Uptake of routine vitamin A supplementation for children in Humbo district, Southern Ethiopia: Community-based cross-sectional study

Kassa, Getnet; Mesfin, Addisalem; Gebremedin, Samson

doi:10.21203/rs.3.rs-41145/v1

Cited by 3 publications

(6 citation statements)

References 14 publications

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“…In statistical analyses, this was also accompanied by the significant association of lack of current work for the respondents which is connected with the low vitamin A supplementation. Evidence shows that wealth index and work status are the independent predictors of vitamin A supplementation; however, there is not enough evidence to support wealth index in our study [13,16,27]. Lack of information due to low educational status is usually connected to poor supplementation of vitamin A.…”

Section: Discussioncontrasting

confidence: 71%

“…In this study, among 8,973 pooled responses on vitamin A, only 44.90% of children aged 6-59 months had vitamin A supplementation in the last six months. There was an increase from previous studies prevalence that might be due to the make shift in strategies of delivery of vitamin A and integration of vitamin A delivery system in to the health extension program [2,16].…”

Section: Discussionmentioning

confidence: 99%

“…The current study was not organized based on the models of supplementation. It was based on the nature of data available in DHS 2016 dataset [16].…”

Section: Study Design and Settingsmentioning

confidence: 99%

“…Awareness creation is expected to work very well considering the socioeconomic factors of the communities. In Ethiopia, vitamin A distribution followed three strategies: enhanced outreach strategy, community health days, and the routine health extension program (regular community health workers) [16]. In the 2005 EDHS, the overall national coverage of vitamin A was 22.6%.…”

Section: Introductionmentioning

confidence: 99%

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Geographical variation and associated factors of vitamin A supplementation among 6–59-month children in Ethiopia

2021

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Introduction Vitamin A has been one of the most important micronutrients which are necessary for the health of the children. In developing countries, the supplementation of vitamins under a regular schedule had different constraints. Awareness, access, and resource limitations were usually the problem. In the current study, we analyzed the data from the demographic health survey (EDHS) 2016 to uncover the spatial distribution, predictors, and to provide additional information for policymaking and interventions. Methods In this analysis, we applied intra-community correlation to measure the random effect; global Moran’s I to test the nature of variance in the null model; proportional change in variance to check the variance of null and neighborhood in subsequent models. We used STATA 15 for prediction; ArcGIS 10.7 for the spatial distribution of vitamin A supplementation; SaTscan 9.6.1 to specify location of clustering were the applied soft wares. After confirming that the traditional logistic regression cannot explore the variances, we applied multilevel logistic regression to examine predictors where p-value <0.25 was used to include variables into the model and p-value<0.05 was used to declare associations. We presented the result using means, standard deviations, numbers, and proportions or percent, and AOR with 95% CI. Result The vitamin A coverage was 4,029.22 (44.90%) in Ethiopia in 2016. The distribution followed some spatial geo-locations where Afar, Somali were severely affected (RR = 1.46, P-value < 0.001), some pockets of Addis Ababa (RR = 1.47, p-value <0.001), and the poor distribution also affected all other regions partially. Place of delivery 1.2(1–1.34), primary and secondary education 1.3 (1–1.6), media exposure 1.2(1.1–1.4), having work 1.4(1.2–1.5), and all visits of ANC were positively influenced the distribution. Conclusion The distribution of vitamin A coverage was not random as per the EDHS 2016 data. Regions like Afar, Somali, and some pocket areas in Addis inquires immediate interventions. Pastoralist, agrarian, and city administrations were all involved from severe to the lesser coverage in order. Since factors like Place of delivery, education, ANC, media exposure, and having work were showed positive associations, interventions considering awareness, access, and availability of service need more attention than ever.

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Section: Discussioncontrasting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

“…The current study was not organized based on the models of supplementation. It was based on the nature of data available in DHS 2016 dataset [16].…”

Section: Study Design and Settingsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Geographical variation and associated factors of vitamin A supplementation among 6–59-month children in Ethiopia

2021

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“…20 The employment rate might depend on education 23 and exposure to the importance of supplements. 24 In addition, this study also revealed that paternal education is found to be negatively associated with childhood deworming, unlike other studies in which paternal education status is supportive for child healthcare practices. 25 Children whose fathers attend secondary and above, and primary level of education were 50% and 29% less likely to get deworming supplementation than children whose fathers didn't attend formal education, respectively.…”

Section: Discussioncontrasting

confidence: 56%

Deworming Coverage and its Predictors among Ethiopian Children Aged 24 to 59 Months: Further Analysis of EDHS 2016 Data Set

