positive impact in strengthening the national vitamin A policy of Sénégal. The evaluation report was published by the project and widely disseminated. The survey findings and recommendations were fed into the design of an up-scaling phase of the project, with more emphasis on the reduction of anemia among women.