Transcript GSCSC - ILSI India

The Gujarat Food Fortification
Programme
Conference on Micronutrient Fortification of
Foods: Science, Application & Management
Sponsored by International Life Sciences Institute-India
Co-Sponsored by Ministry of Food Processing Industries, Government of
India and National Institute of Nutrition
Presentation by
The Gujarat State Civil Supplies Corporation Ltd.
Gandhinagar, Gujarat.
1
Article 47 and Food Security
• Article 47 (Directive Principles) - “State shall
•
regard the raising of the level of nutrition and
the standard of living of its people and the
improvement of public health as among its
primary duties…”
FAO - Food security exists when all people, at all
times, have access to sufficient, safe and
nutritious food to meet their dietary needs and
food preferences for an active and healthy life
(Website).
Hidden hunger-The Need for
Essential Micronutrients
• Micronutrient malnutrition or hidden hunger – is widespread apart
from the problem of generalized protein energy malnutrition (PEM).
• Impact most on -Women who are pregnant or breastfeeding, the
young adolescents, infants and preschool children, school age children
• Lifecyclical vulnerability.
• Poor most affected by micronutrient deficiencies, but affluent groups
not spared due to faulty food habits.
• General need to tackle the problems of iron-folic acid and protein
deficiency
• Cost effective strategies to reduce these deficiencies are available.
• One of the key strategies for control of these deficiencies - food
fortification.
3
Under weight Population
National Nutrition Monitoring Bureau Gujarat Survey (2006)
• Adult Men
26%,
• Adult Women 30%,
• 6-60 months children 54%
• 10-13 yrs children 50%,
• 14-17 yrs children 23%
•> 25% people cross section is underweight
•This rate will be higher among poor population
Food and nutrient intake
National Nutrition Monitoring Bureau Gujarat survey (2006)
• Daily per consumption unit Pulses intake is 50%, this will be
even lower in poor families looking at the cost of pulses
• Total calorie intake is 2/3 of recommended allowance.
• Food energy intake at household level is now given
prominence as food security measure
• In poor families Animal protein as a source is low and they
depend on vegetarian protein
• To provide good quality protein to them cereal, pulse
combination is important
Observations from NFHS-III
Key Indicators for Gujarat from NFHS-3
Sr. Particulars
1 Child Feeding Practices and Nutritional Status of Children
Childern under 3 Years who are stunted (%)
Childern under 3 Years who are wasted (%)
Childern under 3 Years who are underweight (%)
2 Anaemia among Children and Adults
Chieldren age 6-35 months who are anaemic (%)
Ever-married women age 15-49 who are anaemic (%)
Pregnant women age 15-49 who are anaemic (%)
Ever-married men age 15-49 who are anaemic (%)
Residence
NFHS-3 Urban Rural
(2005-2006)
NFHS-2
NFHS-1
(1998-1999) (1992-1993)
49.2
19.7
41.1
42.4
16.7
35.7
52.7
21.3
44.4
52.0
20.3
41.6
50.1
23.9
42.7
79.8
55.5
60.8
22.1
73.8
50.5
59.1
16.3
83.6
59.2
61.7
26.2
74.5
46.3
47.4
NA
NA
NA
NA
NA
6
ADVANTAGES OF FOOD FORTIFICATION
• Consistent Delivery Maximizes Benefit
• Safety in Low Daily Doses
• Minimal Behavior Change
• Enhances Health & Nutrition Strategies
• Transfers Costs of Protecting Health to sectors otherwise not
involved
• Cost Effective
7
Food Fortification - Gujarat Model
• Based on Public-Private Participation Model with involvement of
•
•
•
•
•
society.
Stakeholders: State Government and its agencies, the Private Sector's
oil producers, refineries and packers, Roller Flour Millers’ Association
and its member mills
The fortification
began in open market with private public
partnership.
In the first phase, Govt. decided that about 2.5 lakh tons of wheat,
which is sold in open market shall be made into wheat flour and the
same may be fortified with pre-mixed iron and folic acid
Initially Micronutrient Initiative (MI) – NGO of Canada also supported
this programme technically and financially. World Food Programme
also provided free premix to the small atta chakkies of Surendranagar
and Surat districts.
Based on the experience, fortification of items of daily food intake like
wheat, edible oil, salt through basic Govt. programmes – Public
Distribution System (PDS), Integrated Child Development Scheme
(ICDS) and Mid-day Meal (MDM) scheme.
