Summary:

High Coverage and Low Utilization of the Double Fortified Salt Program in Uttar Pradesh, India: Implications for Program Implementation and Evaluation

The authors sought to characterize the coverage of a double fortified salt (DFS) program implemented through the Public Distribution System (PDS) in Uttar Pradesh, India, and understand the drivers of DFS adherence. They observed significant heterogeneity in DFS implementation as reflected by high coverage and low adherence. Findings from this process evaluation informed the design of an adaptive impact evaluation and provided generalizable insights for ensuring that the potential for impact is realized. The authors conclude that greater efforts are needed to increase awareness, improve product quality, as well as mitigate against the sensory challenges identified.

Authors: Cyriac, Shruthi; Haardörfer, Regine; Neufeld, Lynnette M; Girard, Amy Webb; Ramakrishnan, Usha; Martorell, Reynaldo; Mbuya, Mduduzi N N