STAPLE FOODS FORTIFICATION EXPERIENCE IN TOGO

ALBERT K.M. TCHAMDJA

ALFORTS PRODUCTS BY:�QUALITY SERVICE INTERNATIONAL(QSI)&�TOGO ASSOCIATION FOR FIGHTING AGAINST HUNGER AND MALNUTRITION(ATOLFAM)

STAPLE FOODS FORTIFICATION EXPERIENCE IN TOGO

ALBERT K.M. TCHAMDJA

Association Togolaise de Lutte contre la Association Togolaise de Lutte contre la Association Togolaise de Lutte contre la Association Togolaise de Lutte contre la

Faim et la MalnutritionFaim et la MalnutritionFaim et la MalnutritionFaim et la Malnutrition

Let food be thy medicine and medicine be thy food HIPPOCRATE (460 -370 BC),

WHAT DO YOU GROW AND EAT IN TOGO WEST AFRICA/UNBALANCED DIET

PRODUITSPRODUITSPRODUITSPRODUITS BURKINABURKINABURKINABURKINA----FASOFASOFASOFASO SENEGALSENEGALSENEGALSENEGAL NIGERNIGERNIGERNIGER TOGOTOGOTOGOTOGO COTE D’IVOIRECOTE D’IVOIRECOTE D’IVOIRECOTE D’IVOIRE

CEREALSCEREALSCEREALSCEREALS 65,1 63,4 62,9 48,4 31,3

ROOTS and TUBERSROOTS and TUBERSROOTS and TUBERSROOTS and TUBERS 0,3 1,9 1,7 24,9 32,6

BEANS and others BEANS and others BEANS and others BEANS and others

vegetable protéinvegetable protéinvegetable protéinvegetable protéin10,1 0,8 14,1 3,7 0,7

OILS and OILSEEDSOILS and OILSEEDSOILS and OILSEEDSOILS and OILSEEDS 11,9 17,0 8,8 14,2 13

FRUITS AND FRUITS AND FRUITS AND FRUITS AND

VEGETABLESVEGETABLESVEGETABLESVEGETABLES2,1 2,5 2,9 1,2 8,0

SUGARSUGARSUGARSUGAR 2,4 4,6 2,9 3,8

ALCOHOLIC DRINKSALCOHOLIC DRINKSALCOHOLIC DRINKSALCOHOLIC DRINKS 3,2 0,2 0,0 0,7 2,0

ANIMAL PRODUCTS, ANIMAL PRODUCTS, ANIMAL PRODUCTS, ANIMAL PRODUCTS,

ANIMAL PROTEINSANIMAL PROTEINSANIMAL PROTEINSANIMAL PROTEINS4,1 8,2 9,5 3,5 4,6

OTHERSOTHERSOTHERSOTHERS 0,8 1,5 0,0 0,4 4,2

Tableau 1Tableau 1Tableau 1Tableau 1 : : : : Caloric contribution of different food products (%)(%)(%)(%)

SourceSourceSourceSource : ReSAKSS Afrique de l’Ouest, 2011

MALNUTRITION AND MND IN TOGO/WEST AFRICA : EVIDENCE

•IN TOGO (UNICEF, 2005)

•35% Children less 6 years are affected by vitamin A deficiency•15 % death of children less than 5 years is due to lack of vitamin A(4000 children could die every year if nothing is done)

MALNUTRITION AND MND IN TOGO/WEST AFRICA : EVIDENCE

•IN TOGO (UNICEF, 2005)

•83% children from 6 to 36 months are suffering from anemia ( IRON deficiency)•40% of child bearing age women are suffering from anemia ( IRON deficiency)•30% of maternal death are due to anaemia•7.4% of population are affected by IODINE MND

WICH MN NATIONAL NUTRITION POLICY RECOMMEND : TOGO/WEST AFRICA

• VITAMIN A

• IRON

• IODINE

• VITAMINB9(FOLIC ACID)

• ZINC

FOOD FORTIFICATION IN TOGO/WEST AFRICA

NEW PRACTICE

� Start 1998 : SALT

� 2000 : Draft of Policy recommending staple food fortification / Flour, Sugar, ….

� 2009 : WHEAT FLOUR AND OIL « HKI/GAIN WEAMU »

LIMITATIONS� Wheat Flour and Oil are not

LINKED DIRECTLY TO LOCAL MAIN AGRICULTURE PRODUCTS : MAIZE(Togo 1st country in west Africa consumption per capita, 12 th Worlwide), Rice, Yam, Cassava

� Wheat flour and oil cant’be used for feeding children 6-36 months age where Malnutrition and MN D are high

� Very limited communication and population ‘s awareness arround the project on Wheat Flour and oil

TOGO/WEAMU FOOD FORTIFICATION EXPERIENCE

FOOD FORTIFICATION

( TOGO);APPROVED BY NFFC AND MINISTRY OF HEALTH

MANDATORY

Cooking Salt (Iodine)

OIL ( Vitamin A)

Wheat Flour (Iron, Zinc, Folic Acid)

Importateurs

NIOTO

GRAND MOULIN

VOLUNTARY

Staple:

Maize Flour,Sugar, CSB

Peanut Paste, Rice

QSI/ATOLFAM

Home fortification/Sprinkle

MAIZE(Corn) Based Fortified Products

MAIZE FLOUR FOR DIABETES (AKUME/TO/

UGALI)

MaIZE -F -Fonio Fermented Cassava Flour wheat+ Micronutriments For Diabetes

MN: Chromium, Vit D, magnesium, Biotin,….

