Beyond Fortification of Centrally Processed Maize: Extending Fortification Technology to Small and Medium Scale Maize Millers in Tanzania

Abstract

Objectives: The passing of national fortification standards is a critical component to the success of any fortification program. Implementation of fortification within the centralized mill’s operations is relatively straightforward. However, when a majority of consumption of a staple food product is processed in small and medium scale mills, how can the benefits of fortification be realized in these communities? The objective was to design, develop, test, and implement a robust and affordable solution beginning with small maize mills in Tanzania. Methods: By engaging in a design process at Stanford University in 2009, the sponsoring organization was able to adapt the base technology through a pilot program in 30 small mills in Nepal. Translation of the Nepal milling device to the asset base of the typical small scale maize mills found in East Africa has now resulted in a design that requires no modifications to the millers current operations and can be installed within 10min. The device provides fortification capabilities and ensures quality control through the use of a easy to use control panel that also has data storage capabilities for monitoring. Results: Currently installing first release of 100 devices in Tanzania. The first release has the potential to fortify maize flour with essential micronutrients for an estimated 1 million annually. Conclusions: The device provides a simple, affordable, and scalable solution to micronutrient malnutrition. By delivering micronutrients at the milling stage, the intervention reduces user and lowers the barriers to adoption.