{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:29:11Z","timestamp":1790792951858,"version":"4.1.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2008,9,1]],"date-time":"2008-09-01T00:00:00Z","timestamp":1220227200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Food Nutr Bull"],"published-print":{"date-parts":[[2008,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Weekly iron\u2013folic acid supplementation in small-scale research trials and as administered in institutions has been demonstrated to be effective in reducing anemia in adolescent girls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the effectiveness of weekly iron\u2013folic acid supplementation in a large-scale project in reducing the prevalence of anemia in adolescent girls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The project provided weekly iron\u2013folic acid tablets, family life education, and deworming tablets every 6 months to 150,700 adolescent school girls and non-schoolgirls of a total district population of 3,647,834. Consumption of the iron\u2013folic acid tablets was supervised for schoolgirls but not for non-schoolgirls. Hemoglobin levels were assessed in a random sample of non-schoolgirls at 6 and 12 months and schoolgirls at 6 months. The effect of supplementation on the prevalence of anemia and the compliance rate were assessed over a 4-year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In 4 years, the overall prevalence of anemia was reduced from 73.3% to 25.4%. Hemoglobin levels and anemia prevalence were influenced significantly at 6 months. No difference in the impact on hemoglobin or anemia prevalence was observed between supervised and unsupervised girls. Counseling on the positive effects of regular weekly iron\u2013folic acid intake contributed to a high compliance rate of over 85%. The cost of implementation was US$0.36 per beneficiary per year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Weekly iron\u2013folic acid supplementation combined with monthly education sessions and deworming every 6 months is cost-effective in reducing the prevalence of anemia in adolescent girls. Appropriate counseling, irrespective of supervision, is critical for achieving positive outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/156482650802900304","type":"journal-article","created":{"date-parts":[[2015,8,28]],"date-time":"2015-08-28T04:00:36Z","timestamp":1440734436000},"page":"186-194","source":"Crossref","is-referenced-by-count":66,"title":["Weekly Iron and Folic Acid Supplementation with Counseling Reduces Anemia in Adolescent Girls: A Large-Scale Effectiveness Study in Uttar Pradesh, India"],"prefix":"10.1177","volume":"29","author":[{"given":"Sheila C.","family":"Vir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neelam","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun K.","family":"Nigam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritu","family":"Jain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2008,9,1]]},"reference":[{"key":"bibr1-156482650802900304","volume-title":"The global burden of disease","volume":"1","author":"Murray CD","year":"1966"},{"key":"bibr2-156482650802900304","volume-title":"National Family Health Survey (NFHS) II, 1998\u201399","author":"International Institute for Population Sciences (IIPS)\/ORC Macro","year":"2000"},{"key":"bibr3-156482650802900304","doi-asserted-by":"publisher","DOI":"10.1177\/156482650602700405"},{"key":"bibr4-156482650802900304","first-page":"19","volume":"31","author":"Dwivedi A","year":"2006","journal-title":"SCN News"},{"key":"bibr5-156482650802900304","first-page":"159","volume":"6","author":"Latham MC","year":"1990","journal-title":"Nutrition"},{"key":"bibr6-156482650802900304","first-page":"32","volume":"5","author":"Harrison DA","year":"1985","journal-title":"Br J Obstet Gynaecol"},{"key":"bibr7-156482650802900304","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(95)02322-4"},{"key":"bibr8-156482650802900304","volume-title":"The nutrition and lives of adolescents in developing countries. 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