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Fortification of Vegetable oil and Sugar with Vitamin A in Uganda

Fortification of Vegetable oil and Sugar with Vitamin A in Uganda

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TABLE OF CONTENTS<br />

Executive Summary<br />

I. Introduction<br />

A. <strong>Vitam<strong>in</strong></strong> A Deficiency <strong>in</strong> Ug<strong>and</strong>a<br />

B. Food <strong>Fortification</strong> <strong>in</strong> Ug<strong>and</strong>a<br />

C. Accelerat<strong>in</strong>g the Pace <strong>of</strong> <strong>Fortification</strong>: Toward a More Evidence-based Approach<br />

II. Justification for Fortify<strong>in</strong>g Oil <strong>and</strong> <strong>Sugar</strong> <strong>with</strong> <strong>Vitam<strong>in</strong></strong> A <strong>in</strong> Ug<strong>and</strong>a<br />

A. Food Consumption Data: The Gold St<strong>and</strong>ard to Identify Food Vehicles <strong>and</strong><br />

Propose <strong>Fortification</strong> Levels<br />

B. An Opportunity to Complement <strong>and</strong> to Keep Updated the Food consumption<br />

Pattern <strong>in</strong> the Country: The HIES Surveys.<br />

III. The Public Sector Role <strong>in</strong> <strong>Fortification</strong><br />

A. Introduction <strong>and</strong> Overview<br />

B. The Public Regulatory System<br />

1. The National Work<strong>in</strong>g Group on Food <strong>Fortification</strong><br />

2. The Ug<strong>and</strong>an National Bureau <strong>of</strong> St<strong>and</strong>ards, UNBS<br />

3. National Drug Authority, NDA<br />

4. The Ug<strong>and</strong>a Industrial Research Institute (UIRI) Analytical Laboratory<br />

5. The M<strong>in</strong>istry <strong>of</strong> Health/Department <strong>of</strong> Inspection <strong>and</strong> Certification<br />

IV. Ug<strong>and</strong>a’s <strong>Vegetable</strong> Oil Supply <strong>and</strong> <strong>Vegetable</strong> Oil <strong>Fortification</strong><br />

A. <strong>Vegetable</strong> Oil Production<br />

B. The <strong>Vegetable</strong> Oil <strong>and</strong> Fat Industry<br />

C. Conclusion about the Ug<strong>and</strong>an <strong>Vegetable</strong> Oil Market <strong>and</strong> its <strong>Fortification</strong><br />

Prospects<br />

D. <strong>Vegetable</strong> <strong>and</strong> Fat <strong>Fortification</strong><br />

E. The Cost <strong>of</strong> Fortify<strong>in</strong>g <strong>Vegetable</strong> Oil<br />

F. Alternative <strong>Fortification</strong> Cost Measures: Consider<strong>in</strong>g the Consumer’s Perspective<br />

V. The Public Health Attraction <strong>of</strong> Fortified Ug<strong>and</strong>an <strong>Sugar</strong><br />

A. <strong>Sugar</strong> <strong>Fortification</strong> Prospects<br />

B. Key Characteristics <strong>of</strong> the Ug<strong>and</strong>an <strong>Sugar</strong> Industry <strong>and</strong> Market<br />

C. Differences <strong>in</strong> the Ug<strong>and</strong>an <strong>Sugar</strong> Companies<br />

D. The Chang<strong>in</strong>g Ug<strong>and</strong>an <strong>Sugar</strong> Market<br />

E. Conclusions about the <strong>Sugar</strong> Industry’s Current Situation <strong>and</strong> Attitude Toward<br />

<strong>Fortification</strong><br />

F. The Cost <strong>of</strong> Fortify<strong>in</strong>g <strong>Sugar</strong><br />

i

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