Science Forum 2013 (www.scienceforum13.org) Breakout Session 6: Science, Technology and Partnerships

1. STAPLE FOODS FORTIFICATION
EXPERIENCE IN TOGO
ALBERT K.M. TCHAMDJA
ALFORTS PRODUCTS
BY:
QUALITY SERVICE INTERNATIONAL(QSI)
&
TOGO ASSOCIATION FOR FIGHTING AGAINST
HUNGER AND MALNUTRITION(ATOLFAM)

2. STAPLE FOODS FORTIFICATION
EXPERIENCE IN TOGO
ALBERT K.M. TCHAMDJA
Association Togolaise de Lutte contre laAssociation Togolaise de Lutte contre laAssociation Togolaise de Lutte contre laAssociation Togolaise de Lutte contre la
Faim et la MalnutritionFaim et la MalnutritionFaim et la MalnutritionFaim et la Malnutrition

3. Let food be thy
medicine and
medicine be thy food
HIPPOCRATE (460
-370 BC),

4. WHAT DO YOU GROW AND EAT IN
TOGO WEST AFRICA/UNBALANCED
DIET
PRODUITSPRODUITSPRODUITSPRODUITS BURKINABURKINABURKINABURKINA----FASOFASOFASOFASO SENEGALSENEGALSENEGALSENEGAL NIGERNIGERNIGERNIGER TOGOTOGOTOGOTOGO COTE D’IVOIRECOTE D’IVOIRECOTE D’IVOIRECOTE D’IVOIRE
CEREALSCEREALSCEREALSCEREALS 65,1 63,4 62,9 48,4 31,3
ROOTS and TUBERSROOTS and TUBERSROOTS and TUBERSROOTS and TUBERS 0,3 1,9 1,7 24,9 32,6
BEANS and othersBEANS and othersBEANS and othersBEANS and others
vegetable protéinvegetable protéinvegetable protéinvegetable protéin
10,1 0,8 14,1 3,7 0,7
OILS and OILSEEDSOILS and OILSEEDSOILS and OILSEEDSOILS and OILSEEDS 11,9 17,0 8,8 14,2 13
FRUITS ANDFRUITS ANDFRUITS ANDFRUITS AND
VEGETABLESVEGETABLESVEGETABLESVEGETABLES
2,1 2,5 2,9 1,2 8,0
SUGARSUGARSUGARSUGAR 2,4 4,6 2,9 3,8
ALCOHOLIC DRINKSALCOHOLIC DRINKSALCOHOLIC DRINKSALCOHOLIC DRINKS 3,2 0,2 0,0 0,7 2,0
ANIMAL PRODUCTS,ANIMAL PRODUCTS,ANIMAL PRODUCTS,ANIMAL PRODUCTS,
ANIMAL PROTEINSANIMAL PROTEINSANIMAL PROTEINSANIMAL PROTEINS
4,1 8,2 9,5 3,5 4,6
OTHERSOTHERSOTHERSOTHERS 0,8 1,5 0,0 0,4 4,2
Tableau 1Tableau 1Tableau 1Tableau 1 :::: Caloric contribution of different food products (%)(%)(%)(%)
SourceSourceSourceSource : ReSAKSS Afrique de l’Ouest, 2011

5. MALNUTRITION AND MND IN
TOGO/WEST AFRICA : EVIDENCE
•IN TOGO (UNICEF, 2005)
•35% Children less 6 years are
affected by vitamin A deficiency
•15 % death of children less than 5
years is due to lack of vitamin A
(4000 children could die every year if
nothing is done)

6. MALNUTRITION AND MND IN
TOGO/WEST AFRICA : EVIDENCE
•IN TOGO (UNICEF, 2005)
•83% children from 6 to 36 months are
suffering from anemia ( IRON deficiency)
•40% of child bearing age women are
suffering from anemia ( IRON deficiency)
•30% of maternal death are due to
anaemia
•7.4% of population are affected by IODINE
MND

