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LETTER TO EDITOR  
Year : 2019  |  Volume : 44  |  Issue : 2  |  Page : 177-178
 

Impact of health education intervention on consumption of iodized salt in the community in North India


Department of Community Medicine, JN Medical College, AMU, Aligarh, Uttar Pradesh, India

Date of Submission28-Aug-2018
Date of Acceptance05-Mar-2019
Date of Web Publication27-Jun-2019

Correspondence Address:
Prof. Mohammad Athar Ansari
Department of Community Medicine, JN Medical College, AMU, Aligarh - 202 002, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcm.IJCM_269_18

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How to cite this article:
Ansari MA, Khan Z. Impact of health education intervention on consumption of iodized salt in the community in North India. Indian J Community Med 2019;44:177-8

How to cite this URL:
Ansari MA, Khan Z. Impact of health education intervention on consumption of iodized salt in the community in North India. Indian J Community Med [serial online] 2019 [cited 2019 Jul 15];44:177-8. Available from: http://www.ijcm.org.in/text.asp?2019/44/2/177/261517




Sir,

Iodine deficiency is one of the most neglected and widespread of all nutritional deficiencies, constituting a real brake on human development. According to the World Health Organization, iodine deficiency occurs in 130 countries around the world, and 2.2 billion people (38% of the world's population) live in iodine-deficient areas.[1] In India, iodine deficiency disorder (IDD) has been identified as a public health problem. It has been observed that the world's most intense goiter belt is in India stretching 2400 km from Kashmir in the North West to the Naga Hills in the East. Surveys conducted in India have revealed that out of the 325 districts surveyed in India, 263 districts are IDD endemic, i.e., the prevalence of IDD is above 10% in the population, and more than 200 million are at risk of IDD.[2]

A study was conducted among Health and Integrated Child Development Services Project workers in five blocks of Lakhimpur, Uttar Pradesh, to assess the impact of health education sessions on awareness regarding iodized salt and its consumption in the community. During sessions, comprehensive knowledge about the role of iodine in human nutrition, including its benefits, spectrum of IDDs, and their prevention and content of iodine in salt at consumer level, was given. It was emphasized that they should impart this knowledge to the community and their families. In 2009, 2010, and 2011, health education sessions were carried out regularly to sensitize lady health visitors, auxiliary nurse midwives, supervisors or Mukhya Sevikas, Anganwadi workers, accredited social health activists, and general population to take iodized salt of good quality (>15 ppm) without mentioning the names of the brands. Iodized salt was collected and iodine content of salt was tested in the community by spot testing kit.

It was found that in the year 2009, most of the families were consuming salt in packets (49.8%). About 33.3% of the participants took crystalline (Pebble) salt. Only 16.9% of the participants had refined salt in their diet. After intervention carried out in 2009, 2010, and 2011, consumption of refined salt rose to 26.2% in 2010 and 30.2% in 2011. Consumption of salt available in packets was also increased to 52.3% in 2011. There was a marked reduction in the intake of Pebble salt in 2011 (17.4%) [Figure 1].
Figure 1: Change in the consumption of type of salt from 2009 to 2011

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[Figure 2] shows the pattern of improvement in the quality of salt consumed. In 2009, salt with nil iodine was consumed by 29.7% of the population, and 70.3% salt samples were iodized. After intervention carried out in the year 2009, 2010, and 2011, consumption of iodized salt increased to 79.7% and noniodized salt decreased to 20.3%.
Figure 2: Change in the consumption of quality of salt (iodine content %) from 2009 to 2011

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As an outcome of the sustained intervention package, there was a significant increase in consumption of salt with >15-ppm iodine content and preference for powdered salt as compared to crystalline (Pebble) salt after intervention. It may thus be concluded that sustained information, education, and communication activities should be carried out more vigorously so that people are made aware about the benefits of consumption of iodized salt and the IDDs are effectively addressed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
de Benoist B, McLean E, Andersson M, Rogers L. Iodine deficiency in 2007: Global progress since 2003. Food Nutr Bull 2008;29:195-202.  Back to cited text no. 1
    
2.
National Iodine Deficiency Disorders Control Programme. Revised Policy Guidelines, New Delhi: Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India; 2006. Available from: http://www.childhealthindiainfo.com/index.php?q=content/government-policy-revised-policy-guidelines-national- iodine-deficiency-disorders-control-pro. [Last accessed on 2018 Jul 14].  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2]



 

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