National Vitamin A Supplementation Coverage Survey among 6-59 Months Old Children in Guinea (West Africa)

Bendech, Mohamed Ag; Cusack, Gil; Konaté, Fodé; Touré, Aliou; Ba, Midiaou; Baker, Shawn K.

doi:10.1093/tropej/fmm007

Cited by 19 publications

(46 citation statements)

References 3 publications

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“…Also, this present study indicates that the father's occupation is not in any way protective for receipt of VAC supplement, as children whose fathers were manual workers were less likely to receive VAC supplement compared to those whose fathers were not working. Furthermore, our results show that there is wide variation in uptake of VAC supplement by children across all the geographical regions in Nigeria; this finding is similar to those obtained in another western African country [57]. Specifically, the results show that despite the reported high prevalence of VAD, which is higher than the national average in the North West geographical region [19], children in this region are less likely to have received VAC supplement.…”

Section: Discussionsupporting

confidence: 86%

Childhood Vitamin A Capsule Supplementation Coverage in Nigeria: A Multilevel Analysis of Geographic and Socioeconomic Inequities

Aremu

Lawoko

Dalal

2010

The Scientific World JOURNAL

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Vitamin A deficiency (VAD) is a huge public health burden among preschool-aged children in sub-Saharan Africa, and is associated with a high level of susceptibility to infectious diseases and pediatric blindness. We examined the Nigerian national vitamin A capsule (VAC) supplementation program, a short-term cost-effective intervention for prevention of VAD-associated morbidity for equity in terms of socioeconomic and geographic coverage. Using the most current, nationally representative data from the 2008 Nigerian Demographic and Health Survey, we applied multilevel regression analysis on 19,555 children nested within 888 communities across the six regions of Nigeria. The results indicate that there was variability in uptake of VAC supplement among the children, which could be attributed to several characteristics at individual, household, and community levels. Individual-level characteristics, such as maternal occupation, were shown to be associated with receipt of VAC supplement. The results also reveal that household wealth status is the only household-level characteristic that is significantly associated with receipt of VAC, while neighborhood socioeconomic disadvantage and geographic location were the community-level characteristics that determined receipt of VAC. The findings from this study have shown that both individual and contextual socioeconomic status, together with geographic location, is important for uptake of VAC. These findings underscore the need to accord the VAC supplementation program the much needed priority with focus on characteristics of neighborhoods (communities), in addition to individual-level characteristics.

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Section: Discussionsupporting

confidence: 86%

Childhood Vitamin A Capsule Supplementation Coverage in Nigeria: A Multilevel Analysis of Geographic and Socioeconomic Inequities

Aremu

Lawoko

Dalal

2010

The Scientific World JOURNAL

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“…Our analysis showed that parental education is an important predictor of compliance with the VAS program, a finding that corroborates the results of a pooled data analysis in African settings [14]. A literature review has revealed any implementation of a door-to-door supplementation program resulting in universal visiting of households by the health work force may nullify the negative impact of paternal illiteracy [15]. Illiterate parents fail to understand the important health impacts of VAS, and thus they are less motivated to participate in the supplementation program.…”

Section: Discussionsupporting

confidence: 87%

“…We did not find any difference in recipient status of VAS among male and female children, indicating a lack of gender inequity in VAS attendance. Similar findings have been reported from studies in India, Nepal and countries in Africa [14,15]. A study in Bangladesh and another one in the Philippines reported similar coverage patterns of VAS in male and female children [20,21].…”

Section: Discussionsupporting

confidence: 85%

“…Illiterate parents fail to understand the important health impacts of VAS, and thus they are less motivated to participate in the supplementation program. It can also be assumed that illiterate mothers lack appropriate information about vitamin A distribution campaigns, particularly time and place of distribution in the community, which might be an important reason for their not participating in supplementation programs, as reported by a previous study [15]. A study in a similar setting of India reported that children with illiterate mothers are at higher risk of not receiving VAS [16].…”

Section: Discussionmentioning

confidence: 98%

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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

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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“…10,12,18 Another study mentions education as an important factor in the distribution of vitamin A capsules. Children with parents who only had primary school education or lower had a higher risk of not receiving the vitamin A capsule compared to those with parents who had at least junior high school education.…”

mentioning

confidence: 99%

Coverage of Vitamin A Supplementation among Under-Five Children in Hegarmanah Village, Jatinangor in August 2014

Putri¹,

Istriati²,

Djais³

2017

amj

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Background: The vitamin A supplementation program conducted every February and August aims to reduce children morbidity and mortality. Mother's knowledge on the importance of vitamin A is crucial to succeeding this program. This study aimed to examine the coverage of the program among under-five children and the mother's knowledge about vitamin A supplementation in Hegarmanah Village, Jatinangor in August 2014. Methods: This was a descriptive cross-sectional study involving mothers of children aged 6−59 months in eight RWs in Hegarmanah Village. The mothers were interviewed to find out whether their children received vitamin A supplementation. Additional questionnaire-based data about mother's knowledge on vitamin A was also collected. The subjects in this study were the mothers of 220 under-five children. Data collection was obtained by direct interviews with the mothers during their visit to the Puskesmas or during home visits to children who missed the Posyandu appointments. Results: Two hundred and fourteen (97.27%) children received vitamin A supplementation and only 6 (2.73%) did not. The questionnaires revealed that 94 children (96%) received vitamin A, while 4 (4%) did not. The mother's level of knowledge in vitamin A was either poor (1%), moderate (37%), or good (62%). Conclusions:The coverage of vitamin A supplementation in Hegarmanah Village reaches 97.27% and the mother's understanding about vitamin A is generally good.

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National Vitamin A Supplementation Coverage Survey among 6-59 Months Old Children in Guinea (West Africa)

Abstract: In order to increase overall VAS coverage and reduce regional disparities, it is suggested that mass VAS be organized on a regional level, prioritizing rural regions (Middle and Upper Guinea) and the city of Conakry.

Cited by 19 publications

References 3 publications

Childhood Vitamin A Capsule Supplementation Coverage in Nigeria: A Multilevel Analysis of Geographic and Socioeconomic Inequities

Childhood Vitamin A Capsule Supplementation Coverage in Nigeria: A Multilevel Analysis of Geographic and Socioeconomic Inequities

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

Coverage of Vitamin A Supplementation among Under-Five Children in Hegarmanah Village, Jatinangor in August 2014

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