Improving Nutrition through

Rice Fortification
Partnerships, initiatives and
success stories from 9 countries

October 2018
Untapped potential
Food fortification – adding vitamins and rice has great potential to help fight
minerals to commonly eaten foods - has micronutrient deficiencies on a large
proven to be an effective strategy in scale.
reducing micronutrient deficiencies. Over the past decade the World Food
Countries in North America and Europe Programme (WFP) has been working with
have been fortifying foods since the governments in Asia, Latin America and
1920s, which led to the virtual eradication Africa to introduce and scale up rice
of nutrition-related diseases like goiter, fortification to fight micronutrient
rickets, beriberi and pellagra. But today 2 deficiencies. We have done so through
billion people across the world still suffer many avenues – from working with
from vitamin and mineral deficiencies, as lawmakers to legislate mandatory
nutritious foods are still not accessible to fortification of rice, to advocating for
all. supportive policies, to providing technical
Until now, one staple has been largely support to the private sector in producing
neglected in global fortification efforts: fortified kernels.
rice. Rice is a staple for half the world’s Through stories from nine countries on
population and can contribute up to 70 three continents, this booklet gives a
percent of people’s energy intake, brief overview of different ways in which
particularly in low and middle-income WFP is working with governments and
countries. Places where rice is an partners to support the scale up of rice
important contributor to the diet often fortification and improve the nutrition of
overlap with areas where micronutrient the world’s most vulnerable people.
deficiencies are most common. Here lies
an enormous opportunity as fortifying

October 2018 | Improving Nutrition through Rice Fortification 2

Understanding the landscape:
Research and analysis
Cambodia

Any initiative to introduced fortified foods

must be built on a solid foundation of Pioneering research
research and understanding. Cambodia
has been a pioneer in research and
evidence on the feasibility and health
impact of fortified rice.
Acceptability trials
WFP and partners have supported the
government to conduct scientifically Strong advocacy and
robust research. In 2010 and 2015 WFP communication
and the Institute of Research for
Development (IRD) carried out
acceptability trials of fortified rice and The findings have been used for advocacy
found it to be well received among and sensitization and provided the
women, teachers, parents and school evidence base needed to engage
children. Together with PATH (Program governments and key partners to support
for Appropriate Technology in Health) rice fortification. Based on the promising
and IRD, WFP also carried out research to outcomes of the research, the
understand the impact of fortified rice recommendation to fortify rice in school
and found that it improved vitamin A, meals was approved and supported by
zinc and folic acid status of school the government of Cambodia.
children as well as cognitive
performance.

October 2018 | Improving Nutrition through Rice Fortification 4

Engaging small-scale producers
Peru

Implementing a fortification programme

in a system with many small- or medium- Economic empowerment
scale producers is more complex than
working in a system where a small
number of large producers dominate the Improving local food
market. However small millers often sell systems
to the most vulnerable and so are critical
in improving the nutrition of those
Harnessing social safety
furthest behind.
nets
WFP is currently supporting a project in
Peru to engage small- and medium-scale
rice millers in Sechura Province – one of good manufacturing practices.
the largest rice producing areas in the WFP is also working with local producers
country, home to over 600 producers. and millers and the government to
Rice millers participate in capacity promote the use of locally fortified rice in
building and knowledge transfer activities social safety net programmes.
on topics such as social protection and

October 2018 | Improving Nutrition through Rice Fortification 5

Scaling up success
India

India has several food-based safety net

schemes that already distribute rice to Strong advocacy efforts
the most vulnerable. These existing
systems therefore have enormous
potential to reach large numbers of
people who are most at risk of Private sector partnerships
malnutrition. WFP has been working with
the government across the entire value
chain of rice: introducing rice fortification Harnessing social safety nets
into safety net programmes, conducting
policy advocacy with governments,
devising evidence-based standards, 2018, the government announced a plan
facilitating knowledge-sharing events, to introduce fortified rice through the
and sensitizing the private sector. Public Distribution Scheme which
Through continuous advocacy and policy provides subsidized grains to a large
dialogue, rice fortification is gaining percentage of the population. Once
momentum, and many states are scaled up, rice fortification in India’s food-
mainstreaming rice fortification in their based safety nets has the potential to
social safety net programmes. In June reach 800 million people.

