Tag-Archive for » Africa «

Kenya Infant Feeding Assessment

This reports on two studies done with funding I applied for from USAID Kenya. The purpose was to examine the infant feeding patterns of infants exposed to HIV and to observe the infant feeding counseling the mothers received, as well as doing interviews with a sample of mothers. Click here to open the pdf file.

Tanzania national survey on iodine deficiency: impact after twelve years of salt iodation

This paper reports on the first national survey on iodine deficiency in Tanzania, conducted on over 140,000 school children, including a measure of iodine content of household salt, goiter prevalence and urinary iodine measures on a subsample of 4523. Click here to access the pdf file.

Improved salt iodation methods for small-scale salt producers in low-resource settings in Tanzania

This study was part of the research Vincent Assey did for his PhD at Bergen University (begun at Uppsala). It developed, in the field, methods for standardizing salt iodation among small producers using spray bottles and backpack sprayers. These simple technologies are the way forward, not the use of cement mixers and other intermediate scale equipment which cannot be maintained by producers surviviing on such small profit margins in such isolated areas. Click here to open the pdf file.

Sustainable universal salt iodization in low-income countries — time to re-think strategies?

This paper is another of the important studies done by Vincent Assey in his indefatigable efforts to tackle iodine deficiency disorders, a huge public health problem in his native Tanzania.

Click here to download the pdf file

Photo by Vincent Assey

Postpartum AFASS assessments to support appropriate timing of cessation of breastfeeding

This is a power point presentation I gave in Dubai at the 1st Regional Conference on Human Lactation:
Breastfeeding for Healthier Generations. HIV and infant feeding policy making has come far in the past few years, but as of mid 2008, there is still a lot of confusion about when an HIV+ mother who is breastfeeding should stop. More importantly, how should the decision as to whether it is acceptable, feasible, affordable, sustainable and safe (AFASS) to stop be taken?

Click here to download the presentation.

Remaining challenges in Tanzania’s efforts to eliminate iodine deficiency

This paper is one of several that compose the PhD research done by Vincent Assey, a very dedicated Tanzanian scientist working at the Tanzania Food and Nutrition Centre.

Click here to download the pdf file.

Photo by Vincent Assey.

Fortification of cereals should be mandatory

This was a comment I was requested to write by The Lancet medical journal.

Click here to open the pdf file.

Structural Violence and Clinical Medicine: Free Infant Formula for HIV-Exposed Infants


This letter to editor in response to an article by Paul Farmer that I wrote with colleagues in PATH and EGPAF, can be read here.

Algorithms to assist in counseling on whether it is AFASS for an HIV+ mother to stop breastfeeding

During 2005-6, with input from Kathy Krasovec, help from Jennifer Marcy, and graphic design work by Jennifer Fox (all of PATH), I created two algorithms to assist counselors in advising HIV-infected mothers when it might be acceptable, feasible, affordable, sustainable and safe to stop breastfeeding. If you click on “more” below, you can see the letter I wrote providing some explanation and references for desiging diets for non-breastfed infants.

I also presented them at the WHO HIV and Infant Feeding Technical Consultation in October 2006 in Geneva. These simplied versions benefitted from feedback from two groups who reviewed them at that meeting.

Click here to see the algorithms (one for infants 6-12 mo and one for older infants) in powerpoint format, each divided in two, making the text larger and easier to read.