{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T22:39:59Z","timestamp":1790980799397,"version":"4.1.0"},"reference-count":59,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2007,1,2]],"date-time":"2007-01-02T00:00:00Z","timestamp":1167696000000},"content-version":"unspecified","delay-in-days":1128,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2003,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980003000995_sec01\"><jats:title>Objective:<\/jats:title><jats:p>To demonstrate the effectiveness of the commercial introduction of red palm oil (RPO) as a source of vitamin A (VA) for mothers and children in a non-consuming area, as a dietary diversification strategy.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980003000995_sec02\"><jats:title>Design:<\/jats:title><jats:p>A pre\u2013post intervention design (no control area) was used to assess changes in VA intake and status over a 24-month pilot project.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980003000995_sec03\"><jats:title>Setting and subjects:<\/jats:title><jats:p>The pilot project involved RPO promotion in 10 villages and an urban area in east-central Burkina Faso, targeting approximately 10?000 women and children aged &lt; 5 years. A random sample of 210 mother\u2013child (12\u201336-months-old) pairs was selected in seven out of the 11 pilot sites for the evaluation.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980003000995_sec04\"><jats:title>Results:<\/jats:title><jats:p>After 24 months, RPO was reportedly consumed by nearly 45% of mothers and children in the previous week. VA intake increased from 235 \u00b1 23 \u03bcg retinol activity equivalents (RAE) to 655 \u00b1 144 \u03bcg RAE in mothers (41 to 120% of safe intake level), and from 164 \u00b1 14 \u03bcg RAE to 514 \u00b1 77 \u03bcg RAE in children (36 to 97%). Rates of serum retinol &lt; 0.70 \u03bcmoll<jats:sup>\u22121<\/jats:sup>decreased from 61.8 \u00b1 8.0% to 28.2 \u00b1 11.0% in mothers, and from 84.5 \u00b1 6.4% to 66.9 \u00b1 11.2% in children. Those with a lower initial concentration of serum retinol showed a higher serum retinol response adjusted for VA intake.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980003000995_sec05\"><jats:title>Conclusions:<\/jats:title><jats:p>Commercial distribution of RPO was effective in reducing VA deficiency in the pilot sites. While it is promising as part of a national strategy, additional public health and food-based measures are needed to control VA malnutrition, which remained high in the RPO project area<\/jats:p><\/jats:sec>","DOI":"10.1079\/phn2003502","type":"journal-article","created":{"date-parts":[[2003,11,27]],"date-time":"2003-11-27T00:25:01Z","timestamp":1069892701000},"page":"733-742","source":"Crossref","is-referenced-by-count":39,"title":["Red palm oil as a source of vitamin A for mothers and children: impact of a pilot project in Burkina 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