Pakistan has one of the highest burdens of malnutrition in the world. More than half of the under-five year old population suffers from either stunting (chronic malnutrition), wasting (acute malnutrition), or both. One in four pregnant women are suffering from iron deficiency anaemia; and zinc, vitamin D and vitamin A deficiencies affect 37%, 41% and 56% of children under five respectively, on a national level . Meeting nutrient needs is a prerequisite to preventing malnutrition, in combination with other proven health interventions.
In March 2016, Mott MacDonald as the Management Lead, with Nutrition International (NI) as the Technical Lead were awarded a 5-year grant with the main objective of fortifying commercially produced wheat flour (with iron, folic acid, vitamin B12 and zinc) and edible oil/ghee (with vitamins A and D) throughout Pakistan. This is one of the largest fortification programs in the world and it is expected to reach ~150 million people with fortified food staples.
The program aims to cover more than 100 edible oil/ghee mills and over 1,000 wheat flour mills to ensure adequate fortification. It will achieve its objectives by:
 Pakistan National Nutrition Survey 2011
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