1. Women & Child Health: Products & Strategies with a Difference
ASSOCHAM Summit on
Women & Child Health: Products & Strategies with a Difference
Presented by: Mr. Arun Kelkar
Managing Director
Hexagon Nutrition
Hotel The Royal Plaza, New Delhi
November 1, 2012

2. Meeting the daily nutritional requirements through fortification
Other than macronutrients, micronutrients like vitamin A, vitamin C, folic acid & trace minerals like zinc & iron are important for women and child care.
Hexagon has been actively participating in many nutritional programmes of Department of Women and Child Development (DWCD), Integrated Child Development Schemes (ICDS), Education Department etc. by providing fortificant premixes for food fortification, VitaShakti for fortification of hot meals served at Aaganwadis and many more.

3. Meeting the daily nutritional requirements through fortification
In India, these programs have been in place for many years with great success, however, in conformity with the topic of this Summit i.e.
“Women & Child Health: Product &Strategies with a Difference”
Presenting herewith case-study on a novel product ‘SPRINKLES’

4. Change a Life, Change the Future

5. 1,000 Days: Change a Life, Change the Future
The 1,000 days between a woman’s pregnancy and her child’s 2nd birthday offer a unique window of opportunity to shape healthier and more prosperous futures. The right nutrition during this 1,000 day window can have a profound impact on a child’s ability to grow, learn, and rise out of poverty. It can also shape a society’s long-term health, stability and prosperity.

6. 1,000 Days: Change a Life, Change the Future

7. 1,000 Days: Change a Life, Change the Future Partnering to Reduce Child Undernutrition
“ Leaders from governments, international organizations, civil society and the private sector joined to help launch a movement to improve child nutrition through programs targeted at the 1,000-day window of opportunity (beginning with a woman’s pregnancy and continuing until a child is two years old). Evidence shows that a child who is well nourished for this critical period will have a healthier and more prosperous future.”

8. Countdown to 2015 tracks coverage levels for health interventions proven to reduce maternal, newborn and child mortality.
It calls on governments and development partners to be accountable, identifies knowledge gaps, and proposes new actions to reach Millennium Development Goals 4 and 5, to reduce child mortality and improve maternal health.

9. Hexagon Nutrition Initiative:
“ Hexagon Nutrition was invited by the U.S. Government to specially design ‘SPRINKLES’ for pregnant women & successful trial were conducted in Honduras, Central America.”

10. SPRINKLES FOR PREGNANT & LACTATING WOMEN
Sprinkles is a combination of micronutrients in powder form for instant fortification of semi-solid/liquid foods to prevent and treat anemia and micronutrient deficiencies among pregnant women, who are most vulnerable and at risk

11. During the first 2 years of life, which are characterized by rapid physical and social growth and development, many changes occur that affect feeding and nutrient intake.

12. Malnutrition: 2 sides of the same coin
Undernutrition
Overnutrition
Malnutrition

13. Child Undernutrition
Child undernutrition is a leading cause of child mortality and morbidity in low- and middle-income countries.
Nutritional deficits and subsequent impairments in child growth and development can affect
school readiness and performance,
employment potential later in life,
and thus the potential of individuals to break from the cycle of poverty.

14. Anthro pometric deficit
Child Undernutrition
Under nutrition
Anthro pometric deficit
Mortality
Child undernutrition including stunting, wasting and micronutrient deficiencies is a leading cause of child mortality and morbidity in low- and middle-income countries.

15. Child Undernutrition
The period between 6 and 24 months of age is a critical stage during which nutritional deficiencies can cause deleterious and irreversible effects on a child’s growth and cognitive development. Micronutrient deficiencies, particularly iron deficiency, have a direct impact on the nutritional status of children and are the leading cause of anaemia in non-malarial regions.

16. Nutrition Transition
Increased consumption of unhealthy, relatively large amounts of energy dense but nutrient dilute foods such as extruded snacks, polished rice, direct carbohydrates etc. compounded with increased prevalence of overweight in middle-to-low-income countries is typically referred to as the “Nutrition Transition.”
“Nutrition transition is malnutrition ensuing not merely from a need for food, but the need for high-quality nourishment.”

17. Sprinkles

18. Sprinkles
Hexagon Nutrition introduces Sprinkles an invention of Dr. Stanley Zlotkin of SGHI Toronto, Canada. Sprinkles is an innovation in home fortification to improve the health and well-being of women and children and a way to combat vitamin and mineral deficiency.

19. Sprinkles
Sprinkles is an action- and results-oriented initiative committed to ending global vitamin and mineral deficiencies among populations in need.
It is a unique delivery system to provide micronutrients to vulnerable populations.

20. Evidence Based Nutrition

24. Target Consumers
Sprinkles were principally formulated for the age group of 6 – 24 months children, but others can benefit as well,
6 – 24 months of age
Older children
Adolescents

25. Sprinkles
Sprinkles

26. Comes in sachet form with 1 gm of the mix, which is consumed at once, thus neither chances of wastage of the mix nor of any over dosage.
Sachets are easy to use and convenient. Light weight and easy to store.

27. Sprinkles
Best way for “Home Fortification” – no measurement is required at home level. One does not need to be literate for use of these sachets.
It is food based i.e. it has to be sprinkled or stirred in a semi solid food.
Thus consumers will not have any pre-conceived notion of the product to be a medicine.

28. Sprinkles
Sprinkles is easy to store due to its light weight. Large number can be stored in less space.
Easy to transports and distribute across long distances.
Have long shelf lives, thus minimizes loss of product.
Lipid encapsulation of the iron prevents its interaction with food and masks its taste, thus there are minimal changes to the taste, colour or texture of the food to which Sprinkles is added.

29. Directions for use
1 sachet per
day
Pour the entire
Sachet in the
food
Mix the
Food evenly
Do not divide the
food in two parts
Consume the food within 30 minutes of mixing Sprinkles in food.

30. Nourishing lives- globally
Hexagon Nutrition
Nourishing lives- globally