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Situation analysis of procurement and production of multiple micronutrient supplements in 12 lower and upper middle-income countries.
Monterrosa, Eva C; Beesabathuni, Kalpana; van Zutphen, Kesso G; Steiger, Georg; Kupka, Roland; Fleet, Alison; Kraemer, Klaus.
Affiliation
  • Monterrosa EC; Sight and Life, Basel, Switzerland.
  • Beesabathuni K; Sight and Life, Basel, Switzerland.
  • van Zutphen KG; Independent Consultant, Geneva, Switzerland.
  • Steiger G; Nutrition Improvement Program, DSM, Kaiseraugst, Switzerland.
  • Kupka R; UNICEF Programme Division, New York, New York, USA.
  • Fleet A; UNICEF Supply Division, Copenhagen, Denmark.
  • Kraemer K; Sight and Life, Basel, Switzerland.
Matern Child Nutr ; 14 Suppl 5: e12500, 2018 12.
Article in En | MEDLINE | ID: mdl-29280300
Globally, there are few vitamin and mineral ingredient manufacturers. To support local, in-country or regional procurement and production of multiple micronutrient supplements (MMS), the following production scenarios are possible: (a) straight ingredients of vitamins and minerals forms imported or locally produced that are mixed, tableted, or encapsulated and packaged by a local manufacturer; (b) import or local production of a vitamin and minerals premix that is tableted or encapsulated and packaged locally; (c) import of a bulk, finished product (tablets or capsules) that is packaged and branded; and (d) or import of a branded packaged product. This paper is a situation analysis of the market, manufacturing, and policy factors that are driving the production of MMS in 12 lower and upper middle-income countries. Key informants completed a self-administered structured questionnaire, which examined the local context of products available in the market and their cost, regulations and policies, in Brazil, Colombia, Guatemala, Mexico, Peru, Bangladesh, India, Vietnam, Ghana, Kenya, Nigeria, and South Africa. Our study found that although most countries have the capacity to produce locally MMS, the major barriers observed for sustainable and affordable production include (a) poor technical capacity and policies for ensuring quality along the value chain and (b) lack of policy coherence to incentivize local production and lower the manufacture and retail price of MMS. Also, better guidelines and government oversight will be required because not one country had an MMS formulation that matched the globally recommended formulation of the United Nations Multiple Micronutrient Preparation (UNIMMAP).
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Technology, Pharmaceutical / Nutrition Policy / Micronutrients / Dietary Supplements Type of study: Prognostic_studies / Qualitative_research Limits: Humans Language: En Journal: Matern Child Nutr Journal subject: CIENCIAS DA NUTRICAO / PERINATOLOGIA Year: 2018 Document type: Article Affiliation country: Switzerland Country of publication: United kingdom

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Technology, Pharmaceutical / Nutrition Policy / Micronutrients / Dietary Supplements Type of study: Prognostic_studies / Qualitative_research Limits: Humans Language: En Journal: Matern Child Nutr Journal subject: CIENCIAS DA NUTRICAO / PERINATOLOGIA Year: 2018 Document type: Article Affiliation country: Switzerland Country of publication: United kingdom