8
Food Fortification - Gujarat Model
• Role of the Government as catalyst to the project
• Based on partnership, not legislation.
• Success in markets lead to internalise this programme to PDS, MDM,
ICDS with fortified flour and oil to remove deficiencies of iron/folic acid
and Vitamin –A & D.
• Most of the population being vegetarian, to fight against protein
deficiency, model was further adopted to include Defatted Soya Flour
fortification – Food to Food Fortification.
9
Food Fortification – Overview of Schemes
Areas:
• To fight against malnutrition through medium of Food
Fortification, Government of Gujarat with GSCSC as an
implementing agency has started following programmes:
– Fortification of Edible Oil in Open Market and Welfare Schemes
– Fortification of Wheat Flour with Iron & Folic Acid (IFA) in Open
Market and TPDS
– Fortification of Wheat Flour with vitamins & multi micronutrients
under ICDS & MDM
– Fortification of Wheat Flour with IFA & Toasted Defatted Soya Flour
(TDSF) under PDS
– Fortification of Wheat Flour with Vitamins, multi micronutrients &
Toasted Defatted Soya Flour (TDSF) under ICDS & MDM
– Fortification of Salt under ICDS & PDS
– Distribution of Nutri Candy under ICDS & MDM
Steps forward for programme improvements:
• Studies, Seminars, Quality Specifications, Quality assurance
methods, Monitoring and Evaluation.
10
Phases of the program
Food Fortification Programmes in Gujarat
through Food, Civil Supplies & Consumer Affairs Department
(Implementing agency: The Gujarat State Civil Supplies Corporation Ltd.)
Starting Initiative implementation
Year
2005 Fortification of Edible Oil - Pilot Project in Open Market
2006 Fortification of Edible Oil in Open Market
2006 Fortification of Edible Oil in Welfare Schemes
2006 Fortification of Wheat Flour with Iron & Folic Acid (IFA) in Open Market
Fortification of Wheat Flour with vitamins & multi micronutrients (9) under ICDS - Pilot Project at Daskroi Taluka 2006 Ahmedabad District
2006 Fortification of Wheat Flour with Iron & Folic Acid (IFA) in AAY - Pilot project - Ahmedabad City
2006
2007
2007
2007
2008
2008
2009
2009
2009
2009
2010
2010
2010
Fortification of Wheat Flour with vitamins & multi micronutrients (9) under ICDS - Program expanded to tribal districts
Fortification of Wheat Flour with vitamins & multi micronutrients (9) under ICDS - all over the State
Fortification of Wheat Flour with Iron & Folic Acid (IFA) in AAY - Covered all municipal Corporations
Distribution of Nutri Candy under ICDS
Fortification of Wheat Flour with Iron & Folic Acid (IFA) in AAY - all over the State
Distribution of Iodised Salt under ICDS
Fortification of Wheat Flour with vitamins & multi micronutrients (9) under MDM - Pilot Project at Chanasma Taluka Patan District
Fortification of Wheat Flour with vitamins & multi micronutrients (9) under MDM - all over the State
Distribution of Nutri Candy under MDM
Distribution of Iodised Salt under AAY and BPL
Fortification of Wheat Flour with Iron & Folic Acid (IFA) & Toasted Defatted Soya Flour (TDSF) in AAY & BPL - all over
the State
Fortification of Wheat Flour with vitamins & multi micronutrients (8) & TDSF under ICDS - all over the State
Fortification of Wheat Flour with vitamins & multi micronutrients (8) & TDSF under MDM - all over the State
11
TPDS - NORMS OF DISTRIBUTION & PRICE
Category
Item
Distribution in KG Per
Person
AAY
BPL
Wheat
Rice
Levy Sugar
Palmolien*
Wheat
Wheat (
Card
#19.000
16.000
Central
Issue
Price
Rs./Kg
Cost Price
Distribution
Price
Rs./Kg
Rs./Kg
2.00
3.00
3.00
4.06
1.000
#13.000
4.000
4.15
4.15
42.25
5.34
5.34
2.00
3.00
13.50
32.00
2.00
5.40
10.000
6.10
7.50
7.50
3.500
4.500
5.65
5.65
6.97
6.97
6.10
8.30
42.25
7.50
10.00
3.00
7.00
13.50
32.00
7.50
10.00
0.500
Sp.BPL)
Wheat (APL to
BPL)
APL
Rice
Rice (Sp.BPL)
Levy Sugar
Palmolien*
Wheat
Rice
1.000
0.500
0.000
1.000
10.000
1.000
* in 1 Lt r. & Q ua nt um a nd D is t ribut io n P ric e a re de c ide d o n m o nt h t o m o nt h ba s is .