October 2018 | Improving Nutrition through Rice Fortification 6

 Advocacy: Getting all players on board
Sri Lanka

Introducing fortified foods requires

coordinated advocacy efforts to South-south cooperation
encourage governments to create
supportive policies. Continuous advocacy
efforts by WFP and the Food Fortification
Initiative have been instrumental in Strong communication
introducing fortified rice in Sri Lanka after
it was identified by the Ministry of Health
as an effective strategy to reduce Multi-sector engagement
micronutrient deficiencies.
Advocacy activities have included a visit
of a Sri Lankan delegation to India to see proved to be a successful platform for
rice fortification production and raising and advancing the agenda of
distribution at work, and organization of fortified rice among government policy
a high-level meeting for stakeholders to makers and planners. As a result of the
understand the benefits of fortified rice combined efforts over the last eight
in social programmes. years, the Cabinet of Ministers has
approved the proposal made by the
Mobilization of multi-sector stakeholders, Minister of Health to use fortified rice in
including public supply chain distributors, social safety nets.

October 2018 | Improving Nutrition through Rice Fortification 7

Supporting local rice growers
Mali

Importing fortified kernels and blending

them in-country with locally grown rice Engaging local farmers
has a two-fold benefit: addressing
micronutrient deficiencies while
supporting the local agriculture. Creating nutrition-focused
WFP endeavoured to test whether this food systems
model was feasible and acceptable in a
West African context. In this innovative Supporting educational
project, kernels fortified with eight
goals
vitamins and minerals were imported
from Thailand and blended with local
rice. The rice was distributed to 600 and that no significant differences were
schools supported by WFP, reaching observed when blended and cooked.
118,000 school children and providing Focus group discussions with school
between 37 and 100 percent of their daily committees, parents, cooks and students
needs for these nutrients. revealed that including fortified rice in
school meals was favourably perceived,
Preliminary results of the project preparation was easy, and the taste was
indicated that it was technically feasible enjoyed by all.
to blend fortified kernels with local rice

October 2018 | Improving Nutrition through Rice Fortification 8

Making school meals more nutritious
Bhutan

In 300 schools across Bhutan, 70,000

school children now enjoy a more South-south cooperation
nutritious school meal, with the addition
of fortified rice to the lunch menu.
WFP supported the introduction of Private sector partnerships
fortified rice in school meals through
various activities. A delegation from
Bangladesh was brought to Bhutan to 70,000
share their knowledge and experiences in schoolchildren reached
rice fortification. A Bhutanese delegation
then visited India on a study tour to
observe rice fortification programmes in Interventions will include baseline and
action. WFP also partnered with a private end-line micronutrient surveys to
company to import fortified kernels, for understand the impact on nutrition,
use in schools. setting national standards, stimulating
local production of fortified rice kernels,
Within five years, WFP and the developing a regulatory framework for
government hope to provide fortified rice food fortification, and capacity building of
to all 500 schools in the country. two public partners.

October 2018 | Improving Nutrition through Rice Fortification 9

 Harnessing existing social safety nets
Bangladesh

With rice a national staple and a high

prevalence of micronutrient deficiencies, Knowledge sharing
Bangladesh was identified as an ideal
setting to improve nutrition through
fortifying rice. A government-run social
safety net was already providing food to Private sector partnerships
the most vulnerable families and served
as a perfect entry point.
800,000 people receiving
WFP worked with the government to fortified rice
carry out studies on feasibility and
acceptability of fortified rice, as well
organizing capacity strengthening fortified rice kernels were blended with
activities, experience exchanges and non-fortified rice.
study visits for government officials. WFP Under the social safety nets, now almost
also provided technical support to private 800,000 people have access to fortified
sector companies who produced the rice, with this number steadily growing as
vitamin premix used to make fortified the government continues to invest.
kernels, and to blending facilities where

