Pulse Brain · Growing Health Evidence Index
Tier 3 — Observational / field trialPeer-reviewed

Modeling food fortification contributions to micronutrient requirements in Malawi using Household Consumption and Expenditure Surveys

Kevin Tang, Katherine P. Adams, Elaine Ferguson, Monica Woldt, Alexander Kalimbira, Blessings H. Likoswe, Jennifer Yourkavitch, Benjamin W. Chrisinger, Sarah Pedersen, Lucía Segovia de la Revilla, Omar Dary, E. Louise Ander, Edward J. M. Joy

Annals of the New York Academy of Sciences · 2021

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Summary

This study developed and applied a mathematical modelling framework to assess how large-scale food fortification of oil, sugar, and wheat flour could contribute to micronutrient adequacy in Malawi using Household Consumption and Expenditure Survey data. The analysis found that oil and sugar fortification, when combined, could meaningfully reduce vitamin A inadequacy, but wheat flour contributed minimally due to low consumption. Crucially, the model predicted that fortification interventions would have limited impact on rural populations of lowest socioeconomic status, indicating that fortification alone is insufficient to address micronutrient deficiencies in the poorest segments of the population.

UK applicability

This study's findings on equity gaps in food fortification effectiveness have limited direct application to the United Kingdom, where food fortification is already regulated and dietary micronutrient deficiencies are less prevalent. However, the mathematical modelling framework and approach to evaluating fortification vehicles across socioeconomic subgroups may inform UK policy discussions on food security and nutritional inequality.

Key measures

Fortification vehicle coverage; micronutrient density of diet; apparent intake of nine micronutrients; vitamin A adequacy ratios; stratified analysis by socioeconomic position and rural/urban setting

Outcomes reported

The study modelled the potential contributions of three fortification vehicles (oil, sugar, wheat flour) to meeting dietary micronutrient requirements in Malawi using household consumption data. It estimated fortification coverage, micronutrient density, and apparent micronutrient intake across subpopulations and seasons for nine micronutrients.

Theme
Nutrition & health
Subject
Micronutrients & dietary adequacy
Study type
Research
Study design
Secondary data analysis with mathematical modelling
Source type
Peer-reviewed study
Status
Published
Geography
Malawi
System type
Food supply chain
DOI
10.1111/nyas.14697
Catalogue ID
SNmov5kr07-fdv2tl

Topic tags

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