What impact have you had?
1) Coverage with iodised salt in the whole country over 90% (see details below under Results)
2) adoption of the approach by the Ministry of Health, including its financing, and countrywide extension
Providing a large majority of salt retailers with test kits for iodised salt that react only to potassium iodate and asking them to use these kits when purchasing salt at wholesale markets. Volunteers provide them with new test kits and test a sample of salt periodically, reminding retailers of using the test kits
1) over 80% of retailers have test kits (2008 data)
2) In all regions where we introduced the approach we saw an increase in coverage with iodised salt within one year. See the following list.
Naryn region October 2002: 76% – September 2003: 90%
Talas region: April 2005: 91% – April 2006: 97%
Issyk-kul region: April 2006: 62% – April 2007: 90%
Batken region: September 2007: 85% – September 2008: 94%
Chui West region: September 2007: 85% – September 2008: 93%
3) The approach very likely contributed to the considerable decrease in goitre in school students in Kyrgyzstan during the last decade (see attachment)
4) Adoption of the approach by the Ministry of Health of the Kyrgyz Republic
What will it take for your project to be successful over the next three years? Please address each year separately, if possible.
1) continued implementation of the approach by the Ministry of Health
2) continued distribution of test kits by volunteers
3) continued use of test kits by retailers at wholesale markets
regarding 1) The test kit approach has been adopted by the public health department of the Ministry of Health. Therefore funding is secure and implementation can continue countrywide.
regarding 2) The volunteers from the Village Health Committees like this task and will therefore likely continue distribution of test kits and periodic testing of samples at retailers.
regarding 3) The retailers know that people demand iodised salt and they know that volunteers will test samples periodically, and therefore will likely continue to use them at wholesalers
What would prevent your project from being a success?
1) discontinuation of support of the approach by the ministry of health (unlikely as it is successful and iodine deficiency disorders are a serious issue in Kyrgyzstan)
2) discontinuation of volunteers distributing the test kits (nothing so far indicates that this might happen)