Review Article

Iodine Status in the Colombian Population and the Impact of Universal Salt Iodization: A Double-Edged Sword?

Table 5

Programmatic indicators for the sustained elimination of IDDs.

IndicatorFunction

Establishing a multisector coalitionImplement a national program for the elimination of IDDs. All the stakeholders (including the salt industry) shall be represented with responsibilities; stakeholders must meet at least twice a year.
Evidence of a political commitmentIDDs inclusion in the national budget.
Legislation and regulationsEnact laws and regulations supporting the universal salt iodization strategy
Evaluation of IDDs progressEstablish methods for progress evaluation in eliminating IDDs through programs evaluating progress every 3 years.
Maintenance of adequate laboratoriesMaintain access to adequate laboratories that provide accurate data on iodine levels in salt, in the urine and in thyroid (via function test).
Development of education and social promotion programsEstablish an education and social mobilization program through information strategies on the importance of iodine for the population.
Availability of iodine in salt dataMaintain a constant and routine availability of the iodine content data by having the values available from factories (at least on a monthly basis) and at the home level (at least every 5 years).
Availability of urine iodine dataMaintain the availability of the population-based data on the value of urinary iodine (at least every 5 years).
Commitment of the salt industryDemonstrate the ongoing cooperation of the salt industry, determined by the maintenance of quality control measures and reducing the costs of iodide and iodate.
Database generationMaintain a database at the national level to keep a log of the regular monitoring results, including home-based population coverage, urinary iodine values, and results of thyroid function tests when available.

IDDs: iodine deficiency disorders.