Mulaw

Feleke

Ahmed

et al. 2021

Global Pediatric Health

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Intestinal parasitic infections are the major public health problem globally, mostly in developing countries. World Health Organization recommends deworming to all at-risk people living in endemic areas as a prevention or intervention strategy. Therefore this study aimed to assess the deworming coverage and its predictors among Ethiopian children aged 24-59 months. The study analyzed retrospectively cross-sectional data on a weighted sample of 5,948 children aged 24-59 months nested within 645 clusters after extracting from the Ethiopian Demographic health survey. Bivariable and multivariable logistic regression was employed to assess the association of variables. Predictors at p-value < 0.25 were entered into the multivariable logistic regression model, and statistical significance was declared at P-value < 0.05. In this study, the prevalence of maternal reported deworming supplements among children aged 24-59 months was 15.1%. Predictive variables significantly associated with deworming supplementation include maternal media exposure, maternal control of household healthcare decisions, institutional healthcare delivery, and child vitamin-A supplementation. Having history of a diarrheal disease, maternal and paternal education, and family size were also statistically significant predictors of deworming supplements. Therefore, deworming supplementation among children is low. Maternal education and employment, paternal education, family size, decision-making process, maternal media exposure, place of delivery, vitamin-A supplementation, and a having history of diarrhea were predictors of deworming supplements. Multifaceted interventions aimed at those predictors should be given emphasis.

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Trends in inequality in the coverage of vitamin A supplementation among children 6–59 months of age over two decades in Ethiopia: Evidence from demographic and health surveys

Zegeye¹,

Olorunsaiye

Ameyaw

et al. 2022

SAGE Open Medicine

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Objectives: There is a dearth of evidence on inequalities in vitamin A supplementation in Ethiopia. The goal of this study was to assess the magnitude and overtime changes of inequalities in vitamin A supplementation among children aged 6–59 months in Ethiopia. Methods: We extracted data from four waves of the Ethiopia Demographic and Health Surveys (2000, 2005, 2011, and 2016). The analysis was carried out using the 2019 updated World Health Organization’s Health Equity Assessment Toolkit software that facilitates the use of stored data from World Health Organization’s Health Equity Monitor Database. We conducted analysis of inequality in vitamin A supplementation by five equity stratifiers: household economic status, educational status, place of residence, child’s sex, and subnational region. Four summary measures—population attributable fraction, ratio, difference, and population attributable risk—were assessed. We computed 95% uncertainty intervals for each point estimate to ascertain statistical significance of the observed vitamin A supplementation inequalities and overtime disparities. Results: The findings suggest marked absolute and relative pro-rich (population attributable fraction = 29.51, 95% uncertainty interval; 25.49–33.53, population attributable risk = 13.18, 95% uncertainty intervals; 11.38–14.98) and pro-urban (difference = 16.55, 95% uncertainty intervals; 11.23–21.87, population attributable fraction = 32.95, 95% uncertainty intervals; 32.12–33.78) inequalities. In addition, we found education-related (population attributable risk = 18.95, 95% uncertainty intervals; 18.22–19.67, ratio = 1.54, 95% uncertainty intervals; 1.37–1.71), and subnational regional (difference = 38.56, 95% uncertainty intervals; 29.57–47.54, ratio = 2.10, 95% uncertainty intervals; 1.66–2.54) inequalities that favored children from educated subgroups and those living in some regions such as Tigray. However, no sex-based inequalities were observed. While constant pattern was observed in subnational regional disparities, mixed but increasing patterns of socioeconomic and urban–rural inequalities were observed in the most recent surveys (2011–2016). Conclusion: In this study, we found extensive socioeconomic and geographic-based disparities that favored children from advantaged subgroups such as those whose mothers were educated, lived in the richest/richer households, resided in urban areas, and from regions like Tigray. Government policies and programs should prioritize underprivileged subpopulations and empower women as a means to increase national coverage and achieve universal accessibility of vitamin A supplementation.

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Uptake of routine vitamin A supplementation for children in Humbo district, Southern Ethiopia: Community-based cross-sectional study

Cited by 3 publications

References 14 publications

Geographical variation and associated factors of vitamin A supplementation among 6–59-month children in Ethiopia

Geographical variation and associated factors of vitamin A supplementation among 6–59-month children in Ethiopia

Deworming Coverage and its Predictors among Ethiopian Children Aged 24 to 59 Months: Further Analysis of EDHS 2016 Data Set

Trends in inequality in the coverage of vitamin A supplementation among children 6–59 months of age over two decades in Ethiopia: Evidence from demographic and health surveys

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