Coverage and educational actions related to the national vitamin A supplementation program: a study in children from the state of Alagoas

Lima, Riquelane B.M.; Ferreira, Haroldo da Silva; Cavalcante, Andressa Lima; Santos, Laíse Gabrielly M.L.; Vieira, Regina Coeli da Silva; Assunção, Monica Lopes de

doi:10.1016/j.jped.2018.08.006

Cited by 13 publications

(16 citation statements)

References 22 publications

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“…This is probably due to a lack of knowledge about the health benefits of vitamin A in older children, on the part of their caregivers, or their perception of the ineffectiveness of VAS for older children, but these speculations have yet to be established by any qualitative study. A study conducted in Brazil reported a steady decline in the coverage rate of VAS program as the children grew older [19]. The literature suggests that poor VAS attendance is associated with low socio-economic status [20,21], which is in accordance with our study findings.…”

Section: Discussionsupporting

confidence: 91%

Factors affecting low coverage of the vitamin A supplementation program among young children admitted in an urban diarrheal treatment facility in Bangladesh

Mostafa

Islam

Mondal

et al. 2019

Global Health Action

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Background: Vitamin A deficiency (VAD) is one of the most prevalent micronutrient deficiencies in the world. About 2% of all deaths among children under five years of age (U-5) are attributable to VAD. Currently evidence-based knowledge is grossly lacking about the factors associated with low coverage of VAS. Objective: This study aims to determine the factors affecting low coverage of the vitamin A supplementation program among the young children admitted to a diarrheal hospital. Methods: We extracted data from the Diarrhoeal Diseases Surveillance System (DDSS) on children aged 12-59 months admitted to the Dhaka Hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh, from 1996 to 2014. A logistic regression model was constructed to identify the factors that were significantly associated with non-compliance to vitamin A supplementation (VAS). Strength of association was determined by calculating adjusted odds ratios (aORs) and their 95% confidence intervals. Results: A total of 8649 children were enrolled and comprised the analyzable sample. Their mean ± SD age was 25.2 ± 12.8 months and 40% were female. Around 68% of them had received VAS in the previous 6 months. In the logistic regression analysis, older (>24 months) children (aOR: 1.38; 95% CI: 1.24-1.53), having an illiterate mother (aOR: 1.43; 95% CI: 1.27-1.64), having an illiterate father (aOR: 1.3; 95% CI: 1.16-1.50), coming from the two lowest wealth quintiles (aOR:1.13; 95% CI: 1.02-1.27), with an average monthly household income <10,000 BDT, (1 USD = 60 BDT) and children who had not received the measles vaccine (aOR: 1.87; 95% CI: 1.63-2.19) were more likely not to have received VAS in the preceding six months. We also observed an increase in coverage of VAS from 61% to 76% over the last 18 years (p < 0.001). Conclusions: Non-compliance to VAS was found to be associated with older children, parents without formal schooling, family with greater poverty, low family income, and lack of measles vaccination. Specific programmatic approaches including prioritizing vulnerable children may enhance vitamin A coverage.

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Section: Discussionsupporting

confidence: 91%

Factors affecting low coverage of the vitamin A supplementation program among young children admitted in an urban diarrheal treatment facility in Bangladesh

Mostafa

Islam

Mondal

et al. 2019

Global Health Action

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“…In Tanzania more than 65% of the children (both PSAC and SAC) harbour STH infections (8), however, national efforts for control have hitherto been concentrated on SAC (9) excluding the PSAC who are among persons at risk of infection. Though PC for PSAC using Mebendazole have been going on during vitamin A and deworming campaign and routine child growth monitoring in the RCH clinics since 2004 (10,11), this strategy has not been optimal because such visits are rare for older children > 12 months (12)(13)(14) implying that a portion of PSAC do not actually receive treatment and remain at risk of STH infections. According to national reports the proportion of PSAC that received PC in the year 2014, 2015 and 2018 were only 70%, 38% and 50% respectively (11,15,16).…”

Section: Resultsmentioning

confidence: 99%

Prevalence of soil-transmitted helminthiases among pre-school age children (12-59 months) and WASH condition in Mkuranga, Tanzania: a cross-sectional study

