Assessing the effectiveness of flour fortification with iron in Kosovo, through blood iron measurement

Session

Agriculture, Food Science and Technology

Description

Food fortification is a key public health strategy to combat micronutrient deficiencies, particularly iron deficiency anemia. In Kosovo, wheat flour, a staple food, has been fortified with iron and folic acid following the implementation of Law No. 04/L-114 in 2012, which made flour fortification mandatory. Despite this initiative, limited data exist on its effectiveness in improving iron and ferritin levels in the population or reducing anemia cases. This study aims to evaluate the impact of flour fortification with iron on the population of Kosovo by analyzing blood iron and ferritin levels, as well as the prevalence of anemia, before and after the enforcement of the law. Data were obtained from the Biochemistry and Hematology Clinics, complemented by a survey assessing public awareness about flour fortification. The results indicate a notable increase in average blood iron levels following the introduction of fortified flour, along with observable variations in anemia prevalence across age and gender groups. However, public awareness regarding the fortification program remains low. These findings highlight the effectiveness of the national flour fortification policy in improving iron status while emphasizing the need for enhanced public education and continuous monitoring.

Keywords:

flour fortification; iron; ferritin; anemia

Proceedings Editor

Edmond Hajrizi

ISBN

978-9951-982-41-2

Location

UBT Lipjan, Kosovo

Start Date

25-10-2025 9:00 AM

End Date

26-10-2025 6:00 PM

DOI

10.33107/ubt-ic.2025.182

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Oct 25th, 9:00 AM Oct 26th, 6:00 PM

Assessing the effectiveness of flour fortification with iron in Kosovo, through blood iron measurement

UBT Lipjan, Kosovo

Food fortification is a key public health strategy to combat micronutrient deficiencies, particularly iron deficiency anemia. In Kosovo, wheat flour, a staple food, has been fortified with iron and folic acid following the implementation of Law No. 04/L-114 in 2012, which made flour fortification mandatory. Despite this initiative, limited data exist on its effectiveness in improving iron and ferritin levels in the population or reducing anemia cases. This study aims to evaluate the impact of flour fortification with iron on the population of Kosovo by analyzing blood iron and ferritin levels, as well as the prevalence of anemia, before and after the enforcement of the law. Data were obtained from the Biochemistry and Hematology Clinics, complemented by a survey assessing public awareness about flour fortification. The results indicate a notable increase in average blood iron levels following the introduction of fortified flour, along with observable variations in anemia prevalence across age and gender groups. However, public awareness regarding the fortification program remains low. These findings highlight the effectiveness of the national flour fortification policy in improving iron status while emphasizing the need for enhanced public education and continuous monitoring.