THE EFFECT OF FORTIFICATION. MALNUTRITION STATUS IN INDIA

1. FOOD FORTIFICATION IN INDIA
Presented by
SUBBURAJ.M
Deputy Director
Food Safety and Standards Authority of India

2. INDIA HEALTH CHALLEGES
• UNDER-NUTRITION-Global hunger
Index, 2019 : India is #102 out of 119
countries
• MICRONUTRIENT
MALNUTRITION- Over 70% of the
Indian population still consumes less
than 50% of the RDA for
micronutrients.
• OVER- NUTRITION & OBESITY-
30 million Indians are obese, India have
15% of obese people in the world.

3. PUBLIC HEALTH CONCERN
Iron Deficiency Anaemia
Vitamin A Deficiency
Iodine Deficiency
Disorder
Vitamin D Deficiency
58.4%
Of children(6-59
months)
are anaemic
53.1%
Women in the
reproductive
age group are
anaemic
35.7% children
under 5years are
underweight
22.7% Men
are anaemic
According to National Family Health
Survey(NFHS)-4

4. WHY FOCUS ON MALNUTRITION?
Hunger and Malnutrition stunt
growth- intellectually and
physically , leading to
• Premature death
• Disability, life long susceptibility to
illness
• Poor cognitive and learning skills
• Low achievement in school
• Low productivity and low wages
and hence, poverty
Malnutrition starts early….Right
from the Womb
Malnutrition Affects
•Health and Survival
•Educability
•Economic Productivity
•Disability
Stagnating child and
maternal malnutrition
rates, including
micronutrient malnutrition
are at very high levels and
their impact is devastating

5. Micronutrient Malnutrition- 3 options to Control
Supplementation
Dietary Diversification
Fortification
Of these options, fortification is most efficient on account of comparatively lower
cost to implement & ability to yield significant result in short period of time

6. FOOD FORTIFICATION: BENEFITS OUTWEIGHT COST
Food fortification : Addition of one or more essential nutrients to food
for the purpose of preventing or correcting a demonstrated deficiency of
one or more nutrients at the population level/specific groups.
Copenhagen Consensus
US $347 million
investment in vitamins
and minerals
US $5 billion in
savings from avoided
deaths, improved
earning and reduced
healthcare spending
Probably no other technology available today offer as large an opportunity to
improve lives & accelerate development at such low cost in such a short time.
Source: Enriching Lives, The World Bank

7. SOLUTION- FOOD FORTIFICATION
wheat flour & rice
•Iron (fights anaemia)
•Vitamin B12(normal
blood formation and
nervous system)
•Folic acid(foetal
development and blood
formation)
Milk & oil
•Vitamin A(prevent
night blindness)
•Vitamin D(for strong
bones)
Double Fortified Salt
Iron (fights anaemia)
Iodine (normal growth,
thyroid and brain
function)

8. FOODS AND CHANNELS USED FOR FORTIFICATION
Integrated Fortification Projects
Fortification of Foods
Provided Under Public
Funded Programs
Mass Fortification of Foods
Through Commercial
Channels
ICDS
Midday
Meal
programme
PDS
Children 3-6 yrs:
Fortified Wheat
flour/fortified
rice/fortified
soyadal analogue,
iodized salt and
fortified oil
Fortified wheat
flour/fortified rice/
fortified soyadal
analogue, iodized salt
and fortified oil
Fortified wheat flour
in place of conjunction
with grains, iodized
salt & fortified oil
Fortified through open
market
•Wheat flour
•Rice
•Milk
•Oil
•Salt

9. ADVANTAGES OF FORTIFICATION
• Simple
• Scalable
• Cost effective
• Sustainable
• Does not alter the characteristics of food
• Does not required any changes in food habits and eating patterns
• Technology and know-how exist in the country
• Enabling policy framework for food fortification exists
• Standards and regulations prevail in the country.
• Proven efficacy and effectiveness.

10. CURRENT STATUS
OF FOOD
FORTIFICATION IN
INDIA

11. 11
FOOD FORTIFICATION REGULATIONS

12. 12
Sr. No State Milk Oil DFS Rice Wheat Flour
1 Andhra Pradesh (All) (All) (2) + (1 P)
2 Assam
3 Bihar (6)
4 Chhattisgarh (All)
5 Goa
6 Gujarat (All- P) (All) (2) (3)
7 Haryana (All) (All- P) (6) + (1 P)
8 Himachal Pradesh (All) (All)
9 Karnataka (4- P)
10 Kerala (4- P)
11 Madhya Pradesh (All)
12 Maharashtra
13 Odisha
14 Rajasthan (All) As per avaliability (2)
15 Tamil Nadu (All) (All) (5- P)
16 Telangana (2) (2) (1)
17 Tripura (All- P)
18 Uttar Pradesh (1) (1) (1 - P) (1 - P)
19 West Bengal
Sr. No Union Territory Milk Oil DFS Rice Wheat Flour
1
Andaman &
Nicobar Island
2 Chandigarh (All) (All)
3
Dadra & Nagar
Haveli (All) (All- P)
4 Daman & Diu
5 Delhi
ICDS Status
ICDS Status
Data from June 2019 to November 2019

