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    Control of iron deficiency anemia in low- and middle-income countries

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    Author
    Pasricha, S-R; Drakesmith, H; Black, J; Hipgrave, D; Biggs, B-A
    Date
    2013-04-04
    Source Title
    BLOOD
    Publisher
    AMER SOC HEMATOLOGY
    University of Melbourne Author/s
    Black, James; Biggs, Beverley-Ann; PASRICHA, SANT-RAYN; Hipgrave, David; Pasricha, Sant-Rayn
    Affiliation
    Medicine - Royal Melbourne Hospital
    Nossal Institute for Global Health
    Metadata
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    Document Type
    Journal Article
    Citations
    Pasricha, S. -R., Drakesmith, H., Black, J., Hipgrave, D. & Biggs, B. -A. (2013). Control of iron deficiency anemia in low- and middle-income countries. BLOOD, 121 (14), pp.2607-2617. https://doi.org/10.1182/blood-2012-09-453522.
    Access Status
    This item is currently not available from this repository
    URI
    http://hdl.handle.net/11343/33155
    DOI
    10.1182/blood-2012-09-453522
    NHMRC Grant code
    NHMRC/628751
    Description

    C1 - Journal Articles Refereed

    Abstract
    Despite worldwide economic and scientific development, more than a quarter of the world's population remains anemic, and about half of this burden is a result of iron deficiency anemia (IDA). IDA is most prevalent among preschool children and women. Among women, iron supplementation improves physical and cognitive performance, work productivity, and well-being, and iron during pregnancy improves maternal, neonatal, infant, and even long-term child outcomes. Among children, iron may improve cognitive, psychomotor, and physical development, but the evidence for this is more limited. Strategies to control IDA include daily and intermittent iron supplementation, home fortification with micronutrient powders, fortification of staple foods and condiments, and activities to improve food security and dietary diversity. The safety of routine iron supplementation in settings where infectious diseases, particularly malaria, are endemic remains uncertain. The World Health Organization is revising global guidelines for controlling IDA. Implementation of anemia control programs in developing countries requires careful baseline epidemiologic evaluation, selection of appropriate interventions that suit the population, and ongoing monitoring to ensure safety and effectiveness. This review provides an overview and an approach for the implementation of public health interventions for controlling IDA in low- and middle-income countries, with an emphasis on current evidence-based recommendations.
    Keywords
    Haematology; Blood Disorders

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