Elimination of Iodine Deficiency Disorders at the Country Level

It is now recognized that an effective national program for the elimination of IDD requires a multi-sectoral approach as shown in Figure 6, which provides a model in the form of a wheel.

This wheel model represents the continuous feedback process involved in the national IDD control (elimination) program. All actors in the program need to understand the whole social process. The wheel must keep turning to maintain an effective program.

The wheel model also shows the social process involved in a national IDD control program. The successful achievement of this process requires the establishment of a national IDD control commission, with full political and legislative authority to carry out the program.

The program consists of the following components:

1. Assessment of the situation requires baseline IDD prevalence surveys, including measurement of urinary iodine levels and an analysis of the salt economy.

2. Dissemination of findings implies communication to health professionals and the public so that there is complete understanding of the IDD problem and the potential benefits of elimination of the most common preventable cause of brain damage.

3. Development of a plan of action includes the establishment of an intersectoral task force on IDD and the formulation of a strategy document on achieving the elimination of IDD.

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