# In lie u o f 19 Kgs . A A Y whe a t , 19 Kgs . F o rt if ie d P a us t ik a t t a ( 18 Kgs Whe a t f lo ur + 1 Kg T o s t e d
D e f a t t e d S o ya f lo ur ) & in lie u o f 13 Kgs B P L Whe a t , 13 Kgs F o rt if ie d P a us t ik a t t a ( 12 .5 0 0 Kgs
Whe a t f lo ur + 0 .5 0 0 G m s T o s t e d D e f a t e d S o ya f lo ur) is be ing dis t ribut e d.
Fortification (Edible Oil)
Strategy:
• Public – Private – Partnership (P-P-P) Model.
• Discussions were held with the Oil & Oil Seed Producing
Millers' Associations and members of the Saurashtra Oil
Mills Association (SOMA) for edible oil fortification during
October, 2005.
• Producers were educated about the procedure of mixing
Vitamin A & D in edible oils, cost and testing.
Method:
• 20 gram of Vitamin Premix is added into 1 MT of edible
oil. The cost of fortification of 1 MT of edible oil is
currently Rs.100.
• Ring Test is conducted with Antimoni Tricloride to check
the presence of vitamins into the fortified edible oil.
13
Fortification (Edible Oil)
Implementation:
• At first, edible oil with Vitamin A & D was produced in two
oil mills of Rajkot. After analyzing the success of this
venture, it was decided by the millers, producers and
refineries to sell only fortified edible oil from 01-02-2006.
• This does not only tackles the micronutrients deficiency
but also ensures sale of edible oil through packages and
implementation of packing order.
• Ban on sale of loose edible oil.
• The edible oil consumed under all Govt. schemes like PDS,
MDM and ICDS is fortified with Vitamin A and D.
14
Fortified Edible Oil under TPDS
 State Govt. creates buffer stock of edible oil almost every
year for the distribution of the same mainly during festival
seasons.
 Since last three years, Govt. of India is providing RBD
Palmolien oil for PDS under the subsidised scheme and
allocating the same to the States for distribution under
TPDS.
 The quantity of RBD Palmolien Oil enriched with Vitamin A
and D which is distributed to
since 2006 is as follows:
Year
AAY and BPL cardholders
Distribution(MT)
2006-07
1500
2007-08
12000
2008-09
19942
2009-10
6000
2010-11
11950
15
Fortified Edible Oil under MDM & ICDS
• GSCSC procures fortified edible oil (Refined Cotton seed oil) for
•
MDM & ICDS through e-tendering system for their requirement.
Refined Cottonseed Oil enriched with Vitamin A and D
distributed under MDM and ICDS since 2006 is as
follows:
Qty.in 15Kg.Tins
Year
2005-06
2006-07
2007-08
2008-09
2009-10
2010-11*
MDM
138800
469483
566911
500971
220199
523455
ICDS
80025
189550
98900
93222
213384
47120
*Up to Dec-10
16
Fortification of Wheat flour with IFA in Open
Market
Strategy:
•
The project was initiated under the public-private partnership and it
•
•
was decided to implement food fortification in the open market
before it was introduced in the welfare schemes run by the
Government.
Food, Civil Supplies & Consumer Affairs Department, Govt. of
Gujarat (FCS&CAD) conducted several rounds of meeting with the
concerned industries and convinced the respective millers for doing
the needful and implementing the fortification process at their
manufacturing facilities.
The miller’s were also very willing to proceed with the project as
their corporate responsibility towards the society.
Method:
•
The 1.5 gram premix of Iron (30 ppm) and Folic Acid (1.5 ppm) is
•
•
used for the fortification of 10 kg. wheat flour.
The approximate cost of the iron & folic acid fortification is Rs.10 /
MT.
Presence of premix is tested with the spot test.
17
Fortification of Wheat flour with IFA in
Open Market
Implementation in Open Market:
•
Phase I: 34 Flour Miller members of GRFMA initiated the sale
of iron and folic acid enriched flour in the market since 16th of
January 2006.
