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    DSM Product Factsheet MixMe

    The challenge of hidden hungerOver 2 billion people all around the world suffer from hidden hunger, which means that

    although they may have enough calories to live, their basic diet fails to provide sufficient levelsof essential vitamins and minerals to allow them to live healthy lives. Through a long-standingpartnership with the World Food Programme (WFP), and engagement with other strategicstakeholders, DSM uses its Bright Science to tackle hidden hunger and improve lives forgenerations to come.

    MixMe as part of the solutionMixMe is a product innovation developed by DSM in 2008 to improvenutrition in partnership with the World Food Programme (WFP). It wasinitially introduced as part of the emergency relief effort for thoseaffected by Cyclone Sidr in Bangladesh. Today, millions of sachets aredistributed every year worldwide, together with the WFP, and otherinternational development organizations.

    What is MixMe?MixMe is a micronutrient powder which can be added to a meal or drink to ensure that peoplereceive essential daily vitamins and minerals, known as micronutrients, in their diet. Thisapproach is commonly known as in-home or point-of-use fortification, as the sachets can be

    used in the home, and simply mixed with regular meals. MixMe is suitable in addressingmalnutrition in infants older than 6 months and young children, as it does not change the taste,

    color or consistency of the food. When MixMe is introduced into a community for the firsttime it is usually supported by a social marketing campaign, to make sure that families andcaregivers are educated in its correct use and understand the role MixMe plays in improvingnutrition and health.

    What does it contain?MixMe can be formulated to contain micronutrients in different amounts, to ensure it targetsthe nutritional deficiencies of the specific community or population group where it is to beused. MixMe always contains at least 3 fat soluble vitamins (A, D, E) and at least 8 watersoluble vitamins (B1, B2, B6, B12, folic acid, panthotenic acid, niacin and vitamin C) togetherwith iron and zinc. The micronutrient content of the daily dose of MixMe always meets atleast half the recommended nutritional intake (RNI) of vitamins for the target recipients. Some

    formulations of MixMe also contain phytase, an enzyme which ensures that iron and zinc arestill effective at low doses to reduce deficiency. All the ingredients of MixMe are non-allergenic and conform to Codex international food standards.

    How is it packaged?MixMe is available in small single serving foil sachets

    which contain 1g of the micronutrient mix. It alsocomes in multiple serving sachets for use in settingssuch as schools. The special lightweight protectivepackaging is formulated to withstand challengingclimatic and transportation conditions, and it is suitablefor use in tropical regions, as well as for disaster reliefefforts. DSMs humanitarian initiative, Sight and Life, iscurrently supporting an innovation challenge to improvethe sustainability of the MixMe packaging byminimizing the environmental impact of used sachets incommunities that lack adequate waste disposalinfrastructures.

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    Making an impactThe WFP, UNHCR, UNICEF and the World Health Organization (WHO) all widely recommend theuse of micronutrient powders as a strategy in addressing malnutrition amongst children.Furthermore, the Copenhagen Consensus, a group of the worlds leading economists, hasranked bundled micronutrient interventions as the most cost-effective way of tackling manyof the global development challenges.

    To date, DSM has worked with the WFP to deliver MixMe sachets in countries such as Kenya,Nepal, Bangladesh, and the Philippines. Together with Herbalife, DSM has also recentlydonated 20 million sachets of MixMe as part of the global nutrition campaign, FutureFortified which is helping tackle the hunger crisis in the Horn of Africa.

    Research studies and impact assessments support the benefits of micronutrient powders,although work is continuing to improve methodologies for implementation and accuratelymeasuring their impact. Iron levels (one of the main measurements used) can be influenced bymany factors, and results have therefore been varied across some programs.

    Findings from assessing the impact of large-scale micronutrient powder (MixMe) distribution,amongst Bhutans refugee children (aged 6-59 months) in Nepal revealed a relative decrease of40% in the prevalence of stunting amongst children; a decrease in the prevalence of moderateanaemia; and a large decrease in diarrhea morbidity. A potential positive impact on stuntingwas also evidenced in Kenya after micronutrient powders were introduced in the Kakumarefugee camp. Additional evaluations corroborate the use of home-fortification in improvingthe iron status of children and lactating mothers, but other results showed less significantimprovements, highlighting the importance of further implementation research.1

    For further information visit: www.dsm.com or www.sightandlife.org

    1See Food and Nutrition Bulletin, vol 32, no 3, 2011, The United Nations University

    http://www.dsm.com/http://www.sightandlife.org/http://www.sightandlife.org/http://www.dsm.com/