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

Mostafa, Ishita; Islam, Sajia; Mondal, Prasenjit; Faruque, A. S. G.; Ahmed, Tahmeed; Hossain, Iqbal

doi:10.1080/16549716.2019.1588513

Cited by 13 publications

(12 citation statements)

References 19 publications

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“…It could be because a higher educated parent in an urban area remains busy with other activities except for their parenting task. Therefore, parents’ awareness of their children may be more effective in reducing the VAD burden [ 20 , 25 ]. The educated parents’ having enough knowledge about vitamin A-rich food also plays a crucial factor in preventing the vitamin A deficiency of their offspring.…”

Section: Discussionmentioning

confidence: 99%

“…Also, Xerophthalmia among preschool children amounts to about 5 million cases, 10% of which can potentially lead to blindness in India [ 18 , 19 ]. Globally, about 30% of children under the age of 5 years are vitamin A deficient, and about 2% of all deaths are attributable to VAD in this age group [ 14 , 20 ]. The most important agenda of Sustainable Development Goal-3 is to reduce the preventable deaths of under-five children at least as low as 25 per 1000 live births within 2030 [ 21 ] and reduce the number of stunted children under five by 40% by 2025 [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

“…Mostafa et al (2019) try to determine the factors affecting low coverage of the VAS program among the young children admitted to a diarrheal hospital of Bangladesh and age of the child, parental education, and wealth status are associated with receiving the vitamin A supplement. They also observed an increase in coverage of VAS from 61 to 76% over the last 18 years [ 20 ]. Muliyil et al (2019) mention that the educational status of the household head was significantly associated with an increased risk of VAD among children [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

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Rural-urban determinants of vitamin a deficiency among under 5 children in Bangladesh: Evidence from National Survey 2017–18

2021

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Background Vitamin A supplementation reduces child morbidity, mortality, and blindness of people, especially in developing countries like Bangladesh. This study explores significant determinants of vitamin A deficiency among preschool children in rural and urban areas of Bangladesh. Methods The data set was extracted from a nationally representative survey based on a cross-sectional study, the BDHS-2017-18. The base survey was conducted using a two-stage stratified sample of households. A sample of 8364 (urban 2911, rural 5453) children under-5 years old was analyzed using bivariate and multivariate statistical techniques. Results Results have demonstrated that 73.9 and 73.2% of children have had a vitamin A supplementation from urban and rural areas, respectively. Logistic regression analysis showed that parents’ education plays a vital role in consuming vitamin A supplements in urban and rural areas. Children whose mothers have secondary (OR: 1.17, CI: 0.76–1.81) and higher (OR: 1.21, CI: 0.72–2.04) education were more likely to consume vitamin A supplementation than children whose mothers were illiterate in urban areas. However, in rural areas, children whose mothers have secondary education were about 24% and higher education with 60% more likely to consume vitamin A supplementation than children whose mothers were illiterate. Child’s age, regional variation and wealth index also contributing factors for vitamin A deficiency in Bangladesh. Conclusions These findings indicated that the consumption of vitamin A does not cover the target of sustainable development goals. Thus special national and community level efforts are required to ensure the coverage of the national vitamin A program is increased adequately to the most vulnerable groups of children in Bangladesh.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Rural-urban determinants of vitamin a deficiency among under 5 children in Bangladesh: Evidence from National Survey 2017–18

2021

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“…In Bangladesh, one study noted that children’s age, religious status, parental education, wealth index, and breastfeeding status were significantly associated with VAS [ 21 ]. Another study reported that parents with no education and low socioeconomic status were less likely to consume VAS for their children [ 7 , 22 , 23 ]. Imdad et al [ 24 ] and Mayo et al [ 25 ] suggested that regular VAS resulted in a 24 to 28% reduction in mortality and a decrease in the incidence of night blindness.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with coverage of vitamin a supplementation among Bangladeshi children: mixed modelling approach

et al. 2021

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Background Vitamin A deficiency (VAD) is a prominent and widespread public health problem in developing countries, including Bangladesh. About 2% of all deaths among under-five children are attributable to VAD. Evidence-based information is required to understand the influential factors to increase vitamin A supplementation (VAS) coverage and reduce VAD. We investigated the potential factors affecting VAS coverage and its significant predictors among Bangladeshi children aged 6 to 59 months using the VAS clustered data extracted from the latest Bangladesh Demographic and Health Survey 2014. Methods Data were analysed using mixed logistic regression (MLR) modelling approach in the generalised linear mixed model framework. The MLR model performs better than logistic regression for analysing the clustered data because of its minimum Akaike information criterion value. The likelihood ratio test showed that the variance component was significant. Therefore, the clustering effect among children was inevitable to use. Results VAS coverage among under-five children was 63.6%, which is not optimal and below the WHO’s recommendation and the country’s target of 90%. Children aged 25 to 36 months (AOR = 2.07, 95% CI: 1.711 to 2.513), who had higher educated mothers (AOR = 1.37, p = 0.033, 95% CI: 1.026–1.820) and fathers (AOR = 1.32, p = 0.027, 95% CI: 1.032–1.683), whose mothers had media exposure (AOR = 1.22, p = 0.006, 95% CI: 1.059–1.408) and NGO membership (AOR = 1.24, p = 0.002, 95% CI: 1.089–1.422) were more likely to consume VAS. Conclusion The relevant authorities should create proactive awareness programs for highly vulnerable local communities, specifically targeted to educate the children’s mothers about the necessity and benefits of childhood nutrition.

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“…In Bangladesh, against the RDA of 300 RE requirement per children per day of under 5 years age consumption is 270 retinol equivalents (RE) of vitamin A. Women of childbearing age is intakes 372RE vitamin A whereas the RDA is 700RE [2]. Adults aging over 18 (considering average body weight of 60Kg for male and 50Kg for female) require 600µg/day vitamin A [3].…”

Section: Introductionmentioning

confidence: 99%

Golden Rice: A Path to Nutritional Security Achievement

Chowhan¹,

Ali²,

Nahar³

et al. 2020

MCDA

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

Cited by 13 publications

References 19 publications

Rural-urban determinants of vitamin a deficiency among under 5 children in Bangladesh: Evidence from National Survey 2017–18

Rural-urban determinants of vitamin a deficiency among under 5 children in Bangladesh: Evidence from National Survey 2017–18

Factors associated with coverage of vitamin a supplementation among Bangladeshi children: mixed modelling approach

Golden Rice: A Path to Nutritional Security Achievement

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