Dear doctors:

After cordial greeting, I attach the proposed research title:

1. Multimicronutrient supplementation practices and hemoglobin level in children aged 6-18 months attended at the Carmen Alto Health Center. Ayacucho, 2019.

2. Prevention practices for iron-deficiency anemia in mothers of children 24-35 months attended at the Carmen Alto Health Center. Ayacucho, 2019.

3. Level of knowledge and preventive practices of anemia due to iron deficiency of pregnant women attended at the Carmen Alto Health Center. Ayacucho, 2019.

I am interested in developing the first title and the justification is as follows:

In Peru, in the year 2017, 43.6% of girls and boys aged 6 to 35 months had anemia. In the rural area (53.3%) the prevalence of anemia was higher compared to the urban area (40%). By natural region, the highest proportions of anemia were recorded in the jungle (53.6%) and sierra (52%). By department, the highest prevalences of anemia were concentrated in Puno (75.9%), Loreto (61.5%), Ucayali (59.1%) and Pasco (58%). The lowest prevalences were identified in the constitutional province of Callao (32.4%), Metropolitan Lima (33.3%) and Arequipa (34.2%). [1]

According to the same source, in the department of Ayacucho, 48.3% of children aged 6 to 35 months presented anemia, ranking 12th among the departments with the highest proportion of anemia.

Supplementation is a strategy by which a substance is administered that supplies, individually and therapeutically, the micronutrient necessary for the proper functioning of the organism. The purpose: to correct the manifest deficiencies and to guarantee the daily requirements of the nutrient. However, research at the national, international and local levels, describe heterogeneous results regarding the impact of multimicronutrient supplementation in the treatment and prevention of iron-deficiency anemia, whose effectiveness is questioned due to deficiencies in the supply of this product.

Regards,