Problems and solutions to improve the Madagascar Iodized Salt Programme
What are the challenges and strengths of the Madagascar Iodized Salt Programme ?
The National Survey on Iodine and Salt in Madagascar (ENISM), using precise quantitative titration analysis, found only 17.1 per cent of 1,140 household salt samples achieved the benchmark of 15ppm iodine required for public health impact. As a result of this low coverage of iodized salt, ENISM found median urinary iodine concentration of 47 µg/l among women of reproductive age and 40 µg/l among pregnant women, indicating that IDD remains a significant public health threat in Madagascar.
Madagascar produces sea salt and, depending on the season, it is reported that salt producers harvest around 100 to 150,000 tons of salt per year. Taking into consideration a population of 23 million, at an average of 10 grams/day or 3.5Kg/ year, the iodized salt need is approximately 80,300 tons annually. The excess production is used for animal husbandry, water softening, food industry and other uses.
The report describes the results of observations and interviews focused on how to:
- Build QAQC capacity by forming a government-led Iodine Team for internal factory production, inspection and external monitoring;
- Assist the salt producers association in Morondava in setting up a business plan to produce iodized salt as per government standards
- Assist in technology for iodization and iodate procurement.