Hi ! It depends on the prevalence of iron deficiency anaemia in the geography where the MNP programme implemented. Rather than the scheme of distribution, the adherence to MNP compliance determines the reduction of anaemia in the beneficiary groups. In many countries, the scheme of one (01) sachet/ day for 2 months with break of 4 months is adopted only to prevent the possible missed out days for MNP consumption considering alternate days may lead to missing days for MNP consumption. Otherwise, alternate days is the best way to administer MNP for better absorption of micronutrients available in the MNP powder. Studies from Nepal is suggestive, those children aged 6-23 months who comply with the 60 days MNP, there was signficant reduction of anaemia than those who did not comply with MNP as per protocol. Here, 90 days MNP was not followed, so can't say anything about 90 days compliance. Countries depending on the literacy level of parents/ caretakers can follow either of the scheme on MNP distribution.

Hello, 

I would like to ask for thoughts on why we are not hearing more recommendations to continue using micronutrient MNP home food fortification throughout all of life.

In vulnerable communities, families  are often subsisting on a grain-based diet. So we can expect that infants, children, alosescents and adults in those setiings will be at risk for low micronutrient levels.

The life-long consequences of "Hidden Hunger" include stunting, immune deficieny, intellectual immpairment, anemia and increased maternal mortality.  So, why stop MNP in infancy?  Why not recommend life-long home food fortification? In developed countries, the population has better access to a varied diet and fortified food. Why not envision fortified food for for all?

Priscilla Benner

It is only a problem of resources.

Hi all !

Depending on age group, there are different solutions, multiple micronutrient powder for childen aged 6-23 months and multiple micronutrient supplements (tablet form) for pregnant and lactating women. Since many countries are already rolled out maternal IFA at national level, there is discussion ongoing on shifting from maternal IFA to maternal MMS in the countries where multiple micronutrient deficiencies are identified one of the key factor for maternal anaemia.