Journal article
Shooting shadows: India’s struggle to reduce the burden of anaemia
British Journal of Nutrition, First View
2022
Abstract
Despite several efforts by the Government of India, the national burden of anaemia remains high and its growing prevalence (between 2015–2016 and 2019–2021) is concerning to India’s public health system. This article reviews existing food-based and clinical strategies to mitigate the anaemia burden and why they are premature and insufficient. In a context where multiple anaemia control programmes are in play, this article proposes a threefold strategy for consideration. First, except the Comprehensive National Nutrition Survey, 2016–2018, which measured Hb concentration among children and adolescents aged 1–19 years using venous blood samples, all national surveys use capillary blood samples to determine Hb levels, which could be erroneous. The Indian government should prioritise conducting a nationwide survey for estimating the burden of anaemia and its clinical determinants for all age groups using venous blood samples. Second, without deciding the appropriate dose of Fe needed for an individual, food fortification programmes that are often compounded with layering of other micronutrients could be harmful and further research on this issue is needed. Same is true for the pharmacological intervention of Fe tablet or syrup supplementation programmes, which is given to individuals without assessing its need. In addition, there is a dire need for robust research to understand both the long-term benefit and side effects of Fe supplementation programmes. Third and final, the WHO is in process of reviewing the Hb threshold for defining anaemia, therefore the introduction of new anaemia control programmes should be restrained.
Details
- Title
- Shooting shadows: India’s struggle to reduce the burden of anaemia
- Authors/Creators
- R.K. Rai (Author/Creator)S.S. Kumar (Author/Creator)S. Sen Gupta (Author/Creator)D.J. Parasannanavar (Author/Creator)T.S.N. Anish (Author/Creator)A. Barik (Author/Creator)R.K. Varshney (Author/Creator)H. Rajkumar (Author/Creator)
- Publication Details
- British Journal of Nutrition, First View
- Publisher
- Cambridge University Press on behalf of The Nutrition Society
- Identifiers
- 991005541558607891
- Copyright
- © 2022 The Authors.
- Murdoch Affiliation
- Centre for Crop and Food Innovation; State Agricultural Biotechnology Centre
- Language
- English
- Resource Type
- Journal article
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- Citation topics
- 1 Clinical & Life Sciences
- 1.184 Physiology & Metals
- 1.184.573 Iron Metabolism
- Web Of Science research areas
- Nutrition & Dietetics
- ESI research areas
- Agricultural Sciences