In three more mountainous regions, a 1987 survey found goiter rates similar to those in the previously surveyed districts. As part of its 1992-1996 Statement of Development Policies, the government adopted a Food Security and Nutrition Policy that encompasses all issues and sectors relevant to improving the food security and nutrition situation. Interventions to eliminate VAD include the distribution of vitamin A capsules to children under five years of age every six months and, in those areas where VAD is most prevalent, to mothers soon after delivery. A major strategy for nutritional anemia is nutrition education, provided through clinics, women s groups, and radio. However, because supply is very erratic, distribution is limited to only some health facilities and TBAs.
Malaria prophylaxis is prescribed to all pregnant women attending health facilities.
From 1984 to 1987, approximately 200,000 people with goiter received iodized oil injections through campaigns. In 1990, the policy changed to giving iodized oil capsules to all females under 45 years old and to males under 16 years old in the affected areas. Traders have been instructed to sell only iodized salt. Legislation passed in 1987 requires that all imported salt be iodized, but it has not been enforced. The government is currently redrafting legislation to codify and enforce recent salt iodization decisions.