@article{fdi:010075224, title = {{D}riving policy change to improve micronutrient status in women of reproductive age and children in {S}outheast {A}sia : {T}he {SMILING} project}, author = {{B}erger, {J}acques and {R}oos, {N}. and {G}reffeuille, {V}al{\'e}rie and {D}ijkhuizen, {M}. and {W}ieringa, {F}ranck}, editor = {}, language = {{ENG}}, abstract = {{O}bjective {T}he {SMILING} ({S}ustainable {M}icronutrient {I}nterventions to {C}ontrol {D}eficiencies and {I}mprove {N}utritional {S}tatus and {G}eneral {H}ealth in {A}sia) project aimed at creating awareness and improving policies around micronutrient deficiencies in five {S}outheast {A}sian countries ({V}ietnam, {L}aos, {T}hailand, {C}ambodia and {I}ndonesia). {R}esults {T}he project showed large gaps in recent data on micronutrient status in most of the five countries. {B}y updating existing, or creating national food composition tables, the {SMILING} project enabled analyses of food consumption in women of reproductive age and young children. {L}inear programming showed a high risk for multiple micronutrient deficiencies in these groups, and especially in pregnant women. {M}ost programs to improve micronutrient status target iodine, iron and vitamin {A} deficiency. {H}owever, the high prevalence of zinc, vitamin {D}, thiamine and folate deficiency in the region warrant interventions too. {F}or certain micronutrients (zinc, iron, calcium), dietary changes alone appeared not enough to fulfill requirements. {F}ood fortification was identified to be a sustainable, long-term solution to improve micronutrient intake. {M}ultiple criteria mapping by stakeholders in each country resulted in a list of country-specific priority interventions. {S}urprisingly, food fortification was ranked low, due to concerns on quality control and organoleptic changes of the fortified food. {M}ore advocacy is needed for new, innovative interventions such as delayed cord clamping. {C}onclusions for practice {T}he {SMILING} project recommends regular surveys to monitor micronutrient status of population, to measure impact of interventions and to guide nutrition policies.}, keywords = {{M}icronutrient deficiencies ; {P}olicy ; {W}omen ; {Y}oung children ; {S}outh-east {A}sia ; {ASIE} {DU} {SUD} {EST} ; {VIET} {NAM} ; {LAOS} ; {THAILANDE} ; {CAMBODGE} ; {INDONESIE}}, booktitle = {{I}mproving policies to combat micronutrient deficiencies in {S}outheast {A}sia : the {SMILING} experience}, journal = {{M}aternal and {C}hild {H}ealth {J}ournal}, volume = {23}, numero = {1}, pages = {79--85}, ISSN = {1092-7875}, year = {2019}, DOI = {10.1007/s10995-018-02730-z}, URL = {https://www.documentation.ird.fr/hor/fdi:010075224}, }