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Suggested Citation:"APPENDIX: WORKSHOP AGENDA." Institute of Medicine. 1998. Prevention of Micronutrient Deficiencies: Tools for Policymakers and Public Health Workers. Washington, DC: The National Academies Press. doi: 10.17226/5962.
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Appendix: Workshop Agenda

INSTITUTE OF MEDICINE

National Academy of Sciences

Board on International Health

Food and Nutrition Board

Workshop on Micronutrient Deficiencies

5–7 December 1996

National Academy of Sciences

Cecil and Ida Green Building

2001 Wisconsin Avenue, N.W.

Washington, D.C. 20007

Agenda

Thursday, 5 December

Executive Session

8:30 a.m.–8:40 a.m.

Welcome and Introductions

Dr. Abraham Horwitz

8:40 a.m.–9:00 a.m.

Discussion of Potential Sources of Bias

Dr. Christopher Howson, Project Director

9:00 a.m.–9:15 a.m.

Background, Plans, and Goals of the Conference

Dr. Horwitz, Dr. Howson, and Committee Members

9:15 a.m.–9:35 a.m.

Break

Suggested Citation:"APPENDIX: WORKSHOP AGENDA." Institute of Medicine. 1998. Prevention of Micronutrient Deficiencies: Tools for Policymakers and Public Health Workers. Washington, DC: The National Academies Press. doi: 10.17226/5962.
×

Plenary Session

9:35 a.m.–9:45 a.m.

Welcome

Dr. Horwitz and Dr. Frances Davidson, USAID

Session I Orientation To The Topic: Presentation Of Prepared Papers

Moderator: Dr. Horwitz

9:45 a.m.–10:00 a.m.

Strategies for Prevention of Iron Deficiency:

Experiences to Date and Lessons Learned

Dr. Fernando Viteri—presenter

Dr. Nevin Scrimshaw—rapporteur

10:00 a.m.–10:30 a.m.

Discussion

10:30 a.m.–10:45 a.m.

Strategies for Prevention of Vitamin A Deficiency:

Experiences to Date and Lessons Learned

Dr. Barbara Underwood—presenter

Dr. Keith West—rapporteur

10:45 a.m.–11:15 a.m.

Discussion

11:15 a.m.–11.30 a.m.

Break

11:30 a.m.–11:45 a.m.

Strategies for Prevention of Iodine Deficiency:

Experiences to Date and Lessons Learned; Dr. John

Stanbury—presenter; Dr. John Dunn—rapporteur

11:45 a.m.–12:15 p.m.

Discussion

12:15 p.m.–12:30 p.m.

Key Elements in the Design and Implementation of

Micronutrient Interventions; Mr. Jim Greene—

presenter; Dr. Eileen Kennedy—rapporteur

12:30 p.m.–1:00 p.m.

Discussion

1:00 p.m.–2:00 p.m.

Lunch (NAS Refectory)

Suggested Citation:"APPENDIX: WORKSHOP AGENDA." Institute of Medicine. 1998. Prevention of Micronutrient Deficiencies: Tools for Policymakers and Public Health Workers. Washington, DC: The National Academies Press. doi: 10.17226/5962.
×

Session II Working Groups

2:00 p.m.–6:00 p.m.

Break-Out Groups

Working Group 1: Food-Based Approaches,

Including Fortification; Supplementation

Dr. Reynaldo Martorell—Chair

Dr. Scrimshaw—Rapporteur

 

Working Group 2: Key Elements in the Design and

Implementation of Micronutrient Interventions,

Including the Importance of Research, Training, and

Institution Building, and the Need for Sustainability in

the Longer Term Dr. Eileen Kennedy—Chair Mr. Greene—Rapporteur

6:30 p.m.

ADJOURN FOR DAY

Friday, 6 December

Session II Working Groups (con't)

8:30 a.m.–11:00 a.m.

Break-Out Groups

Session III Plenary Discussion

11:00 a.m.–12:30 p.m.

Preliminary Working Group Reports and Discussion

Moderator: Dr. Osman Galal

 

Rapporteur Reports (10 minutes each)

Plenary Discussion (80 minutes)

12.30 p.m.–1:30 p.m.

LUNCH (NAS Refectory)

Session IV Working Groups (continued)

1:30 p.m.–6:00 p.m.

Break-Out Groups

6:00 p.m.

ADJOURN FOR DAY

Suggested Citation:"APPENDIX: WORKSHOP AGENDA." Institute of Medicine. 1998. Prevention of Micronutrient Deficiencies: Tools for Policymakers and Public Health Workers. Washington, DC: The National Academies Press. doi: 10.17226/5962.
×

Saturday, 7 December

Session V Plenary Discussion

9:00 a.m.–12:00 p.m.

Final Working Group Reports and Discussion

Moderator: Dr. Horwitz

 

Rapporteur Reports (15 minutes each)

Plenary Discussion (2 hrs, 30 min.)

12.00 p.m.

CONFERENCE ADJOURNS—LUNCH PROVIDED

Executive Session—IOM Committee

1:00 p.m.–5:00 p.m.

Discussion of Workshop Findings; Finalization of

Conclusions and Recommendations on Future Policy,

Program, and Research; Determination of Report

Content and Structure; Report Drafting

Dr. Horwitz and committee

5:00 p.m.

