Tackling micronutrient deficiencies in low- income/resource countries has been challenging. In the late 1990s, point-of-use fortification using micronutrient powders (MNPs) emerged as a viable option for combating nutritional anemia and retinol deficiency. However, there remains a substantial divide amongst program implementers, researchers, suppliers, and experts as to which MNP delivery model is most effective, especially in relation to its sustainability, demand creation, coverage, and adherence. Thus the objective of this study was to conduct an in-depth review of free and fee based MNP delivery models, assess programmatic experience, costs, cost effectiveness and sustainability and provide insights on future MNP delivery.
In conclusion a hybrid MNP delivery model was identified as a promising potential future option for ensuring that children with micronutrient deficiencies in low-income/resource countries have access to micronutrients in a consistent and sustainable manner.