•
Phase II: 50 odd Organized Atta Chakki Plants across the
state were clubbed in the project since March, 2006; Thus
increasing the reach of the fortified wheat flour.
•
Phase III: 1.5grms. of the iron and folic acid premix pouches
were introduced in the market in order to encourage
fortification at the Nookad Chakki level as well as the house
holds which practiced grinding of wheat at their own places.
• Benefits :
–
Fortified flour can curb the possibility of adulterated flour or
wheat.
–
Availability of flour in proper packages with correct
measurements.
–
Accessibility of iron and folic acid to beneficiaries with effect on
mental and physical development .
18
Fortification of Wheat flour with Iron & Folic
Acid (IFA) under Antyodaya Anna Yojna (AAY)
Strategy:
•
•
•
Pilot project with the help of Gujarat Roller Flour Millers Association
(GRFMA) in Ahmedabad City.
Barter System in the initial phase.
Phasewise implementation.
Method:
•
•
•
Fortified Atta specifications as per PFA
The 1.5 gram premix of Iron (30 ppm) and Folic Acid (1.5 ppm) is used for
the fortification of 10 kg. wheat flour.
Presence of premix is tested with the spot test.
Implementation:
•
•
The Govt. of Gujarat started distribution of fortified wheat flour in place of
wheat in Antyodaya Anna Yojana (AAY) from April, 2006 on experimental
basis.
Initially the programme was stated only in Ahmedabad City, thereafter
expanded to the major cities of Gujarat and subsequently to the State. Till
March-2010 all cardholders of AAY scheme were getting 16.7 kg. fortified
wheat flour in HDPE bag in place of 19 kg. wheat.
19
Fortification of Wheat flour with vitamins &
multi micronutrients (9) under ICDS
Strategy:
•
•
As per GOI’s letter dated 31st March, 2006, nine micronutrients were to be
added to the food provided by ICDS to accomplish the supply of 50% RDA
to the beneficiaries. It was decided to provide whole wheat flour fortified
with 9 micronutrients in place of wheat.
Pilot project and then Phasewise implementation.
•
•
•
Fortified Atta specifications as per PFA
9 micronutrients used for the fortification of wheat flour.
Presence of premix is tested with the spot test.
•
A pilot project started on 21st June, 2006 in Daskroi Taluka of Ahmedabad
District.
The dosage of this particular premix is 14kg per metric ton of wheat flour.
The programme was expanded to tribal districts and then all over the State.
As on date Fortified Wheat Flour is being distributed in all the districts of the
State and approx. 40000 Anganwadis are benefited.
Method:
Implementation:
•
•
•
20
Fortification of Wheat flour vitamins & multi
micronutrients (9) under MDM
Strategy:
•
•
Looking to the success in ICDS, it was decided to provide whole
wheat flour fortified with 9 micronutrients (like ICDS) in place of
wheat.
Pilot project and then Phase wise implementation.
Method:
•
•
•
Fortified Atta specifications as per PFA
9 micronutrients used for the fortification of wheat flour.
Presence of premix is tested with the spot test.
•
A pilot project started during 2008 in Chanasma taluka of Patan
District.
The programme was expanded all over the state on 25th September,
2009.
As on date Fortified Wheat Flour is being distributed in all the
districts of the State and approx. 36000 MDM Centres are benefited.
Implementation:
•
•
21
Micronutrients (as per GOI guideline) used
for fortification of Wheat Flour under ICDS &
MDM
9 m ic ro nurie nt s 8 m ic ro nurie nt s
3 1.0 1.0 6
2 4 .0 2 .0 9
P e r 5 0 gra m s
P e r 5 0 gra m s
P a rt ic ula rs
Unit
Calcium
milligram
225.00
250.00
Iro n
milligram
7.50
7.50
Io dine
micro gram
Zinc
milligram
Vitamin A
micro gram
Ribo flavin
50.00
5.00
200.00
150.00
milligram
0.50
0.33
A sco rbic A cid/ Vit.C milligram
20.00
10.00
Fo lic acid
micro gram
20.00
50.00
Vitamin B 12
micro gram
0.50
Thayamin
miligram
0.30
Niyacin
miligram
22
3.50
The need - Fortification of Wheat Flour with
Soya Flour
• As Gujarat is a predominantly vegetarian state, TDSF fortification is expected to
provide good quality and easily digestible proteins in the basic diet and reduce
protein deficiency
• Main beneficiary categories of the Soya Flour fortified scheme are expected to
be 0-6 children, Children in schools under MDM, adolescent girls, pregnant and
nursing mothers and the aged
• Fortification with TDSF is from 5% to the extent of 10% on weight basis in
addition to iron and folic acid / multi micronutrients fortification
• The amended PFA Act permits fortification upto 10%.
