A new Premix Supplier Index to support large-scale food fortification

The role of Premixes to combat malnutrition

Malnutrition remains a public health challenge globally, with some of the highest rates in regions in Sub-Saharan Africa and South Asia. Elevated rates of stunting, wasting, and underweight pose a substantial risk for children under five, especially in rural areas and marginalized communities. Adding to the complexity, in many regions, the “triple burden of malnutrition” or the coexistence of undernutrition, micronutrient deficiency, and overnutrition are present – leading to detrimental effects on public health, including impaired cognitive development.  

Fortification of staple foods and condiments, such as flour, milk, edible oil and salt, is one of the most impactful, cost effective interventions to improve the micronutrient status on the population level. The most common way to fortify foods is to add a blend of vitamins and minerals to a food vehicle using a single compound ingredient called a premix.

Premixes include the fortificants (vitamins and minerals in powder or liquid form), carriers and fillers and free-flow agents, and must be of high quality to ensure bioavailability of micronutrients.

One of the factors that prevents food producers from adequately fortifying foods is the unavailability or inappropriate use of quality premix. Producers of premix play an important role in ensuring the affordability and accessibility of high quality premix with bioavailable components that food producers are equipped to use in an appropriate manner.

India, being one of the largest manufacturers of premix globally, is selected as a case study for this project, while Kenya is selected as a case study to unveil the topic in the East Africa region. 

 

Research Objectives
  • Identify issues related to availability and use of quality premix with selected staple food commodities such as milk, wheat flour, edible oil and rice. 
  • Achieve greater recognition and incentivisation for vitamin, mineral and premix providers to supply high quality products and ensure and support adequate fortification practices by their clients. 
  • Increase demand of quality premixes from millers, F&B manufacturers and government procurement agencies. 
  • Highlight new developments and share best practices of front-running companies on nutrition-related topics.   
  • Enable investors and other stakeholders to hold companies accountable for fulfilling their commitments to help tackle global nutrition challenges.  
  • Help support the case that countries reclassify premix as an essential good. 

Methodology

Global premix suppliers will be assessed using the VitaMin Premix Supplier Index on a series of indicators developed in consultation with stakeholders. To develop this new benchmark, the Access to Nutrition initiative (ATNi) will complete a stakeholder analysis, conduct stakeholder consultations, map ownership, and establish an expert advisory group to support the project in meeting its objectives.

ATNi will also map and track premix value chains globally, taking a closer look into the practices of premix suppliers in two countries – India and Kenya – and present findings in the form of case studies. Following index design and development, ATNi will publish a report in 2025 and also organise company and investor engagement.Where possible, we will engage and inform the national counterparts of our intended activities. 

The projected end-users for this index are purchasers of premix and non-governmental and donor organizations which support fortification. Investors (public and private) will also be able to use the Index to inform their investment decisions.    

Policy Scope

To strengthen and inform policies on premixes, ATNi willuse the results of this research to engage with governments, private sector and investors globally, as well as in India and Kenya on a national scale. By providing evidence on these matters, this will help enhance understanding of:

1) policies and practices on vitamin, mineral and premix quality

2) public commitments and initiatives to support adequate and effective fortification

3) level to which food fortification is accomplished

4) company nutrition and fortification governance and management

5) employee health and wellness and

6) investor landscape 

 

Timeline

The timeline for this project is projected for 2024 – 2025.

Contact Information

For more information linked to the project, please reach out to: 

Marina Plyta, Partnerships Manager: marina.plyta@atni.org 

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