Increasing Awareness and Use of Iodised Salt in a Marginalised Community Setting in North-West Pakistan

Lowe, Nicola, Westaway, Elizabeth, Munir, Akhtar, Tahir, Saba, Dykes, Fiona, Lhussier, Monique, McKeown, Mick, Zimmerman, Michael, Andersson, Maria, Stinca, Sara and Zaman, Mukhtiar (2015) Increasing Awareness and Use of Iodised Salt in a Marginalised Community Setting in North-West Pakistan. Nutrients, 7 (11). pp. 9672-9682. ISSN 2072-6643

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Official URL: http://dx.doi.org/10.3390/nu7115490

Abstract

Iodine deficiency is still prevalent in parts of Pakistan, despite the introduction of a national Iodine Deficiency Disorder Control Programme in 1994. The purpose of this study was to gain an understanding of the knowledge, attitudes and practice regarding the use of iodised salt in a brick kiln community, and to use this information to design an intervention to increase its consumption. A cross-sectional survey was used to assess the use of iodised salt and focus group discussions explored the attitudes and barriers to its use. Thematically analysed transcripts informed the design of a 4-month intervention. Iodised salt sales and urine iodine concentration (UIC) were monitored to assess the effectiveness of the intervention. At baseline, 2.6% of households reported use of iodised salt and barriers included its higher cost and belief about a negative impact on reproduction. During the intervention, sales of salt labelled as iodised increased by 45%, however this was not reflected in an increase in UIC. This study highlighted the positive impact of education and awareness raising on iodised salt consumption in a hard to reach, marginalised community. However, issues regarding adequate iodisation by local producers and appropriate storage also need to be urgently addressed at a provincial level.

Item Type: Article
Uncontrolled Keywords: iodine deficiency; goitre; urinary iodine concentration; community engagement; iodised salt; Pakistan; Khyber Pakhtunkhwa
Subjects: B400 Nutrition
B900 Others in Subjects allied to Medicine
Department: Faculties > Health and Life Sciences > School of Health, Community and Education Studies > Public Health and Wellbeing
Depositing User: Paul Burns
Date Deposited: 06 Jan 2016 14:22
Last Modified: 03 Nov 2016 02:44
URI: http://nrl.northumbria.ac.uk/id/eprint/25303

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