The need

Bridging fortification gaps in the Philippines.

Malnutrition is a pressing issue in the Philippines, marked by prevalent micronutrient deficiencies, particularly among women, children and adolescent girls. Anaemia poses a significant public health challenge, affecting 23% of pregnant women, 13.4% of children under five and 13% of lactating women across the country. Moreover, 15.5% of children under five suffer from vitamin A deficiency, putting them at greater risk of disease and early death. The Expanded National Nutrition Survey 2018-19 indicated that household dietary intake of essential micronutrients falls below recommended levels in the region.

Addressing these inadequacies is possible through adequate food fortification efforts. In 2000, the Government of the Philippines mandated that all edible flour, oil, rice and salt be fortified with vitamin A and iron. Despite this, existing gaps must be tackled to enhance the overall health and wellbeing of the population. The current national standard for wheat flour fortification lacks the inclusion of folic acid and the World Health Organization (WHO) recommended bioavailable form of iron, leading to a rise in preventable neural tube defects. Additionally, the possible termination of the ongoing mandatory salt iodization legislation poses a threat to the country’s universal salt iodization program, putting the population at an increased risk of iodine deficiency disorders.

Our solution

Scaling large-scale food fortification to improve population access to key micronutrients.

Folate/Folic Acid

Folate/Folic Acid

Iodine

Iodine

Iron

Iron

To mitigate micronutrient deficiencies and their associated adverse consequences, we will work alongside our partners the Food Fortification Initiative and Iodine Global Network to improve the existing national standard on wheat flour fortification and call for the mandatory iodization of food-grade salt at the national level.

Through the project we will:

  • Support the government to revise the national wheat flour fortification standard to include folic acid and iron as per the WHO recommendations.
  • Provide technical assistance to government agencies to enhance their ability to enforce the wheat flour fortification standard
  • Build the capacities of flour millers and premix producers to produce fortified wheat to the revised standard
  • Extend technical assistance to the government and other key stakeholders on the importance of mandatory salt iodization
  • Encourage the increased and effective allocation of human and financial resources for universal salt iodization

The impact

Enhancing nutritional outcomes and improving the micronutrient status of the Filipino population.

This project is working towards ending micronutrient malnutrition and addressing the nutritional needs of women, children and adolescent girls by scaling up food fortification in the Philippines. This will ensure that the Filipino population has equal opportunities for increased productivity, lower healthcare costs and lifecycle improvements in health and wellbeing.