Guidance around post emergency micronutrient supplementation

Does anyone have any guidance info' or links to documents outlining how population groups should be treated for micronutrient deficiencies with non-clinical manifestations, in lieu of a recent emergency?The context in question are Syrian refugees in Turkey who have recently left their country of origin and are seeking care through dedicated primary health care services in neighbouring Turkey. It is likely that a number of vulnerable groups, including children, PLWs, elderly and/or people with chronic illnesses will have different forms of micronutrient malnutrition to varying degrees, given that many food baskets being provided in Syria are not micronutrient replete, despite providing adequate kcals, frequently lacking adequate calcium, iron, various B Vits, Vit C, D, E & K (based on an average requirement of a adult), not taking into consideration the additional needs of specific high risk groups. As such, I'm trying to find out if there are any guidelines re. how to treat high risk groups curatively, but in the absence of testing or clinical signs. Many thanks,

Thank you both Alison and Andrew for your responses. Alison, I had already looked through the ‘Preventing and controlling micronutrient deficiencies in populations affected by an em’ joint statement, but I’m not sure it would be appropriate to use in our context. My concern with the use of this guide is that it refers to the management of micronutrient deficiencies during emergency contexts, but the population group we may be working with are new refugees in Turkey, living within the host population, accessing food independently and thus their situation wouldn’t be classified as an em’ with a finite timeline. Secondly, it’s only applicable to PLWs and children 6-59, whereas with recent refugees, it’s likely all household members will have been subjected to protracted nutrient deficiencies, during their time in Syria. As such, I am trying to identify whether it would be suitable to provide (through dedicated health services for refugee populations) something like a multiple micronutrient supplement (MMS) i.e. in the form of a powder to be added to family foods, or take home nutrient supplements for adults and children >6m, for a limited period of time (say 2mths), in attempts to build back up nutrient reserves (in the absence of food aid or access to fortified food rations). For the type 1 functional nutrients such as iron, calcium and various vitamins, whereby there are body stores, it is likely that these are depleted and need replenishing. For the type 2 growth nutrients where there are no significant bodily stores, these will obviously need to continue to be provided (in conjunction with type 1 nutrients) through their new diets after the cessation of any supplements.
Andrew, I’m not sure the cost of the diet tool would be appropriate here (although please do correct me if I’m wrong). As the paper you kindly referenced outlines, ‘..it is not a tool to plan a diet nor does it analyse the nutrient content of the foods in a given diet’. As we are not playing a role in food aid provisions in this context, rather looking to provide primary health care with integrated nutrition support, I am basing my assumption on the thinking that recently displaced refugees have been living with nutritionally incomplete diets for some time (in Syria) and thus will likely arrive in Turkey with a number of underlying deficiencies. I would like to try to ensure this is recognised and the issue is treated. Clinical manifestations of type 1 nutrients will not always be evident, less so with type 2 nutrients.

Has anyone had experience of treating population groups with assumed micronutrient deficiencies based on indirect assessment of dietary intake?