BACKGROUND Iron deficiency anemia (IDA) is highly prevalent in the Cote d'Ivoire and has severe health and economic consequences. In this paper, we apply a health economic model to quantify the burden of IDA, and the contribution of nationwide mandatory iron fortification of wheat flour and voluntary iron fortification of condiments to the reduction of this burden. METHODS The analysis for the population from 6 months to 64 years builds on published reviews and publicly available datasets and is stratified by age-groups and socioeconomic strata using comparative risk assessment model. RESULTS Without the impact of these fortification strategies, the annual burden of IDA is estimated at 242,100 disability adjusted life years (DALYs) and 978.1 million USD. Wheat flour and condiment fortification contributed to a reduction of the IDA burden by approximately 5% each. CONCLUSION In places with high prevalence of malaria and other infectious diseases, such as the Côte D'Ivoire, food fortification as a nutritional intervention should be accompanied with infectious disease prevention and control. The findings of this study provide additional input for policy makers about the magnitude of the impact and can support the conception of future fortification strategies.

中文翻译：

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通过强化措施减轻科特迪瓦缺铁性贫血的负担。


背景技术缺铁性贫血(IDA)在科特迪瓦非常普遍，并且具有严重的健康和经济后果。在本文中，我们应用健康经济模型来量化IDA的负担，以及全国范围内强制小麦粉铁强化和自愿性调味品铁强化对减轻这一负担的贡献。方法 对 6 个月至 64 岁人群的分析建立在已发表的评论和公开数据集的基础上，并使用比较风险评估模型按年龄组和社会经济阶层进行分层。结果 如果没有这些强化策略的影响，IDA 的年度负担估计为 242,100 伤残调整生命年 (DALY) 和 9.781 亿美元。小麦粉和调味品强化分别使 IDA 负担减少了约 5%。结论 在科特迪瓦等疟疾和其他传染病高发地区，食品强化作为营养干预措施应与传染病预防和控制相结合。这项研究的结果为政策制定者提供了有关影响程度的额外信息，并可以支持未来防御战略的构想。