October 2018 | Improving Nutrition through Rice Fortification 10

Reaching the most isolated
Nepal

Introducing fortified rice into existing

distribution systems provides the Landscape analysis
opportunity to improve the nutrition of
isolated communities, who may not have
access to adequate diets.
Costing planning
Such is the case in Nepal where many
poor communities live in hard-to-reach
mountainous areas and rely on rice
distributions in a government-run safety Harnessing social safety nets
net programme.
A landscape analysis of the rice milling safety net programmes.
sector was conducted in Nepal in 2016
with support from WFP. It concluded that WFP is assisting Nepal in preparing a
rice fortification could be a viable strategy costed three-year plan to provide
to deliver essential vitamins and minerals fortified rice to 150,000 vulnerable
to vulnerable groups through social people in remote and food-insecure
districts.

October 2018 | Improving Nutrition through Rice Fortification 11

Enforcing existing law
Panama

Mandating food fortification so that all

millers producing over a certain volume Gathering consensus
must fortify their rice is an effective way
of improving the nutrition of a rice-eating
population. However, having legislation in Harnessing social protection
place does not ensure fortification if it is programmes
not enforced. Such is the case in Panama,
which introduced mandatory fortification
of rice in 2009 to address multiple
micronutrient deficiencies, but to date Strong partnerships
has seen only one miller comply.
On request of the government, WFP has ensuring that all social protection
been collaborating with the Institute of programmes in the country buy fortified
Nutrition of Central America and Panama rice. WFP will also support in the design
and the Ministry of Health to facilitate a and implementation of a country-specific
revision of the law and ensure that it is quality control and assurance system.
implemented as intended, starting by

October 2018 | Improving Nutrition through Rice Fortification 12

What’s next?
With the potential of rice fortification to with food producers and retailers to
reach large numbers of vulnerable ensure that fortified rice is available on
people with better nutrition, WFP will the market.
continue to scale up support to To have a significant impact on
governments in this area. In countries micronutrient deficiencies, fortification
where rice is a staple and micronutrient must involve a number of actors and
deficiencies are common, we will partners, from governments to
continue to help governments introduce nongovernmental organizations,
fortified rice in their social protection advocacy groups and the private sector.
systems, which serve those most at risk WFP will continue to work with all of
of malnutrition. these groups in a joint effort to improve
We will also continue to integrate fortified nutrition, with the ultimate goal of
rice in our own operations, for instance, harnessing the potential of rice
by including it in our food distributions fortification in the creation of nutrition-
and school meals. Even when we are not focused food systems, where it can play
providing food directly, but rather cash or an integral part in reducing micronutrient
vouchers to buy food, we will collaborate deficiencies in a sustainable way.

Partner with us
If you would like to find out more about
WFP’s work with food fortification,
write to:
[email protected]

Or find out more about WFP and

nutrition at:
wfp.org/nutrition
World Food Programme

Via Cesare Giulio Viola 68/70,

00148 Rome, Italy
T +39 06 65131 wfp.org

Photo credits: Cover: WFP/Saikat Mojumder; Page 2 WFP/Simon Pierre Diouf;

Page 4 WFP/Ratanak Leng; Page 5 WFP/Edward Alba; Page 6 WFP/Nguyen Duc Hoang;

Page 7 WFP/Sebastien Rieussec; Page 8 WFP/Ngyuen Duc-Hoan;

Page 9 WFP/Saikat Mojumder; Page 10 WFP/Santosh Shahi;

Page 11 WFP/Isheeta Sumra; Page 12 WFP/Saikat Mojumder;

Page 14 WFP/Mei Nebreja Santo