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Health

Sugar that does more

Zimbabwe is one of only nine countries in the world that mandatorily fortify sugar with Vitamin A. Every spoonful of household sugar produced here helps close micronutrient gaps that would otherwise leave children vulnerable.

19%
Children with Vitamin A deficiency (2012)
72%
Children with iron deficiency (2012)
9
Countries fortifying sugar globally
1 July 2017
Fortification mandate begins
The Problem

A national micronutrient gap

The 2012 Zimbabwe National Micronutrient Survey revealed alarming deficiency levels: 19% of children aged 6 to 59 months were Vitamin A deficient, 72% had iron deficiency, 31% were anaemic, and 24% of women of childbearing age were Vitamin A deficient.

Nearly 1.5 million working-age adults with anaemia suffered deficits in work performance. The economic and human cost of leaving these deficiencies unaddressed was significant.

The strategy

The National Food Fortification Strategy 2014 to 2018 was developed to address these burdens. It targeted four staple foods: sugar (with Vitamin A), cooking oil (with Vitamins A and D), wheat flour, and maize meal (with multiple micronutrients). Sugar fortification with Vitamin A became mandatory from 1 July 2017, enacted under the Food Fortification Regulations of 2016.

How it works in practice

Tongaat Hulett, producing over 70% of Zimbabwe's sugar through Hippo Valley and Triangle, installed Vitamin A fortification infrastructure at both mills. Quality assurance teams test fortified sugar multiple times per shift using BioAnalyt's iCheck Fluoro portable testing devices.

The company operates two iCheck devices at each facility: one for daily operations and a backup to prevent production delays. Government inspections confirm that internal testing aligns with external audits, building trust in the programme.

Global Context

An exclusive group of nine

Zimbabwe is one of only nine countries in the world that mandatorily fortify sugar with Vitamin A. This places the country in an exclusive group committed to using a staple food as a vehicle for public health improvement.

Vitamin A deficiency undermines immunity, growth, and vision. Even small daily amounts of fortified sugar help close nutrient gaps that would otherwise leave children vulnerable. The programme supports healthier growth outcomes across millions of Zimbabwean households.

The Cost Challenge

Fortification carries a price

Fortification adds approximately US$9 to US$10 per tonne to production costs. When unfortified sugar imports enter the market (legally or illegally), domestic producers face an unfair cost disadvantage.

Over 16 imported sugar brands have been identified in the market lacking Vitamin A fortification, posing both health risks to consumers and competitive challenges for local producers. Import policy and protection are explored on the trade and exports page.

Partners

The programme involves collaboration between the Ministry of Health and Child Care, sugar producers, the World Health Organization (WHO), the World Food Programme (WFP), the Food and Agriculture Organization (FAO), UNICEF, and the Consumer Council of Zimbabwe.

Why this matters

For most Zimbabweans, sugar is in tea, in porridge, in bread. It travels into kitchens that government clinics may never reach. By using a staple food as a delivery vehicle for an essential vitamin, Zimbabwe has built one of the most cost-effective public health programmes available to a developing economy.

See the companies running the fortification process, the grades of sugar that are fortified, or the broader nutritional context on sugar and nutrition.