Abstract:
Abstract
Iodine deficiency disorders (IDD) are an important public health problem in Ethiopia. Amuma district,
Beneshangul Gumuz, is a known IDD endemic area. A study conducted between February to May 2005
reported the total goiter prevalence (weighed) was 37.3% more than 30% an indication of sever iodine
deficiency. During the last 2005-2010, efforts were taken by the Ethiopian Government to ensure
universal availability of iodized salt to the population in an effort to control and eliminate iodine
deficiency disorders in the population. Despite some efforts by the government to eliminate IDD
through universal salt iodination in public health education, no survey has been conducted since 2005
on the status of iodine deficiency disorders in the Amuma district. Hence, the present mini pocket study
was conducted in order to assess the prevalence of IDD in school children aged 6-18 years and to
estimate the iodine content of salt consumed in the households of Amuma district. The study was
conducted in School children in Menjo primary and secondary school from January to May 2011. The
proportional to population size (PPS) sampling methodology and indicators for the assessment of IDD
as recommended by the joint WHO/UNICEF/ICCIDD consultation was utilized for the survey. A total
of 200 school children in the 6-18 years age group were selected using PPS sampling methodology in
the school. Goiter prevalence in these children were tested using palpation method and 50 salt samples
consumed in the household of the respective children were measured for their iodine content using
UNICEF/WHO/ICCIDD recommended test kit and titration method. The total goiter prevalence was
39.5% (grade 1 = 31.5% and grade 2 = 7.9% ) and from 50 salt samples analyzed by salt test kit and
iodometric titration 60% of the salt samples iodine level was 0-ppm, 30% had iodine content of less
than 15ppm and only 10% was completely iodized ( ≥ 15ppm). This study showed that the current and
up-to-date data on the IDD prevalence in the study population remains iodine deficient. There is a need
to further strengthen the existing controlling and monitoring system for the quality of iodized salt
distribution public health education in the area in order to achieve the elimination of IDD in Ethiopia.
Key words: Iodine, Iodine Deficiency Disorders, School-Children, North Western Ethiopia
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