7. WICH MN NATIONAL NUTRITION
POLICY RECOMMEND : TOGO/WEST
AFRICA
• VITAMIN A
• IRON
• IODINE
• VITAMINB9(FOLIC ACID)
• ZINC

8. FOOD FORTIFICATION IN
TOGO/WEST AFRICA
NEW PRACTICE
Start 1998 : SALT
2000 : Draft of Policy
recommending staple
food fortification /
Flour, Sugar, ….
2009 : WHEAT FLOUR
AND OIL « HKI/GAIN
WEAMU »
LIMITATIONS
Wheat Flour and Oil are not
LINKED DIRECTLY TO LOCAL
MAIN AGRICULTURE PRODUCTS :
MAIZE(Togo 1st country in west
Africa consumption per capita, 12
th Worlwide), Rice, Yam, Cassava
Wheat flour and oil cant’be used
for feeding children 6-36 months
age where Malnutrition and MN D
are high
Very limited communication and
population ‘s awareness arround
the project on Wheat Flour and oil

9. TOGO/WEAMU FOOD
FORTIFICATION EXPERIENCE
FOOD FORTIFICATION
( TOGO);APPROVED BY NFFC AND
MINISTRY OF HEALTH
MANDATORY
Cooking Salt (Iodine)
OIL ( Vitamin A)
Wheat Flour (Iron, Zinc, Folic Acid)
Importateurs
NIOTO
GRAND MOULIN
VOLUNTARY
Staple:
Maize Flour,Sugar,
CSB
Peanut Paste, Rice
QSI/ATOLFAM
Home
fortification/Sprinkle

10. MAIZE(Corn)
Based Fortified
Products
MAIZE FLOUR FOR
DIABETES (AKUME/TO
/
UGALI)
MaIZE -F -Fonio
Fermented Cassava Flour
wheat+ Micronutriments
For Diabetes
MN: Chromium, Vit D,
magnesium, Biotin,….
Decrease and regulate
Blood Glucose Level
DIABETIC STRATEGIC
NUTRITION
Partnership With
FORTITECH

11. MAIZE(Corn)
Based Fortified
Products
FORTIFIED MAIZE
FLOUR With or without
cassava Flour
(AKUME/TO/
UGALI)
DEHULLED MAIZE FLOUR
+
Micronutriments A,
B9,B1,B2,B6, Niacinamide
Iron, Zinc
Partnership : DSM,
BASF(Sternvitamin;Bio
organics

12. RICHE en
Vitamines et
minéraux . A,
B9, B1, B2, B6,
Niacinamide
Fer, Zinc, Iode
RICHE en
Vitamines
et
minéraux .
A, B9, B1,
B2, B6,
Niacinamid
e
Fer, Zinc,
Iode
AFRICA DOUGH AKUME.UGALI with
Fortified MAIZE FLOUR

13. MAIZE(Corn)
Based Fortified
Products
FORTIFIED CORN-SOJA
BASED
TYPE CSB « +
MALT(AMYLASE)
ENERGETIC PORRIDGE
Micronutrients : A, B1, B2;
Niacine, B6, B9, B12, Iron;
Iodine; Zinc, Calcium
Children from 6 month age
Fight Against stunting
Partnership : DSM,
BASF(Sternvitamin;

14. MAIZE(Corn)
Based Fortified
Products
FORTIFIED CORN-SOJA
BASED
TYPE CSB Milk Powder
« + MALT(AMYLASE)
ENERGETIC PORRIDGE
Micronutrients : A, B1,
B2; Niacine, B6, B9, B12,
Iron; Iodine; Zinc,
Calcium
Children from 6 month
age Fight Against stunting
Partnership : DSM,
BASF(Sternvitamin;

15. OUR
FORTIFIED
FOODS
FORTIFIED
RICE
PARTENERSHIP WITH
DSM/WRIGHT
enrichment USA
OLD RICE PREMIX
FORMULA: B1; B9;
B12, ZINC, Sélenium
NEW RICE PREMIX
FORMULA: A, IRON,
IODINE , B1; B9; B12,
ZINC, Sélenium (under
development)