13. 13
Sr. No State Milk Oil DFS Rice Wheat Flour
1 Andhra Pradesh (4) (4) (2) + (1 P)
2 Assam (1)
3 Bihar (2)
4 Chhattisgarh (1) (1)
5 Goa (All) (All)
6 Gujarat (5) (2) (4)
7 Haryana (All) (All) (6)
8 Himachal Pradesh (All)
9 Karnataka (All) (6) (4-P)
10 Kerala (All- P) (4-P)
11 Madhya Pradesh (All) (All)
12 Maharashtra (2) (2) (2)
13 Odisha (4) (4) (2) + (14 P)
14 Rajasthan (9) (4)
15 Tamil Nadu (All) (All) (5-P)
16 Telangana (4) (4) (1)
17 Tripura (1) (1) (All- P)
18 Uttar Pradesh (1) (1) (2) (2)
19 West Bengal (All) (All)
Sr. No Union Territory Milk Oil DFS Rice Wheat Flour
1
Andaman & Nicobar
Island
2 Chandigarh (All) (All)
3 Dadra & Nagar Haveli (All- P)
4 Daman & Diu (All- P)
5 Delhi (All) (All)
MDM Status
MDM Status
Data from June 2019 to November 2019

14. 14
Sr. No State Milk Oil DFS Rice Wheat Flour
1 Andhra Pradesh (All) (2)
2 Assam
3 Bihar
4 Chhattisgarh
5 Goa
6 Gujarat (All) ( 1- P) (All- P)
7 Haryana (All) (5) + (4 P)
8 Himachal Pradesh (All) (All- P)
9 Karnataka ( 1- P)
10 Kerala (All)
11 Madhya Pradesh (20)
12 Maharashtra (1)
13 Odisha ( 1- P)
14 Rajasthan
15 Tamil Nadu (All) (All)
16 Telangana
17 Tripura
18 Uttar Pradesh (10) ( 1- P)
19 West Bengal (All)
Sr. No Union Territory Milk Oil DFS Rice Wheat Flour
1
Andaman & Nicobar
Island (All)
2 Chandigarh
3 Dadra & Nagar Haveli (All) (All- P)
4 Daman & Diu (All- P)
5 Delhi
PDS Status
PDS Status
Data from June 2019 to November 2019

15. 15
CURRENT STATUS OF FORTIFICATION
– OPEN MARKET
114 top and MSMEs
companies with ~ 161
fortified products across
commodities.
Edible Oil
• Total fortifiable oil fortified till now – 47% (2.76 MMT)*
• 29 top players in the market companies - 80 fortified
brands
Milk
• Total fortifiable milk (cooperatives & private) fortified till now
– 36.6 % (out of 410 LLPD) *
• 60 companies (25 Private and 30 Cooperatives) - 55 fortified
brands
Double Fortified Salt
• 8 verified companies – 8 DFS brands
• Current production: 1,12,907.43 MT as on July 2019 and
Current capacity: Over 8,00,000 MT p.a
Wheat Flour
• 12 Top companies – 12 Fortified Wheat Flour Brands (1
in pipeline)
• Tonnage fortified 2.25 MT
Rice
• 1 Company – 2 Fortified Brands
• Tonnage of rice fortified till date -
IMARC landscape study done by TATA Trusts and GAIN

16. 16
COMPLAINCE +F Logo Registrations
+F registration linked to FLRS
• FBOs to endorse their products and obtain
+F logo
• FAQs on packaging and labelling support
available on FFRC
• Advisory issued, uploaded on website and
shared with DPs
• Revised advisory under process – for
opening various categories
Registrations
• System went live on 12th July 2018
• TOTAL BRANDS REGISTERED TILL
Nov’19 - 807
• Wheat Flour - 273
• Maida- 51
• Rice - 56
• Oil - 273
• Milk - 235
• DFS- 101

17. 17
SOP PREMIX SUPPLIERS
15
suppliers
19
pipeline
TOTAL -
34
Streamlining the
listing of premix
suppliers on
FFRC website.
RFP floated,
dated 1st
November 2019.
Three audit
agencies were
selected for
three zones and
the award letter
was shared with
them, dated
29th November
2019.
The audit is
Audit of Premix

18. 18
CAPACITY BUILDING
Laboratory Training :
Training Program on Method
of Analysis of Fortificants.
Several trainings were
organised and Laboratory
personnel were trained for
testing the fortified products.
Method of Analysis Laboratory
Manual for fortificant was
prepared.
Sensitization workshop on
food fortification of 55 Store
Incharges of Kendriya
Bhandar was held at their
head office in New Delhi
today.

19. SOCIAL MEDIA & ENDORSEMENT
19
Social Media Statistics – June’19 – November’19
update more than 100 creatives shared
• 4.66 lakh organic
impressions
• 4,349 tweet engagements
• 2,294 followers
• 2.34 lakh organic
impressions
• 15,754 post engagements
• 1,648 page followers
• 1,764 followers
Instagram
Page set up on
22nd October
2019
Current
number of
followers: 392
You tube

20. FORTIFICATION (+F) BRANDING
20

21. Lets Eat Right…….Lets Eat Fortified
Thank you!!