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.jpedp.2018.11.018

Cited by 2 publications

(3 citation statements)

References 18 publications

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“…The mixed logistic regression further revealed that the associated significant predictors of VAS consumption among preschool-age children are children’s age, educational status of both mothers and fathers, mass media exposure, and NGO membership of children’s mothers. The present study showed that older children were more likely to consume VAS than their younger peers in Bangladesh, whereas Agrawal et al [ 17 ] and Lima et al [ 20 ] reported a steady decline in the VAS coverage rate with the increasing age of children. This is probably due to a lack of mothers’ knowledge about the health benefits of vitamin A in younger children, or even they do not know the necessity of VAS during breastfeeding time to their children.…”

Section: Discussioncontrasting

confidence: 50%

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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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Section: Discussioncontrasting

confidence: 50%

“…Choi et al [ 19 ] found that children living in poor households and whose mothers did not complete primary education were less likely to receive VAS in the Philippines. A recent study reported that the VAS program’s coverage rate gradually declines as the children grow older in Brazil [ 20 ].…”

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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“…Since the vitamin A supplementation program is a cost-effective approach to lessen the burden of VAD, it is necessary to design the community-based vitamin A supplement program considering associated factors that significantly enhance the awareness among underprivileged people and the consumption rate of vitamin A supplementation (VAS) [ 24 – 27 ]. Existing literature riched by such studies that have been conducted to identify the determinants that are significantly associated with the VAS program in several countries.…”

Section: Introductionmentioning

confidence: 99%

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

Cited by 2 publications

References 18 publications

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

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

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

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