Endocrine Abstracts

The success of any health endure relies on commitment towards the outcome. Pakistan having already affected by the myth with iodized salt; posing a challenge for the legislative system to legislate and regulate the iodine supplementation. Iodine deficiency control bill 2009 is still pending for approval from national assembly since then. With this background we aimed to assess the challenges faced for legislation and implementation of the programme. After 18^th amendment in constitution there is a power devolution from federal government to provincial states; which holds the responsibilities for health, health related regulations and implementations. In part, there were some successes claimed in terms of legislation and implementation by provinces but still iodine deficiency remains a huge challenge for Pakistani population. Data is obtained from online databases and organizational reports, including NGOs, health ministries, the iodine global network (IGN), and other related organizations exploring topics like salt usage and household nutrition supplementation, IDD regulation and implementation, assessment of legislation and IDD program. After critical review the potential factors for impeding achieving legislation goals are lacking political commitment, impact of religious groups on political system, unawareness related to salt iodization and iodine supplementation, lacking uniform legislation across the country, outdated acts and laws in provinces, legislative gaps, unclear roles among government and international agencies involved in regulatory efforts. While implementation issues remains simultaneous hindrance including lack of monitoring and regulation, shift in the dietary patterns, unknown Iodine Levels, regulatory compliance and resource allocation. These issues underscore the importance of effective implementation strategies, regulatory oversight, and continuous monitoring to ensure the success of iodine legislation in combating iodine deficiency disorders. A recent EUthyroid consortium highlighted similar issues for not reaching to success in spite of the Krakow declaration stressing upon such political commitments. Without overcoming these gaps sustainable control of iodine deficiency disorders in Pakistan and around the globe would still remain an unachievable dream.