Weekly iron and folic acid supplementation (wifs

This PowerPoint is weekly iron folic acid supplementation its origin and how it is implemented in India

1. Weekly Iron and Folic Acid Supplementation (WIFS) Dr Nishant Kumar Assistant Professor Department of Community Medicine Madhubani Medical College , Madhubani , Bihar

2. Introduction What is Anaemia ? It is a condition in which the number of red blood cells (RBCs) is reduced and consequently their oxygen-carrying capacity , is insufficient to meet the body’s physiological needs. Anemia results from one of the following process Defective red blood cell production Increased red blood cell destruction or blood loss Iron is important micro mineral necessary for the synthesis of hemoglobin. Iron deficiency anemia is an most common cause of anemia globally.

3. Adverse effect of Anaemia

4. Classification of Anaemia Age Group No Anaemia Mild Moderate Severe Children 6-59 months of age > 11 10 - 10.9 7 -9.9 < 7 Children 5- 11 year of age > 11.5 11 – 11.4 8 – 10.9 < 8 Childre n 12- 14 year of age > 12 11- 11.9 8 – 10.9 < 8 Non – pregnant women (15 year of age and above) > 12 11 – 11.9 8 – 10.9 < 8 Pregnant women > 11 10-10.9 7 -9.9 < 7 Men > 13 11- 12.9 8-10.9 < 8

5. Etiology Iron Deficiency Vitamin B12 and Folic Acid Deficiencies Helminthic Infestation Malaria Sickle Cell Disease and Thalassemia Chronic Infection

6. Problem Statement- Global Overview WHO Global data base on Anaemia for 1993- 2005 , covering half of world population shows the estimated prevalence of anemia worldwide at 25 per cent. Nearly 1.62 billion people globally with about 293 million children of pre school age and 56 million pregnant women and 468 million non – pregnant women are anemic. Anaemia is estimate to contribute to 115,000 maternal dead and 591,000 perinatal death globally per year.

7. Problem Statement – Indian Scenario In India 58% of pregnant women are anemic and it is estimated it is the underlying cause for 20- 40 percent of maternal death in India. Prevalence of anemia among different age group Age Group Prevalence of anemia(5) Children (6-35) month 79 Children ( 6- 59) months 69.5 All women (15-49) 55.3 Adolescent Girls 69.7 Pregnant women 58.7 Lactating women 63.2

8. Programme for Anemia Prevention National Iron + Initiative It follows the Life cycle approach for Iron Deficiency Anaemia It includes 6 month – 5 years 6- 10 years Adolescents WRA( Women of reproductive age) PW ( pregnant women) Weekly Iron Folic Acid Supplementation Weekly Iron and folic acid supplementation for adolescents boys and girls

9. Prevalence of Anaemia among adolescent girls (12-19 years) and young women (20-29) in India

10. Indian future

11. WIFS - Introduction Started in the Year 2000 as UNICEF initiated a pilot to control Adolescent Anaemia Target – Government school going and out of school adolescent girls in 20 districts in 5 states Platform : Government school Anganwadi centers ( village level child development center). Channels : Nodal Teachers , Anganwadi workers and peer educators Intervention : Weekly IFA + Biannual Deworming + Nutrition Health Education

12. WIFS Progress

13. WIFS - Objectives To reduce the prevalence and severity of nutritional Anaemia in adolescent population (10-19) years Target groups School going Girls and Boys ( 6 th to 12 th class) Adolescent girls who are not in school.

14. WIFS - Intervention Weekly Blue IFA ( 100m g of elemental iron plus 500microgram folic acid) round the year) Deworming ( Albendazole 400mg) every six months Screening and Referral Services Nutrition and Health Education counselling

15. Thank you