COMMITTEE MEETING ADJOURNS

Attachment A

Topics to Be Considered by the Working Groups

Working Group 1: Food-Based Approaches, Including Fortification; Supplementation

  • What are the past approaches to the prevention of iron, Vitamin A, and iodine malnutrition that have successfully reduced deficiency/disease? Of the more recent efforts, which have been successfully "implemented?" For these programs, what have been the key elements of success? What constraints were encountered?
  • For past approaches to the prevention of micronutrient malnutrition that have faltered, either in outcome or in implementation, what have been the key elements of constraint?
  • What are the unresolved technical issues for iron? For vitamin A? For iodine?
Suggested Citation:"APPENDIX: WORKSHOP AGENDA." Institute of Medicine. 1998. Prevention of Micronutrient Deficiencies: Tools for Policymakers and Public Health Workers. Washington, DC: The National Academies Press. doi: 10.17226/5962.
×
  • For a specific micronutrient deficiency, are some interventions more cost-effective than others? How does this vary for iron, vitamin A, and iodine, and why?
  • Are there technological/scientific advances with promising applications for programs?
  • Much of the literature suggests that food-based approaches to prevention of micronutrient deficiencies offer the best long-term solution. Where are examples where food-based approaches have been effective? Why haven't they been used more?
  • What are the critical research needs that need to be filled to more effectively operationalize micronutrient interventions?
  • What has been the experience with agricultural, fiscal, and other policies in regards to micronutrient problems, and what might be promising initiatives toward this end?
  • What can be done to foster alliances among government, industry, and other parties to address micronutrient problems?
  • What are the possibilities for synergy among approaches to micronutrient malnutrition?
  • What can be done to promote political action to reduce micronutrient deficiencies (i.e., conduct effective advocacy to strengthen "political will")?
  • What are the specific recommendations for future programmatic action?

Working Group 2: Key Elements in the Design and Implementation of Micronutrient Interventions, Including the Importance of Research, Training, and Institution Building, and the Need for Sustainability in the Longer Term

  • What have been the key managerial, community, and household/individual-level elements that have contributed to past program success or failure? Are any of these elements unique to micronutrient interventions?
  • What are the elements that are required to sustain a micronutrient intervention?
  • What combination strategies—across micronutrients or across approaches (e.g., dietary counseling combined with food fortification)—have proved successful (or have faltered) and what have been the elements of success (or constraint)?
  • Which combination approaches have been particularly cost-effective, and why?
  • What factors have influenced the degree of political support for micronutrient interventions?
  • What are the specific recommendations for future programmatic action?
Suggested Citation:"APPENDIX: WORKSHOP AGENDA." Institute of Medicine. 1998. Prevention of Micronutrient Deficiencies: Tools for Policymakers and Public Health Workers. Washington, DC: The National Academies Press. doi: 10.17226/5962.
×
Page 203
Suggested Citation:"APPENDIX: WORKSHOP AGENDA." Institute of Medicine. 1998. Prevention of Micronutrient Deficiencies: Tools for Policymakers and Public Health Workers. Washington, DC: The National Academies Press. doi: 10.17226/5962.
×
Page 204
Suggested Citation:"APPENDIX: WORKSHOP AGENDA." Institute of Medicine. 1998. Prevention of Micronutrient Deficiencies: Tools for Policymakers and Public Health Workers. Washington, DC: The National Academies Press. doi: 10.17226/5962.
×
Page 205
Suggested Citation:"APPENDIX: WORKSHOP AGENDA." Institute of Medicine. 1998. Prevention of Micronutrient Deficiencies: Tools for Policymakers and Public Health Workers. Washington, DC: The National Academies Press. doi: 10.17226/5962.
×
Page 206
Suggested Citation:"APPENDIX: WORKSHOP AGENDA." Institute of Medicine. 1998. Prevention of Micronutrient Deficiencies: Tools for Policymakers and Public Health Workers. Washington, DC: The National Academies Press. doi: 10.17226/5962.
×
Page 207
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Micronutrient malnutrition affects approximately 2 billion people worldwide. The adverse effects of micronutrient deficiencies are profound and include premature death, poor health, blindness, growth stunting, mental retardation, learning disabilities, and low work capacity. Preventing Micronutrient Deficiencies provides a conceptual framework based on past experience that will allow funders to tailor programs to existing regional/country capabilities and to incorporate within these programs the capacity to address multiple strategies (i.e., supplementation/fortification/food-based approaches/public health measures) and multiple micronutrient deficiencies.

The book does not offer recommendations on how to alleviate specific micronutrient deficiencies—such recommendations are already available through the publications of diverse organizations, including the U.S. Agency for International Development, the Micronutrient Initiative, World Bank, United Nations Childrens' Fund, and the World Health Organization. Instead, this volume examines key elements in the design and implementation of micronutrient interventions, including such issues as:

The importance of iron, vitamin A, and iodine to health. Populations at risk for micronutrient deficiency. Options for successful interventions and their cost. The feasibility of involving societal sectors in the planning and implementation of interventions. Characteristics of successful interventions.

The book also contains three in-depth background papers that address the prevention of deficiencies of iron, vitamin A, and iodine.

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