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Monitoring and evaluation in flour fortification programs: design and implementation considerations

Authors

  • Juan Pablo Pena-Rosas,

    Corresponding author
    1. International Micronutrient Malnutrition Prevention and Control Program, Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
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  • Ibrahim Parvanta,

    1. Infants and Toddlers Goal Team at the Coordinating Center for Health Promotion at the Centers for Disease Control and Prevention, Atlanta, Georgia, USA
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  • Frits Van Der Haar,

    1. Global Health at the Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
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  • Thomas J Chapel

    1. Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
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JP Pena-Rosas, International Micronutrient Malnutrition Prevention and Control Program, Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention, 4770 Buford Highway NE, MS K-25, Atlanta, GA 30341-3724, USA. Phone: +1-770-488-5183, Fax: +1-770-488-5369, E-mail: jpenarosas@cdc.gov

Abstract

Designing and implementing effective monitoring and evaluation (M&E) is an integral element of wheat flour fortification programs. This review provides practical guidance for designing a M&E system for a flour fortification program. The Centers for Disease Control and Prevention's Framework for Program Evaluation in Public Health has been adapted to identify key issues in the development of an integrated M&E system. A clear understanding of 1) the stakeholders in flour fortification and their needs, 2) the description and context of the fortification program, 3) the country's wheat flour and flour products market, and 4) the resources available for the M&E component are critical and should be considered early in a program's design.

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