The National Coalition for Sustained Optimal Iodine Intake (NSOI): a Case Study of a Successful Experience from India

永緒最適碘攝取量全國聯盟（NSOI）：一個印度成功經驗的個案研究

Kapil Yadav ； Arijit Chakrabarty ； Hyun Rah ； Rakesh Kumar ； Victor Aguayo ； Mohammad Anas Ansari ； Rajan Sankar ； Madhu Ganesh Karmarkar ； Chandrakant S Pandav

《Asia Pacific Journal of Clinical Nutrition》 23卷S1期 (2014/11) Pp. s38-s45

https://doi.org/10.6133/apjcn.2014.23.s1.02

摘要

碘缺乏失調（IDD）是全球構成智力障礙最重要的單一可預防因素。全面食鹽加碘（USI）各個利害關係人，世界衛生組織／聯合國兒童基金會／ICCIDD，認知到行動協調以及共同合作的重要性。他們已經規劃一個國家級多部門聯盟，當作國家永續消弭IDD十項必要的指標之一。在民主及多元的國家如印度，協調各個碘缺乏失調／全面食鹽加碘利害關係者的挑戰更大。本文，我們呈現印度全國聯盟組成，及共同推動全面食鹽加碘貢獻的成功經驗。全國聯盟在印度的行動分成三個階段；1）第一階段－2006至2009年－創始；2）第二階段－2009年至2012年－鞏固；3）第三階段－2013年之後－擴展。永續最適碘攝取（NSOI）全國聯盟已確保印度IDD和全面食鹽加碘的利害關係者有更多的協調及合作，對目前71％的家戶加碘鹽涵蓋率負部分的責任。全國聯盟最重要的貢獻為扮演高層級的宣傳管道，並提供給所有聯盟夥伴作例行對話的平台。隨著任務的推動及最適當的資源配置，印度應可以在全國聯盟成立十年之2015年前，達到全面食鹽加碘的目標。

關鍵字

全面性食鹽加碘 ； 碘缺乏失調 ； 多部門 ； 全國聯盟

並列摘要

Iodine deficiency disorders (IDD) constitute the single most important preventable cause of mental handicap at global level. Recognizing the importance of coordination and synergy of the activities of wide range of universal salt iodisation (USI) stakeholders, WHO/Unicef/ICCIDD has prescribed a national multi-sectoral coalition as one of the ten indicators essential for attaining sustainable elimination of IDD at national level. Challenge for coordination among different stakeholders of IDD/USI is even greater in democratic and diverse country like India. In the present article we present successful experience from India regarding formation of a national coalition and contributions made by the coalition towards promoting USI in India. The activities of the national coalition in India are classified into three phases; 1) Phase 1-year 2006 to 2009-the inception; 2) Phase 2-year 2009 to 2012-consolidation; 3) Phase 3-year 2013 and ongoing-expansion. The National coalition for Sustained Optimal Iodine Intake (NSOI) has been instrumental in ensuring greater coordination and synergy amongst IDD and USI stakeholders in India and partially responsible for the current 71 percentage household level coverage of adequately iodised salt. The most significant contribution of the national coalition has been to act as a high level advocacy channel and provide a platform for regular dialogue for all partners of the coalition. With ＂mission＂ approach and allocation of optimal resource, India can achieve and should achieve USI by 2015, an apt culmination of a decade of existence of the national coalition.

並列關鍵字

universal salt iodisation ； iodine deficiency disorders ； multi-sectoral ； national coalition