MUSTAFA

Tarimo

2020

Preprint

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Background National efforts for STH control have hitherto been concentrated on school age children (SAC) excluding pre-school age children (PSAC). Though Preventive Chemotherapy (PC) for PSAC has been going on during deworming and vitamin A supplementation campaigns in the Reproductive and Child Health (RCH) clinics since 2004, it has not been optimal because not all PSAC receive PC thus remaining vulnerable to STH infections and potential source of community transmission. This study examined the prevalence and intensity of STHs infections among PSAC and the associated water, sanitation and hygiene (WASH) factors in Mkuranga district, Tanzania. Methods A quantitative community based cross-sectional study was conducted between April and June 2019. Stool samples from 525 PSAC were examined for STH infections. This was complemented with a questionnaire interview of mothers/caretakers of the PSAC to obtain their socio-demographic characteristics and WASH practices. An observation check list was used to gather environmental WASH practices. Data were analyzed by statistical computer package (SPSS version 23), and summarized by descriptive statistics; proportions were compared by the Chi-square test at the significance level of 0.05. Results The overall prevalence of STH infection was very low (1.3%) and was significantly associated with condition of child finger nails (P = 0.001) and place of disposal of faecal matter (P = 0.031). Latrine coverage was very high (97.3%), while disposal of children faeces was 100% hygienic. Less than a half (43.6%) of households were using improved latrines. Majority (95%) of households had access to improved water sources; however, only few (5.3%) treated drinking water. Very few (1.3%) households owned hand washing facilities, conceivably leading to a low practice of hand washing with soap at food preparation (12.8%), child feeding (13%), after defecation (34.1%) and after handling children faeces (23%). Nail trimming habit was very good as a large majority (83.8%) of caretakers and corresponding children (87.2%) had their finger nails trimmed at time of survey. Conclusion PSAC are a reservoir of STHs infections, which coupled with the prevalent risk factors of transmission, form a potential source of continuity of transmission in the community, hence the need for a national deworming program extending to PSAC

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“…A deficiência em vitamina A é uma das mais importantes hipovitaminoses apresentadas em gestantes e crianças, visto que há baixa ingestão desse micronutriente por parte de algumas gestantes (Gretchen, et al, 2015). Em muitos países a deficiência de vitamina A é a mais comumente encontrada, e por isso é importante que a suplementação desse micronutriente seja feito, e por isso no Brasil há um Programa de Suplementação em vitamina A (Lima, et al, 2020). O Programa Nacional de Suplementação em Vitamina A é parte de ações em saúde do Ministério da Saúde voltados para o combate a essa hipovitaminose, e a suplementação com altas dosagens é o método mais eficaz para erradicar esse problema (Rêgo, et al, 2019).…”

Section: Introductionunclassified

“…Research, Society and Development, v. 9, n. 9, e534997589, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i9.7589 4 O Programa Nacional de Suplementação de Vitamina A (PNSVA) é fundamental para suprir as necessidades das crianças de 6 a 59 meses de idade, e está ligado diretamente a redução da mortalidade de crianças durante esse período (Lima, et al, 2020).…”

Section: Introductionunclassified

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Suplementação de vitamina A em crianças de duas cidades do Maranhão

Barbosa

Rocha

Barreto

et al. 2020

RSD

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Em muitos países a deficiência de vitamina A é a mais comumente encontrada, e por isso é importante que a suplementação desse micronutriente seja feito, e por isso no Brasil há um Programa de Suplementação em vitamina A. O Programa Nacional de Suplementação em Vitamina A é parte de ações em saúde do Ministério da Saúde voltados para o combate a essa hipovitaminose, e a suplementação com altas dosagens é o método mais eficaz para erradicar esse problema. O trabalho objetivou pesquisar sobre a suplementação de vitamina A em crianças de duas cidades do Maranhão. Trata-se de um recorte de um estudo com dados secundários disponíveis no Sistema de Informações do Sistema Único de Saúde (SUS), coletado entre janeiro e maio de 2020, com os dados dispostos do ano de 2015. Após o processamento estatístico com o teste de análise de variância ANOVA um critério, foi encontrado o valor de p=0,7829, sendo este não estatístico significativamente, isso pode ser devido aos extremos dos valores encontrados nos dados de domínio público. Diante do exposto, observa-se que mesmo apenas uma cidade ultrapassando a meta de suplementação, o Programa Nacional de Suplementação de Vitamina A é eficaz para combater a hipovitaminose em crianças.

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Coverage and educational actions related to the national vitamin A supplementation program: a study in children from the state of Alagoas

Cited by 13 publications

References 22 publications

Factors affecting low coverage of the vitamin A supplementation program among young children admitted in an urban diarrheal treatment facility in Bangladesh

Factors affecting low coverage of the vitamin A supplementation program among young children admitted in an urban diarrheal treatment facility in Bangladesh

Prevalence of soil-transmitted helminthiases among pre-school age children (12-59 months) and WASH condition in Mkuranga, Tanzania: a cross-sectional study

Suplementação de vitamina A em crianças de duas cidades do Maranhão

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