• The expected benefit of the programme will be increase in body mass and
ensure better growth of the target groups and improve general health and
reduce morbidity
• The approximate cost of Soya Fortification (addition of 5% Toasted Defatted
Soya Flour) is Rs.1500 per MT.
23
Nutritional Content
of Defatted Soya flour
• Soya Flour contains about 48% protein.
• Generally, Whole Wheat Flour contain 11.5% protein. Adding
10% of Soya flour, the protein content of the atta increases
to 17.00%.
• Simple ground Soya flour is not easily digestible and so Soya
flour which is defatted and roasted is used.
• The Soya contains necessary ingredients for good nutrition,
such as total protein, carbohydrate, fat, vitamin and
minerals.
• Soya protein prevents cancer, reduces cholesterol, prevents
bones diseases, and in the case of women, the periods
become regular. Thus Soya protein is very useful element for
health.
24
Comparison of Composition of Whole Wheat
Atta and Soya Fortified Atta
(per 100gms)
Particulars
Whole Wheat Flour Soya fortified WWF
(WWF )
11.5
17
Fat g
1.9
1.8
Ash g
1.6
2.2
Carbohydrate g
73
69
12.2
12.7
34
55
4
4.5
Phosphorus mg
346
380
Zinc mg
2.9
2.9
Protein g
Fiber g
Calcium mg
Iron mg
25
Distribution of “Soya Fortified Wheat Flour
(SFWF)” in the AAY & BPL Schemes
• Gujarat Government announced distribution of
“Soya Fortified Whole Wheat Flour” under AAY,
BPL, ICDS and MDM as a Golden Goal (Swarnim
Siddhi) for Golden Jubilee Year of Gujarat and
has started distribution of the same in place of
wheat from April-2010 in AAY & BPL Schemes.
Scheme Fortified
Wheat
Flour
[Kg]
Antyoday
B.P.L.
Addition
Soya
Distribution
of Fortified Rate Per Bag
Toasted
Wheat
Rs.
De-fated
Flour
Soya bag [Kg]
Flour [Kg]
18.000
1.000
19.000
38.00
12.500
0.500
13.000
26.00
26
Distribution of SFWF - in ICDS &
MDM
•
“Soya Fortified Wheat Flour” distribution by adding Toasted Defatted Soya Flour (5% in ICDS & 10% in MDM) to the fortified
wheat flour containing 8 micronutrients, from 2010 as part of
Golden Goals Programme (Swarnim Siddhi). Expenditure approx
Rs.14 Crores per annum.
Distribution of Fortified Atta (in MT)
Year
2006-07
2007-08
2008-09
2009-10
2010-11* (upto Dec-10)
* with TDSF
TPDS
9784
142270
155076
399203
ICDS
170
11719
22920
47428
15243
MDM
26570
28905
27
“Soya Fortified Wheat Flour” – Programme
implementation
Challenges:
•
•
•
•
•
•
•
•
Limited flour production capacity in the State
45 days’ shelf-life of the flour
Maintaining the quality
Transportation arrangement of wheat and the flour prepared etc.
Shortage of required quality of Toasted Defatted Soya flour (TDSF)
Reaching out to benificiaries in very short period
Need for more storage capacity
Lack of awareness
Steps to face Challenges:
•
•
•
•
•
•
•
Encouraging mills to participate
Introduction of laminated HDPE bags for packing
Process line Quality Monitoring and third party testing
National level publicity for the purchase of TDSF
Development of Integrated Management Information System (as part of
computerisation)
Study & base line survey on “Food Fortification” by third party expert agency
IEC Campaign to raise awareness
28
Distribution of Iodised salt for Nutritional
Security – ITDP, PDS & ICDS
• This programme is expected to address the problem of iodine
deficiency, which would lead to
• reduction in still births and abortions,
• low birth weight babies and
• most importantly, prevention of irreversible damage to nervous
tissues which leads to deaf and dumb children at birth and
mental retardation in pregnant women and in children
• Improves work and scholastic performance
• Under the ‘Tribal Sub-Plan' of the State Govt., GSCSC purchases
Iodised Salt and distributes through FPS (and Hospital/ Student
Hostels) at subsidised rate to ration card holders in 12 tribal districts
namely Banaskantha, Sabarkantha, Dangs, Vadodara, Panchmahals,
Dahod, Bharuch, Narmada, Surat, Tapi, Valsad and Navsari
• The supply (for ITDP & PDS) is at subsidized rate of Rs 1.00 per kg,
involving a subsidy of Rs 1.46 per kg which is borne entirely by the
State Govt. The supply under PDS has been started from Oct-09.
