Implementing preventive iron-folic acid supplementation among women of reproductive age in some Western Pacific countries: possibilities and challenges

Nutr Rev. 2005 Dec;63(12 Pt 2):S81-6. doi: 10.1301/nr.2005.dec.s81-s86.

Abstract

Lack of effective implementation mechanisms is identified as a major obstacle in the prevention and control of iron-deficiency anemia. This paper discusses experiences gained from implementing iron-folic acid supplementation in the Philippines, Vietnam, and Cambodia. The understanding of contextual elements is proposed as a foundation for planning interventions. Moreover, it is suggested that a social marketing framework should provide a way of thinking about how to influence related behaviors. The application of a social marketing framework applied using a "5 P's" approach: public relations and collaboration, product, price, place, and promotion, is described, as well as enabling factors (possibilities) and inhibiting factors (challenges) of this approach. Although a program to improve iron nutrition among women of reproductive age may not be simple to implement, it is essential to enhancing health, human development, and economic advancement in developing countries.

Publication types

  • Review

MeSH terms

  • Adult
  • Anemia, Iron-Deficiency / prevention & control*
  • Cambodia
  • Community Health Services / methods*
  • Dietary Supplements
  • Female
  • Folic Acid / administration & dosage*
  • Folic Acid / adverse effects
  • Food, Fortified
  • Health Promotion / methods*
  • Humans
  • Iron, Dietary / administration & dosage*
  • Iron, Dietary / adverse effects
  • Neural Tube Defects / prevention & control*
  • Nutritional Status
  • Philippines
  • Pregnancy
  • Pregnancy Complications, Hematologic / prevention & control
  • Pregnancy Outcome
  • Risk Factors
  • Socioeconomic Factors
  • Treatment Outcome
  • Vietnam
  • Vitamin B Complex / administration & dosage
  • Vitamin B Complex / adverse effects

Substances

  • Iron, Dietary
  • Vitamin B Complex
  • Folic Acid