2022
DOI: 10.1186/s12913-022-08264-z
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Co-implementing vitamin A supplementation with seasonal malaria chemoprevention in Sokoto State, Nigeria: a feasibility and acceptability study

Abstract: Background Bi-annual high dose vitamin A supplements administered to children aged 6–59 months can significantly reduce child mortality, but vitamin A supplementation (VAS) coverage is low in Nigeria. The World Health Organization recommends that VAS be integrated into other public health programmes which are aimed at improving child survival. Seasonal malaria chemoprevention (SMC) provides a ready platform for VAS integration to improve health outcomes. This study explored the feasibility and … Show more

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Cited by 6 publications
(7 citation statements)
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“…Similar to other studies in Burkina Faso and Nigeria [8–10], we show that integrating other health interventions with SMC is accepted—and indeed welcomed—by the population and health workers, and does not result in a drop in SMC programmatic coverage. Similar findings have been observed when integrating health interventions such as immunizations into malaria ITN mass distribution campaigns or neglected tropical disease mass drug administration campaigns [16, 17].…”
Section: Discussionsupporting
confidence: 88%
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“…Similar to other studies in Burkina Faso and Nigeria [8–10], we show that integrating other health interventions with SMC is accepted—and indeed welcomed—by the population and health workers, and does not result in a drop in SMC programmatic coverage. Similar findings have been observed when integrating health interventions such as immunizations into malaria ITN mass distribution campaigns or neglected tropical disease mass drug administration campaigns [16, 17].…”
Section: Discussionsupporting
confidence: 88%
“…Moreover, there is increased interest to use SMC campaigns to integrate or leverage other health interventions [15]. The rationale for this is that by doing so (1) other health interventions that may not have as high population acceptance or coverage as SMC would benefit from the high acceptance and coverage of SMC; and (2) cost-efficiencies would be obtained, since combining intervention planning, implementation and monitoring would result in various Similar to other studies in Burkina Faso and Nigeria [8][9][10], we show that integrating other health interventions with SMC is accepted-and indeed welcomed-by the population and health workers, and does not result in a drop in SMC programmatic coverage. Similar findings have been observed when integrating health interventions such as immunizations into malaria ITN mass distribution campaigns or neglected tropical disease mass drug administration campaigns [16,17].…”
Section: Discussionmentioning
confidence: 96%
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“…Caregiver education and engagement is also important to ensure completion of the entire three-day SMC regimen [17 ▪ ,18 ▪ ,19]. SMC visits also offer an opportunity to successfully deliver other healthcare services, as demonstrated in a study in Guinea that integrated mid-upper arm circumference assessment, and in a separate study in Nigeria that integrated vitamin A supplementation, both documenting no decrease in SMC coverage when additional interventions were added [20,21].…”
Section: Malaria Chemopreventionmentioning
confidence: 99%
“…8 Such step is likely going to increase the effect of SMC even further, either in CU5 (if additional SMC cycles are added) or in older age groups (if older age groups are covered with SMC)-indeed recent studies in Burkina Faso, Mali and Senegal seem to corroborate this. [46][47][48] Moreover, there is increased interest to use SMC campaigns to integrate or leverage other health interventions, [49][50][51] the rationale being that (1) other health interventions that may not have as high population acceptance or coverage as SMC would benefit from the high acceptance and coverage of SMC; and (2) cost-efficiencies would be obtained, since combining intervention planning, implementation and monitoring would result in various economies of scale (e.g., training of health workers, transport costs, limiting health workers' time to implement campaigns rather than providing health services).…”
Section: Number Of Severe Malaria Casesmentioning
confidence: 99%