The unfinished agenda for food fortification in low- and middle-income countries: Quantifying progress, gaps and potential opportunities

Penjani Mkambula, Mduduzi N N Mbuya, Laura A Rowe, Mawuli Sablah, Valerie M Friesen, Manpreet Chadha, Akoto K Osei, Corinne Ringholz, Florencia C Vasta, Jonathan Gorstein

Based on the independent assessment of the Global Fortification Data Exchange identifying countries that could benefit from new fortification programmes, this article offers insights on progress to date, using the standard Fortification Assessment Coverage Toolkit (FACT) and makes recommendations on how to improve coverage and quality. An important recommendation to emerge from this multi-country analysis was the need for investment and advocacy in new public private partnerships for fortification. Barriers to progress are listed and include:

  • lack of political support
  • insufficient motivation
  • unwillingness to use global data as evidence of impact
  • reliance on the government to cover the cost of pre-mix 

There is a helpful summary of innovations in fortification, relevant to new and existing public private fortification initiatives. The section on systems and business model innovations is particularly salient for new public private endeavours in fortification.

This resource has been peer reviewed