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ON FOOD fORTI - DOH Central Library - Department of Health

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34 A Report. on Food Fortification<br />

advocacy, formulating quality standards<br />

and enforcing them, and providing for<br />

tax breaks and other health-oriented<br />

incentives. The NGOs and international<br />

agencies can playa strong support role<br />

through advocacy to promote a positive<br />

attitudetowards fortification attheglobal,<br />

national and community levels.<br />

Organizations like the WHO and FAO<br />

can help much through endorsement <strong>of</strong><br />

standardsand promotion<strong>of</strong> products that<br />

meet such standards. Helen Keller, for<br />

instance, placed its seal on Star Margarine<br />

and supported training for health<br />

education.<br />

The real doers, however, are those<br />

in the industry, since you are the ones<br />

who will handle technical production,<br />

bring in local ingredients and put quality<br />

control .in .place. You also have the<br />

marketing and distribution skills. You<br />

can find effective ways <strong>of</strong> reaching target<br />

groups, conduct post-marketing<br />

surveillance, undertake product<br />

development as an investment for the<br />

future, and get involved in local nutrition<br />

education programs.<br />

What is important is that you have.<br />

a product that can be fortified and that<br />

its fortification will have a significant<br />

impact. This requires the establishment<br />

and maintenance <strong>of</strong> quality assurance<br />

program, backed up by international<br />

product control, especially on packaging,<br />

labeling, and distribution. Government<br />

must have supportive laws, regulations<br />

and standards, put in place an inspection<br />

and surveillance system, and follow<br />

through with enforcement. The<br />

community needs to be informed <strong>of</strong> the<br />

nature and extent <strong>of</strong> the problem in order<br />

to be able to accept and demand products<br />

<strong>of</strong> fortification.<br />

The partnership also requires us to<br />

understand differences in language. The<br />

language <strong>of</strong> industry <strong>of</strong>ten revolves<br />

around the consumer and the market.<br />

Government <strong>of</strong>ten talks <strong>of</strong> taxpayers and<br />

voters and the will and welfare <strong>of</strong> the<br />

people, while the language <strong>of</strong> service<br />

agencies is full <strong>of</strong> terms <strong>of</strong> children and<br />

families at risk and population in need.<br />

But micronutrient malnutrition affects<br />

the same people, not just those in remote<br />

villages but also those in urban centers<br />

like Manila where 20% <strong>of</strong> newborns were<br />

reported sufferingfrom iodinedeficiency.<br />

We need to understand one another.<br />

A major barrier to .our effort ·is that<br />

the concept <strong>of</strong> micronutrient deficiency<br />

is relatively new and the people are just<br />

getting aware <strong>of</strong> it. Except for the health<br />

and scme other cabinet ministries, some<br />

developmentagencies and a few industries<br />

which champion the cause <strong>of</strong> nutrition,<br />

very few know about the nature and<br />

magnitude <strong>of</strong> the problem or are<br />

committedto its elimination. To overcome<br />

this difficulty on a global scale, a project<br />

is now underway to conduct a survey<br />

covering more than 15 countries, which<br />

will be the potential key actors in the<br />

campaign, to bringoutissues, or obstacles,<br />

andpossiblesolutions andways<strong>of</strong>rnoving

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