16. OUR
FORTIFIED
FOODS
FORTIFIED
SUGAR
PARTENERSHIP
WITH BASF:
VITAMIN A

17. OUR
FORTIFIED
FOODS
CASSAV BASE
PRODUCT
FORTIFIED GARI
GARI
FORTIFIED
TAPIOCA
FORTIFIED
CASSAVA FLOUR

18. OUR FORTIFIED PRODUCTS
KULVIT,
FORTIFIED FRIED
PEANUT PASTE
Vitamine A
IRION, IodINE
Partnership with
FORTITECH
BASF/Bio organic

19. TARGETED CONSUMERS
HOUSEHOLDS but focus on
Children less 5 years
PREGNANT WOMEN;
LACTATING WOMEN
CHILD BEARING AGE WOMEN
VULNERABLE PEOPLE : HIV.AID,
TB, REFUGEES,…..

20. DISTRIBUTIONS CHANNELS TO
REACH TARGETED CONSUMERS
Hospitals
Pharmacies/Drug Stores
Supermarkets
Child care centres : orphanages
HIV.AID/TB Care centres
School canteens
STREET PUBLIC RESTAURANTS
REFUGEES CAMPS

21. QUALITY CONTROL/ASSURANCE : Vitamin A
semi Quantitative Test -PARTNERSHIP WITH
BASF

22. TOGO PUBLIC-PRIVATE-CIVIC
PARTNERSHIP IN FF
GOVERMENT
AGRICULTURE
MINISTRY
HEALTH MINISTRY
PRIVATE SECTOR :
Famers, Processors,
Premix producers
DISTRIBUTORS
RESEARCH:
University
NGO, Consumers
association
BANKS/FINANCE????

23. PARTNERSHIP WITH STAPLE
FOODS FORTIFICATION
NATIONAL
TOGO MINISTRY OF HEALTH NUTRITION
DEPARTMENT: Presidence of NFFC : Advice
on Policies, Voluntary/Mandotiry FF
approval
ITRA : TOGO AGRONOMIC RESAERCH
INSTITUTE : Products Testing and Analysis
ANSAT: TOGO NATIONAL FOOD SECURITY
AGENCY/Ministry of Agriculture / supply of
Local Agriculture crops for processing and
fortification

24. PARTNERSHIP WITH STAPLE
FOODS FORTIFICATION
INTERNATIONAL
BASF : Multisector assistance
HKI :Hellen Keller International
FFI: Flour Fortification Initiative
GAIN
WHO
FAO

25. COMMUNICATION WITH CONSUMMER
SHOW TO RECOGNIZE FORTIFIED
FOODS ALFORTS
FF LOGO WEAMU/WEST AFRICA

26. RICHE en
Vitamines
et
minéraux
. A, B9,
B1, B2,
B6,
Niacinami
de
Fer, Zinc,
Iode
RICHE en
Vitamines
et
minéraux
. A, B9,
B1, B2,
B6,
Niacinami
de
Fer, Zinc,
Iode
COMMUNICATION
WITH CONSUMERS MARKETING
TRADE FAIR

27. IMPROVING HEALTH STATUS OF
POPULATION
Model for improving health status pf
population through community base
Rich food supply in the prevention of
Birth defects and disabilities
International conference on Birth
Defects and disabilities, ICBD,
Philippines nov 2013

29. LIMITATIONS/WEAKNESSES/
ISSUE
Health impact study
Nutrition education and awareness
Scaling up to reach poorest regions where MND are
higher : increase production capacity, logistic
Adress new specific Nutrition Issue : High Blood
Pressure/Diabetes/Hemmorhoid
Use of Fertilizers and MN metabolism in plant or
agricultural products
Communications channels with partners :
Clinical/hospital, Academic/Research, Food Producers
Parnership with Bank and Financing

30. Les PRODUITS ALFORTSLes PRODUITS ALFORTSLes PRODUITS ALFORTSLes PRODUITS ALFORTS
MERCI
THANK
YOU