Professional Documents
Culture Documents
Demand side: Interplay between product, how it is provided, and how it is used
Continue to use
Sociocultural Context
Demand
IFA
Correct
use
Product: Acceptability, packaging Service: Practical counseling from provider on what to expect Personal/Cultural: Motivation
3
- Ensure on essential drugs list, correct formulations, budget allocated - Clear coordination + roles for procurement - Accurate forecasting at local level - Inventory control to monitor expiration dates of supplies
4
Harmonization is needed to achieve integration of IFA and IPTp 5 mg dose of folic acid should be removed
Combined IFA supplement with 0.4 mg of folic acid is recommended and should be given with IPTp for malaria in pregnancy
Anemia Prevention and Control (APC) Components for integration at various levels
KENYA Strategic integration Government leadership Multiple strategies
Integrate: Key plans, policies, guidelines Stakeholder commitment: Capacity building, BCC
What have we learned about measuring success for anemia prevention and control?
Ensure supply
M&E
Evaluation
Coverage
Compliance
Communitybased distribution Training Situation analysis Awareness activities Ensuring supplies Recording, reporting
Address gaps
Establish supervisionclinic & community level
We can build on the experience of APC: Iron folic-acid (IFA) & calcium share common elements
Cost Differs: IFA -$0.48 for 90 pills, ferrous fumarate Calcium carbonate - $13.44 per pregnancy
- Cost for scale-up - Different platform than IFA - More reported GI symptoms w/ sprinkles
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Thank you!