Iron and micronutrients supplementation has been used widely to correct specific nutritional deficiencies linked to anemia. Oral iron supplements are the first-line treatment for iron deficiency and iron deficiency anemia in women of reproductive age. Gastrointestinal side effects from iron supplement intake are commonly reported, but can be decreased by following proper dosing regimens. Iron preparations available on the market vary widely in dosage, formulation, cost, and bioavailability.
Highly bioavailable ferrous iron is generally the most effective formulation for replenishing hemoglobin in patients with iron-deficiency anemia. However, the most commonly used formulation is the least expensive form, ferrous sulfate, which is more likely than ferrous iron to cause gastrointestinal discomfort. The bioavailability of another formulation, ferric iron is 3 to 4 times lower than that of ferrous sulfate. In areas with a high burden of viral, parasitic, and/or bacterial infections, aiming supplementation at children who are anemic or at risk of iron deficiency is suggested, accompanied by malaria prevention and disease treatment strategies. Vitamin A supplementation can improve hemoglobin concentrations.
Oral Iron Supplements for Children in Malaria‐Endemic Areas
Systematic Review published by Cochrane Library in
This Cochrane Systematic Review aims to evaluate the effects and safety of iron supplementation, with or without folic acid, in children living in areas with hyperendemic or holoendemic malaria transmission. The review includes 35 trials and concludes that iron treatment does not increase the risk of clinical malaria in resource-limited settings…
Guideline: Use of Multiple Micronutrient Powders for Home Fortification of Foods Consumed by Pregnant Women
Guideline/Guidance published by WHO in
This WHO guideline is intended to help member states make evidence-informed decisions on the appropriate nutrition actions to improve the nutritional status of pregnant women. The guideline is intended for a wide audience, including governments, nongovernmental organizations, health care workers, scientists, and donors involved in the design and…
Senegal: Major Shift for Women and Adolescent Girls' Nutrition
Brief published by Nutrition International in
This article describes the Micronutrient Initiative’s Right Start program in Senegal, funded by the Government of Canada, which aims to significantly improve nutrition for women and adolescent girls.
Translating Formative Research Findings into a Behaviour Change Strategy to Promote Antenatal Calcium and Iron and Folic Acid Supplementation in Western Kenya
Journal Article published by Maternal and Child Nutrition in
This study involved in-depth interviews with 22 pregnant and postpartum women and 20 community-based and facility-based health workers in Kenya for the purposes of planning a calcium and iron–folic acid supplementation program. Interviews assessed awareness of anemia, preeclampsia, and eclampsia; ANC attendance; and barriers and facilitators to…
This brief describes WHO recommendations for intermittent preventive treatment of malaria in pregnancy to prevent iron deficiency anemia in sub-Saharan Africa countries, and emphasizes the importance of providing the correct dose of folic acid to maximize the effectiveness of interventions to prevent malaria. The brief is of particular relevance…
Introducing a New Monitoring Manual for Home Fortification and Strengthening Capacity to Monitor Nutrition Interventions
Information, Education and Communication Materials published by Maternal and Child Nutrition in
This communication introduces the Manual for Developing and Implementing Monitoring Systems for Home Fortification Interventions, a comprehensive tool that includes monitoring concepts and frameworks and provides monitoring instruments as well as worksheets.
Iron Deficiency Anaemia in Pregnancy: The Role of Parenteral Iron
Literature Review published by Journal of Obstetrics and Gynaecology in
This review presents evidence on the impact on maternal mortality of iron–folic acid supplementation from observational studies that were analyzed for the Global Burden of Disease analysis in 2004, and summarizes the evidence from other reviews on this topic.
Multiple Micronutrient Powders for Home (Point‐of‐Use) Fortification of Foods in Pregnant Women
Systematic Review published by Cochrane Library in
This Cochrane Systematic Review synthesizes evidence on the effects of prenatal home (point‐of‐use) fortification of foods with multiple-micronutrient powders on maternal and newborn health. Evidence from the 12 included trials is limited and suggests that use of micronutrient powders for point‐of‐use fortification yields no clear difference…