29
Iodised salt under ITDP, PDS & ICDS for
Nutritional Security
Year
2008-2009
2009-2010
2010-2011*
* Up to Dec-10
Year
2009-2010
2010-2011*
* Up to Dec-10
Year
2007-2008#
2008-2009
2009-2010
2010-2011*
* Up to Dec-10
Distribution under ITDP
QTY( In MT) Amount(Rs. in
5548
6596
4588
Lakhs)
123.55
165.97
117.30
Distribution under PDS
QTY( In MT)
Amount(Rs. in Lakhs)
5987.50
160.57
9703.00
247.72
Distribution under ICDS
QTY( In MT)
Amount(Rs. in Lakhs)
4417.60
88.35
4084.00
85.45
1099.40
27.51
4304.80
101.12
30
Distribution of Nutri Candy under ICDS & MDM
• GSCSC is also providing Balbhog Nutri-Candy to ICDS and
MDM. The micronutrients used are as follows:
Balbhog
Nutri
Candy
Micronutrients
Iron (mg)
Vitamin A (ug)
Ascorbic acid (mg)/Vitamin C
Folic Acid (ug)
7
99
10
15
Distribution figures are as follows:
Ye a r
ICDS
Ba lbhog
MDM
NutriBa lbhog
Ca ndy
Nutri-Ca ndy
in Crore s
in Crore s
Pie ce
Pie ce
2007-08
21.85
2008-09
12.76
2009-10
34.31
2010-11*
18.70
*Upto Dec-10
2.36
0.79
31
State Budget for Fortified Items in TPDS
– Year 2010-11
(in Rs crores)
AAY/BPL - Iron, Folic Acid & Soya Fortification - Rs. 257.00
• Edible Oil – Fortification
- Rs. 33.00
• Salt - Fortification
- Rs.
6.16
• Total
- Rs 296.16
•
32
Steps to improve programme
implementation
• After roll out and implementation of food fortification programme in
welfare schemes, GSCSC took following steps to improve the
programme implementation:
– National Seminar on Nutrition and Food Fortification in March, 2007
– Assignment to CFTRI, Mysore to suggest steps to maintain quality and
enhance shelf life of fortified atta
• Max. Moisture level is now only 10%
• Atta is distributed in Laminated HDPE bags
– E-Tendering to award work of grinding and fortification to millers (to
have competition, to reduce cost and to imphasis on responsibility and
accountability through penalty clauses)
– Posting of responsible officer from GSCSC at participating mills to
monitor the whole fortification assignment and record keeping.
– Mills are not allowed to carry out private work while work of welfare
schemes is going on.
– Appointment of qualified third party agency for sampling and testing
– Appointment of qualified third party agency for base line survey and
evaluation of the programme.
33
Monitoring of Nutritional Security
Initiatives
• The Department has taken two pronged approach to monitor and
evaluate the impact of the various nutritional security initiatives
• Firstly, the GSCSC carries out inhouse sampling and primary testing
of the fortified flour, i.e Moisture Sieve and spot test indicative
presence of Iron (Fe).
• Secondly, independent third party quality testing agencies are also
appointed to test the quality of the fortified products.
• Overall schematic evaluation/ impact assessment has also started
through third party agencies on both concurrent basis and also
periodical basis
• IT Solution is under development for overall monitoring of various
schemes.
