1. Successes and Challenges of fortification from the millers viewpoint Successes and Challenges of fortification from the millers viewpoint FFI WORKSHOP CAPE TOWN 26 NOVEMBER 2010

2. PresentationOutline Summary of the fortification project in Morocco Summary of the fortification project in Morocco Phase I Challenges and Success Phase I Challenges and Success Phase II Challenges and Success Phase II Challenges and Success Phase III Challenges and Success Phase III Challenges and Success Conclusions Conclusions

3. Flour Fortification Project in Morocco Project is part of the Ministry of Health’s strategey to reduce maternal mortality rates Project is part of the Ministry of Health’s strategey to reduce maternal mortality rates Conformed to international conventions promoting health of women and children (WHO) Conformed to international conventions promoting health of women and children (WHO) Alarming annual health statistics: 1500maternal deaths during childbirth 26000 infant deaths Alarming annual health statistics: 1500maternal deaths during childbirth 26000 infant deaths Micronutrient malnutrition respoonsible for 50% of these deaths

4. Addressing micronutrient deficiencies is key to improving the public healthstatus of the population. Addressing micronutrient deficiencies is key to improving the public healthstatus of the population. GAIN provided support between 2005 and 2008 t0 reduce Iron Deficiency Anemia through flour fortification with iron and to address vitamin A deficiency through vitamin A fortification of vegetable oil GAIN provided support between 2005 and 2008 t0 reduce Iron Deficiency Anemia through flour fortification with iron and to address vitamin A deficiency through vitamin A fortification of vegetable oil

5. Food fortification required the support of private sector and public sector stakeholders represented in the National Fortification Alliance Food fortification required the support of private sector and public sector stakeholders represented in the National Fortification Alliance Specific Objectives reached during this phase Specific Objectives reached during this phase 85% of mills equippedwith feeders and vitamin and mineral premix 85% of mills equippedwith feeders and vitamin and mineral premix 70% of industrial milled flour fortified with iron, folic acid and B group vitamins 70% of industrial milled flour fortified with iron, folic acid and B group vitamins

6. The second support phase GAIN 2010 – 2012 provided support to the Government of Morocco for miller training, registration and improvement in the flour fortification process at the mill. The second support phase GAIN 2010 – 2012 provided support to the Government of Morocco for miller training, registration and improvement in the flour fortification process at the mill. 95% of the industrial milled flour isfortified including100% of the subsidized flour 95% of the industrial milled flour isfortified including100% of the subsidized flour 60% of fortified flourmeets the regulated flour standards 60% of fortified flourmeets the regulated flour standards 60% of the population consume fortified flour 60% of the population consume fortified flour

7. Successes and challenges of flour fortification Millers viewpoint

8. Phase 2005 - 2007 The flour fortification project wasfacilitated by an official agreement between the Ministry of Health and the national Federation of Millers in Morocco The flour fortification project wasfacilitated by an official agreement between the Ministry of Health and the national Federation of Millers in Morocco Agreement included the promotion of fortified flour by Ministry of Health Agreement included the promotion of fortified flour by Ministry of Health Price Control system prevented innovation and research and development Price Control system prevented innovation and research and development

9. Motivation of industry and public sector professionals to contribute to improving the public hhealth status of the population Motivation of industry and public sector professionals to contribute to improving the public hhealth status of the population Motiviation of professionals to increase their participation in the market Motiviation of professionals to increase their participation in the market

10. Challenges Lack of Communication on fortified foods Lack of Communication on fortified foods Limited change in the consumers perception of fortifiedf oods Limited change in the consumers perception of fortifiedf oods Limited encouragement for population to consume fortified flours Limited encouragement for population to consume fortified flours Fixed official flour prices despite Fixed official flour prices despite Increased cost of premixes and capital costs of feeders and prémix, Increased cost of premixes and capital costs of feeders and prémix, Heavy burden of import duties and taxes for premix and feeders Heavy burden of import duties and taxes for premix and feeders

11. Challenges Lack of training and sensibilization ofpersonnel on the nutritional advantages of fortified flour and the flour fortification process at the mill, i.e. stock control of premix, Quality Assurance Quality Control. Lack of training and sensibilization ofpersonnel on the nutritional advantages of fortified flour and the flour fortification process at the mill, i.e. stock control of premix, Quality Assurance Quality Control. Lack of synchronization between the social marketing campaign of the MoH and the availability of fortified flour in the market Lack of synchronization between the social marketing campaign of the MoH and the availability of fortified flour in the market Lack of advocacy by the MoH to persuade the government to provide tax relief on feeders and premixes. Lack of advocacy by the MoH to persuade the government to provide tax relief on feeders and premixes.

12. Phase I Successes Trained millers on good fortification practices flour. Trained millers on good fortification practices flour. Establishment of a simple QC test system (Spots tests), Establishment of a simple QC test system (Spots tests), Partial reduction in import duties on premix and feeders Partial reduction in import duties on premix and feeders Social Marketing Communication in place but considered to be limited Social Marketing Communication in place but considered to be limited

13. Phase II 2007 - 2009 Fortification became mandatory by a legal text Fortification became mandatory by a legal text

14. Challenges Fortified flour production to meet regulatory specifications Fortified flour production to meet regulatory specifications Training personnel on the risks of over/under dosage and impact on f;lour quality Training personnel on the risks of over/under dosage and impact on f;lour quality Premix Quality Control Premix Quality Control Lack of Social Marketing and communication about fortified flour and its benefits Lack of Social Marketing and communication about fortified flour and its benefits

15. Phase II Successes Individual mill training sessions on flour fortification best practices Individual mill training sessions on flour fortification best practices Good collaboration between government departments responsible for food control Good collaboration between government departments responsible for food control Increased Production of fortified flour Increased Production of fortified flour Development of new marketing culture based on nutrition and its importance. Development of new marketing culture based on nutrition and its importance. Improved public image of the mills fortifying flour. Improved public image of the mills fortifying flour.

16. Phase III 2010 - 2012 Action plan to make fortification sustainable with GAIN support. Action plan to make fortification sustainable with GAIN support. Establish and implement new laws on food safety and empower the govenrment appointed authority to control and inspect food to meet the new food safety requirements for all foods Establish and implement new laws on food safety and empower the govenrment appointed authority to control and inspect food to meet the new food safety requirements for all foods

17. Challenges To conform to the new rules and regulations covering food fortification To conform to the new rules and regulations covering food fortification The need to change the premix to meet the latest GAIN standards to align withWHO recommended guidelines The need to change the premix to meet the latest GAIN standards to align withWHO recommended guidelines The cost of fortification in light of the volatile wheat prices and market fluctuations The cost of fortification in light of the volatile wheat prices and market fluctuations

18. Conclusions Recognition of millers and their corporate social responsibility of flour Fortification, despite the hevey burden of taxes and import duties Recognition of millers and their corporate social responsibility of flour Fortification, despite the hevey burden of taxes and import duties Collaboration between the private and public sectors with industry being considered as equal partners Collaboration between the private and public sectors with industry being considered as equal partners Investment in ongoing training of personnel Investment in ongoing training of personnel Social marketing to support the value of fortified flour and be an incentive for its consumption Social marketing to support the value of fortified flour and be an incentive for its consumption Attention and concern to ensure sustainability and improve the quality of fortified flour Attention and concern to ensure sustainability and improve the quality of fortified flour Return to Meeting Presentations