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.
Toolkit published by Home Fortification Technical Advisory Group in
This Micronutrient Powder Toolkit is a systematically organized collection of tools and resources relevant to micronutrient powder programs, with a focus on planning and implementation stages. It complements the MNP Implementation Manual, which is available on the same site.
Presentation/Poster published by Micronutrient Initiative in
This presentation from the Micronutrient Initiative highlights supply chain barriers to successful iron–folic acid supplementation, and presents experiences from programs related to supply chain considerations to ensure uninterrupted, timely, adequate, and quality stocks of iron–folic acid supplements.
Anaemia, Prenatal Iron Use, and Risk of Adverse Pregnancy Outcomes: Systematic Review and Meta-Analysis
Systematic Review published by The BMJ in
This systematic review synthesizes evidence from 48 randomized trials of prenatal iron use as well as 44 prospective cohort studies of prenatal anemia. The findings suggest a substantial improvement in birthweight with daily prenatal iron use and indicate that an improvement in the prenatal mean hemoglobin concentration linearly increased…
Pharmaceutical Management for Micronutrients and Anemia-Reduction Medicines
Presentation/Poster published by A2Z: The USAID Micronutrient and Child Blindness Project in
This presentation from the Manoff Group highlights supply chain considerations, from a pharmaceutical perspective, for medicines and supplements aimed at supplying micronutrients and combating anemia.
Intermittent Iron and Folic Acid Supplementation in Menstruating Women
Guideline/Guidance published by WHO in
This WHO guideline provides evidence-based recommendations on the intermittent use of iron and folic acid supplements as a public health measure for the purpose of reducing anaemia and improving iron status among menstruating women. The guideline is intended for a wide audience including policy-makers, expert advisers, and technical and programme…
Effect of Multiple Micronutrient Supplementation During Pregnancy on Maternal and Birth Outcomes
Systematic Review published by BMC Public Health in
This systematic review evaluates the evidence of the impact of multiple-micronutrient supplements during pregnancy, in comparison with standard iron–folic acid supplements, on specific maternal and pregnancy outcomes of relevance to the Lives Saved Tool (LiST).
Iron Interventions for Women and Children in Low-Income Countries
Literature Review published by The Journal of Nutrition in
This review highlights how iron interventions might be positioned within four global health initiatives: making pregnancy safer, saving newborn lives, infant and young child feeding, and fortification.
Maternal Iron-Folic Acid Supplementation Programs: Evidence of Impact and Implementation
Literature Review published by Food and Nutrition Bulletin 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, summarizes findings from other reviews on this topic, and presents data on anemia reduction from two large-scale national programs as well as factors…