Hon. Js. Wadhwa Committee Report
Introduction of Fortified Atta (Wheat Flour) In The Public Distribution System:
“The Committee is of the considered view that fortified atta along with wheat should
be made available through PDS outlets which would immensely benefit the vulnerable
sections of society and increase off take by consumers of PDS food grains. Even
today, persons without BPL ration cards, despite being eligible for the same and
other persons with BPL ration cards are purchasing wheat flour from the open market
as a matter of convenience and to save on the time and cost involved in grinding of
wheat into flour. The system of distribution of wheat flout is in vogue in the district
of Darjeeling where enriched wheat flour is given @Rs. 6.80 per kg. costs anything
up to Rs. 150 and therefore, it should be possible to price a packet of fortified 5kg. or
10kg wheat flour at a much lower price which may be any price between Rs.7 and
Rs.8 per kg. This will definitely be much less than what may be available through the
open market. The advantage would far outweigh a somewhat increased price that
may have to be paid. At least, providing this option to the vulnerable section of the
society though the PDS network will be a step in the right direction.
The committee has also suggested modalities for operationalising this innovative step
in the main chapter dealing with this subject.
Fortified atta would also improve the general health of the vulnerable sections and
reduce instances of Vitamin A deficiency and iron deficiency anemia. It has also been
suggested that general instructions may be given to sell only fortified atta both under
the PDS as well as the open market as this will make implementation easier and
prevent diversion”
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IMPACT ASSESSMENT STUDIES
• Impact assessment studies on food fortification initiative in Gujarat
were conducted by third party independent agency.
Study-I
• GRFMA initiated a study program to evaluate the effects of
consuming wheat flour fortified with 30ppm iron and 1.5ppm folic
acid; on a regular bases for a period of 1 year.
• 20 sports people from different sports as well as different financial
background were chosen from Sports Authority of Gujarat.
• The results of the same were very encouraging for all the parties
involved in the project of fighting malnutrition.
• It was found that the average Hemoglobin of the sample unit was
10.4gm% which rose to 12.19gm% after the consumption of FWF
for a period of three months.
• At the conclusion of the third test the average Hb level was
12.6gm%.
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IMPACT ASSESSMENT STUDIES
Study-II:
• The second study was conducted by Block Head Officer,
•
•
•
Government of Gujarat; on behalf of Dept. of Women
and Child Welfare.
Block Deskroi’s 16 Anganwadis were supplied with
Fortified Atta with 9 micronutrients.
An Hb test was conducted on 602 beneficiaries
consisting of children, adolescent girls, lactating and
pregnant women coming to the Anganwadis.
The second test showed 505(84%) people benefiting
from the consumption of FWWF. 51(8%) people showed
a constant Hb level and 46(8%) showed a fall in their Hb
levels.
Study-III: Baseline Survey
Use of PDS Service
• For Wheat Atta, BPL and AAY
•
•
•
population depend on PDS to the
extent of 72% and 79% respectively
For Wheat and rice the dependency
is upto 63% and 73% respectively
Iodine is one of the major
micronutrient highly deficient in hilly
tribal zone , seriously affecting
nutrition status of mother and
children
It is also important to mention that
Iodised salt is sold at highly
subsidized rate at Rs.1/kg in PDS
and needs boost at shop and
consumer level
16-Jul-15
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Stydy-III: Baseline Survey- Summary
• The baseline study reveals that the prevalence of undernutrition and
malnutrition in the indicator population group is high
• Utilization of ICDS supplement is high
• Utilization of FPS for Atta is high (72-79%)
• SFWA through FPS is a potential intervention that can improve the
nutritional status of the vulnerable population. However there is lack of
knowledge and awareness about benefits of SFWA
• A focus on logistics plan and sale of subsidized Iodized salt will reinforce the
overall malnutrition prevention initiative
• Needs Intensive and Extensive IEC support to improve community
awareness about benefits of SFWA for increased acceptability and use
• IEC / BCC support to improve hygiene and sanitation practices and
increased utilisation of government health promotion
16-Jul-15
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Factors for Success
• Dedicated and clear leadership of the programme
• Part of the Golden Goals (Swarnim Siddhi) of the State
• Public Private Partnership (PPP) which is now being
•
•
extended to Public Private Community Partnership
(PPCP) mode
Regular interaction & consultations with stake holders at
all levels
Integriting programme delivery to all other delivery
systems
• Striving for constant improvement with planned stage
wise progression
Conclusion
• It was experienced that legislative sanction was not
•
•
•
crucial but administrative /stake holder’s involvement and
commitments made the project successful.
Peoples participation, motivation and awareness are
continuously needed.
Costs are marginal and incidental
Integration of logistics, training of people, motivation,
monitoring etc. are equally important.
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Thanks
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