Interventions for Iodine deficiency

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Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Education of pregnant women on infant and child feeding			Follow up cases of iodine deficiency being managed at home to ensure compliance with treatment and advice Refer pregnant women with goiters or signs and symptoms of hypothyroidism to hospital for further assessment and management
Primary Care
Education of pregnant women on infant and child feeding	Exclusive breastfeeding		Refer cases of iodine deficiency and cases of goiter to hospital for treatment
Referral Facility: General
Education of pregnant women on infant and child feeding	Exclusive breastfeeding		Treat iodine deficiency cases with iodide with or without levothyroxine Plan for sugery for pregnant women with large goiters after delivery
Referral Facility: Specialist
Education of pregnant women on infant and child feeding	Exclusive breastfeeding		Treat iodine deficiency cases with iodide with or without levothyroxine Plan for sugery for pregnant women with large goiters after delivery

Age Cohort: < 5 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Educate mothers and families on ways of providing nutritious diets for children Educate on the benefits of cooking with iodized salt	Education of proprietors of pre-school facilities on adding provision of one healthy meal to children in their facilities Educate on the benefits of cooking with iodized salt Examine children during home visits for signs of goiter and other signs of iodine deficiency		Follow up cases of iodine deficiency being managed at home to ensure compliance with treatment and advice Refer children with suspected iodine deficiency next level for further assessment and management
Primary Care
Educate mothers and families on ways of providing nutritious diets for children Educate on the benefits of cooking with iodized salt			Refer cases of iodine deficiency and cases of goiter to hospital for treatment
Referral Facility: General
			Treat iodine deficiency cases with iodide with or without levothyroxine
Referral Facility: Specialist
			Treat iodine deficiency cases with iodide with or without levothyroxine

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
School-based education on nutritious diets Education of proprietors of schools on adding provision of one healthy meal to children in their facilities	School-based education on nutritious diets Education of proprietors of schools on adding provision of one healthy meal to children in their facilities Examination during home visits for presence of goiter and signs of hypothyroidism		Follow up cases of iodine deficiency being managed at home to ensure compliance with treatment and advice Refer children with suspected iodine deficiency to next level for further assessment and management
Primary Care
			Refer cases of iodine deficiency and cases of goiter to hospital for treatment
Referral Facility: General
			Treat iodine deficiency cases with iodide with or without levothyroxine
Referral Facility: Specialist
			Treat iodine deficiency cases with iodide with or without levothyroxine

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Education on nutritious and healthy eating			Refer people with suspected iodine deficiency next level for further assessment and management Follow up cases of iodine deficiency being managed at home to ensure compliance with treatment and advice
Primary Care
Education on nutritious and healthy eating			Education on nutritious and healthy eating
Referral Facility: General
			Treat iodine deficiency cases with iodide with or without levothyroxine Plan for surgery in cases with large goiters
Referral Facility: Specialist
			Treat iodine deficiency cases with iodide with or without levothyroxine Plan for surgery in cases with large goiters

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Education on nutritious and healthy eating	Education on nutritious and healthy eating Examination during home visits for presence of goiter and signs of hypothyroidism		Follow up cases of iodine deficiency being managed at home to ensure compliance with treatment and advice Refer people with suspected iodine deficiency next level for further assessment and management
Primary Care
Education on nutritious and healthy eating			Refer cases of iodine deficiency and cases of goiter to hospital for treatment
Referral Facility: General
			Treat iodine deficiency cases with iodide with or without levothyroxine Plan for surgery in cases with large goiters
Referral Facility: Specialist
			Treat iodine deficiency cases with iodide with or without levothyroxine Plan for surgery in cases with large goiters

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Education on nutritious and healthy eating	Education on nutritious and healthy eating Examination during home visits for presence of goiter and signs of hypothyroidism		Follow up cases of iodine deficiency being managed at home to ensure compliance with treatment and advice Refer people with suspected iodine deficiency next level for further assessment and management
Primary Care
Education on nutritious and healthy eating			Refer cases of iodine deficiency and cases of goiter to hospital for treatment
Referral Facility: General
			Treat iodine deficiency cases with iodide with or without levothyroxine Plan for surgery in cases with large goiters
Referral Facility: Specialist
			Treat iodine deficiency cases with iodide with or without levothyroxine Plan for surgery in cases with large goiters