Monitoring of the folic acid supplementation program in the Netherlands

Food and Nutrition Bulletin
Lolkje T W de Jong-van den Berg

Abstract

In November of 1993, the Dutch government recommended daily folic acid supplementation of 0.4 or 0.5 mg for all women planning pregnancy, starting 4 weeks before conception until 8 weeks after. In 1995, a one-time mass media campaign was conducted, and due to this campaign, the use of folic acid in this recommended period increased from 4.8% in 1995 to 21% in 1996. Subsequently, no structural strategies were undertaken until 2003, and at that time, 22% of lower-educated women used folic acid in the recommended period. The prevalence of neural tube defects (NTD) decreased from 11.44/10,000 before the official recommendations to 6.52/10,000 thereafter. Currently, community pharmacies proactively approach women before their first pregnancy on the subject of folic acid supplementation. This is done by means of a sticker placed on packages of oral contraceptives with the text "Child wish?*". "Ask for information about folic acid in your pharmacy," and a brochure (leaflet) containing detailed information about folic acid. (*"Child wish" refers to women who plan to become pregnant.) Data from an explorative, comparative study strongly suggest that this intervention is effective. Sustainable education programs through which women are i...Continue Reading

References

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Citations

Apr 25, 2012·International Journal of Clinical Pharmacy·David BrownPaul Rutter
Mar 29, 2014·Journal of Dietary Supplements·Konstantina HatzopoulouMaria Tsigga
Aug 20, 2008·Food and Nutrition Bulletin·José F CorderoR J Berry
May 7, 2016·Nature Reviews. Endocrinology·Susanne RautiainenHoward D Sesso
Jun 6, 2018·Pharmacy : Journal of Pharmacy, Education and Practice·Mitch Blair, Arjun Menon
Jul 8, 2018·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Kait DuncanLaura T Arbour
Aug 3, 2011·Journal of Public Health Policy·Boukje van der ZeeEric Steegers

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