Equity in access to fortified maize flour and corn meal.
Bottom Line: Efforts trying to make fortified foods accessible to the population groups that most need them require acknowledgment of the role of these determinants.Using a perspective of social determinants of health, this article presents a conceptual framework to approach equity in access to fortified maize flour and corn meal, and provides nonexhaustive examples that illustrate the different levels included in the framework.Key monitoring areas and issues to consider in order to expand and guarantee a more equitable access to maize flour and corn meal are described.
Affiliation: Universidad Pública de Navarra, Pamplona, Spain.Show MeSH
Related in: MedlinePlus
Mentions: Access to fortified maize flour and corn meal is socially determined, as it is theresult of several determinants operating at different domains (Fig. 1); similarly, the distribution of such access across the socialgradient is also socially determined. The reasons why some population groups are more orless likely to access fortified maize flour and corn meal, and why inequities in accesspersist, are varied and often not well documented. Research on other types of fortifiedflour, such as wheat flour, suggests that in some settings, fortification is unlikely tobenefit the neediest.26 Determining whether thisis also the case for fortified maize flour first requires identification of the barriersthat prevent equitable access in different fortification contexts. The following sectionproposes a framework to identify these barriers.