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Zambia Demographic and Health Survey 2001-2002 - Measure DHS

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At two years, non-breastfeeding children are receiving foods made from grain twice a day likebreastfeeding children. Fruits <strong>and</strong> vegetables are consumed twice a day by both breastfeeding <strong>and</strong> nonbreastfeedingchildren at about two years. Foods enriched with oil/fat/butter—thereby increasing caloricintake—are consumed less than once a day. (These probably include foods previously reported.) Animalproducts are consumed less than once a day by both groups of children at two years of age.11.3 MICRONUTRIENTSMicronutrients are essential for the metabolic processes in the body <strong>and</strong> they play a major role inthe nutrition <strong>and</strong> health of an individual. The <strong>2001</strong>-<strong>2002</strong> Z<strong>DHS</strong> survey collected various types of datathat are useful in assessing the micronutrient status of young children <strong>and</strong> women.11.3.1 Salt <strong>and</strong> Sugar FortificationIn <strong>Zambia</strong>, a number of programmes aim at reducing micronutrient deficiencies. These includefood fortification, namely fortification of salt with iodine, sugar with vitamin A, <strong>and</strong> recently maize withmineral <strong>and</strong> vitamin combinations. In addition to sugar fortification, children 6 to 72 months of age mayreceive vitamin A supplements through health services <strong>and</strong> community campaigns. Women may be givenvitamin A supplements during the postpartum period (4 weeks after delivery) to assist both the mother<strong>and</strong> her breastfeeding children.Disorders induced by dietary iodine deficiency constitute a major global nutrition concern. Alack of sufficient iodine can lead to goitre, hypothyroidism, impaired mental functions, retarded mental<strong>and</strong> physical development, <strong>and</strong> diminished school performance. Iodine deficiency in the foetus leads toincreased rates of abortion, stillbirths, congenital anomalies, cretinism, psychomotor defects, <strong>and</strong> neonatalmortality. Iodine deficiency can be avoided by using salt that has been fortified with iodine (iodised salt).Table 11.6 shows that 80 percent of the households visited in the <strong>2001</strong>-<strong>2002</strong> Z<strong>DHS</strong> had their salttested for iodine, while 17 percent had no salt available in the household. Less than 4 percent of householdsare consuming salt that is not iodised, 19 percent of households are consuming inadequately iodisedsalt (

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