Decrease and regulate Blood Glucose Level

DIABETIC STRATEGIC NUTRITION

Partnership With FORTITECH

MAIZE(Corn) Based Fortified Products

FORTIFIED MAIZE FLOUR With or without cassava Flour (AKUME/TO/

UGALI)

DEHULLED MAIZE FLOUR +

Micronutriments A, B9,B1,B2,B6, Niacinamide

Iron, Zinc

Partnership : DSM,

BASF(Sternvitamin;Bio organics

RICHE enVitamines et minéraux . A,

B9, B1, B2, B6, Niacinamide

Fer, Zinc, Iode

RICHE enVitamines

et minéraux . A, B9, B1, B2, B6,

Niacinamide

Fer, Zinc, Iode

AFRICA DOUGH AKUME.UGALI with Fortified MAIZE FLOUR

MAIZE(Corn) Based Fortified Products

FORTIFIED CORN-SOJA BASED

TYPE CSB « + MALT(AMYLASE)

ENERGETIC PORRIDGE

Micronutrients : A, B1, B2; Niacine, B6, B9, B12, Iron; Iodine; Zinc, Calcium

Children from 6 month age Fight Against stunting

Partnership : DSM, BASF(Sternvitamin;

MAIZE(Corn) Based Fortified Products

FORTIFIED CORN-SOJA BASED

TYPE CSB Milk Powder « + MALT(AMYLASE)

ENERGETIC PORRIDGE

Micronutrients : A, B1, B2; Niacine, B6, B9, B12, Iron; Iodine; Zinc,

Calcium

Children from 6 month age Fight Against stunting

Partnership : DSM, BASF(Sternvitamin;

OUR FORTIFIED FOODS

FORTIFIED

RICE

PARTENERSHIP WITH DSM/WRIGHT enrichment USA

OLD RICE PREMIX FORMULA: B1; B9; B12, ZINC, Sélenium

NEW RICE PREMIX FORMULA: A, IRON, IODINE , B1; B9; B12, ZINC, Sélenium (under development)

OUR FORTIFIED FOODS

FORTIFIED SUGARPARTENERSHIP WITH BASF:

VITAMIN A

OUR FORTIFIED FOODS

CASSAV BASE PRODUCT

FORTIFIED GARI GARI

FORTIFIED TAPIOCA

FORTIFIED CASSAVA FLOUR

OUR FORTIFIED PRODUCTS

� KULVIT,

FORTIFIED FRIED PEANUT PASTE

Vitamine A

IRION, IodINE

Partnership with FORTITECH

BASF/Bio organic

TARGETED CONSUMERS

HOUSEHOLDS but focus on

� Children less 5 years

� PREGNANT WOMEN;

� LACTATING WOMEN

� CHILD BEARING AGE WOMEN

� VULNERABLE PEOPLE : HIV.AID, TB, REFUGEES,…..

DISTRIBUTIONS CHANNELS TO REACH TARGETED CONSUMERS

� Hospitals

� Pharmacies/Drug Stores

� Supermarkets

� Child care centres : orphanages

� HIV.AID/TB Care centres

� School canteens

� STREET PUBLIC RESTAURANTS

� REFUGEES CAMPS

QUALITY CONTROL/ASSURANCE : Vitamin A semi Quantitative Test -PARTNERSHIP WITH BASF

TOGO PUBLIC-PRIVATE-CIVIC PARTNERSHIP IN FF

GOVERMENTAGRICULTURE MINISTRYHEALTH MINISTRY

PRIVATE SECTOR :Famers, Processors, Premix producersDISTRIBUTORS

RESEARCH:University

NGO, Consumersassociation

BANKS/FINANCE????

PARTNERSHIP WITH STAPLE FOODS FORTIFICATION

NATIONAL� TOGO MINISTRY OF HEALTH NUTRITION

DEPARTMENT: Presidence of NFFC : Advice on Policies, Voluntary/Mandotiry FF approval

� ITRA : TOGO AGRONOMIC RESAERCH INSTITUTE : Products Testing and Analysis

� ANSAT: TOGO NATIONAL FOOD SECURITY AGENCY/Ministry of Agriculture / supply of Local Agriculture crops for processing and fortification

PARTNERSHIP WITH STAPLE FOODS FORTIFICATION

INTERNATIONAL

� BASF : Multisector assistance

� HKI :Hellen Keller International

� FFI: Flour Fortification Initiative

� GAIN

� WHO

� FAO

COMMUNICATION WITH CONSUMMER SHOW TO RECOGNIZE FORTIFIED FOODS ALFORTS

� FF LOGO WEAMU/WEST AFRICA

RICHE enVitamines

et minéraux . A, B9, B1, B2,

B6, Niacinami

deFer, Zinc,

Iode

RICHE enVitamines

et minéraux . A, B9, B1, B2,

B6, Niacinami

deFer, Zinc,

Iode

COMMUNICATION WITH CONSUMERS MARKETING

TRADE FAIR

IMPROVING HEALTH STATUS OF POPULATION

Model for improving health status pf population through community base Rich food supply in the prevention of Birth defects and disabilities

� International conference on BirthDefects and disabilities, ICBD, Philippines nov 2013

LIMITATIONS/WEAKNESSES/ISSUE

� Health impact study

� Nutrition education and awareness

� Scaling up to reach poorest regions where MND are higher : increase production capacity, logistic

� Adress new specific Nutrition Issue : High Blood Pressure/Diabetes/Hemmorhoid

� Use of Fertilizers and MN metabolism in plant or agricultural products

� Communications channels with partners : Clinical/hospital, Academic/Research, Food Producers

� Parnership with Bank and Financing

Les PRODUITS ALFORTSLes PRODUITS ALFORTSLes PRODUITS ALFORTSLes PRODUITS ALFORTS

MERCITHANK

YOU