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What is the best product for pregnant or lactating women in Africa/Asia that consume an 'average' diet in food-insecure areas?

This question was posted the Prevention and treatment of moderate acute malnutrition forum area and has 1 replies. You can also reply via email – be sure to leave the subject unchanged.

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Mija Ververs

Normal user

28 Mar 2011, 11:10

Many pregnant and lactating women (PLW) are included in some kind of nutritional programme from NGOs (sometimes SFPs). The following questions refer to PLW that may or may not be moderately acute malnourished and live in (semi-) food insecure areas in Africa or Asia.
A: Pregnant Women
A1. what food or nutriset product would you think is best for them (assuming that they receive iron and folate supplementation)?
A2. what food or nutriset product would you think is best for them (assuming that they receive multi-micronutrient supplementation (which includes iron/folate))?

B: Lactating Women
B1. what food or nutriset product would you think is best for them (assuming that they do not receive any micro-nutrient supplementation)?
B2. what food or nutriset product would you think is best for them (assuming that they receive multi-micronutrient supplementation (which includes iron/folate))?

Note: Please take, if possible, into account their recommended daily intakes (as formulated by IOM, FAO/WHO).

C: Both PLW
C1. did you ever calculate or estimate their diets in terms of macro- and micro nutrients (based on 'average' consumption of food in (semi-) food insecure African or Asian countries)? Could you share that information?

Thanks so much for your expertise. These are really difficult questions and I am sure amongst you there are some nutritionists that have well studied the diets of PLW and have in the past come up with some good (rational) advice. Mija

Mark Manary

Washington University School of Medicine

Technical expert

14 Jun 2011, 16:22

This question has no set of expert recommendations to draw upon. I believe that if we do our best to provide the required amounts of nutrients, we are doing our best.

My opinion as to what supplementary food is best for pregnant women in a food insecure situation, but not underweight (by MUAC or BMI),
1. if there are population data that micronutrient consumption is inadequate then a complete micronutrient supplement is given (multivitamins and minerals). Double dosing with iron should be avoided, particularly in malarious regions.

I may be able to offer some literature regarding dietary intake of PLW in a few days and I can forward them to you. Mija, send me your e-mail address.

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