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Vitamin a Supplementation Coverage and Correlates of Uptake Among Children 6-59 Months in the South Dayi District, Ghana

Received: 13 September 2016    Accepted: 20 October 2016    Published: 9 December 2016
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Abstract

Introduction: Vitamin A is essential for immune function, vision, reproduction, and cellular communication. Insufficient amounts of vitamin A decreases children’s ability to resist diseases and increases risks for childhood deaths, hospital stay, and missed school days. Two annual doses of vitamin A supplementation (VAS) for children 6-59 months, with a coverage threshold of 70% as recommended by UNICEF in settings with high deficiency. Methodology: For this cross-sectional study, we assessed nutrition knowledge of vitamin A among caregivers with children 6-59 months and coverage of VAS in the South Dayi District, Volta Region, Ghana, using structured questionnaires. Child health records were reviewed to determine immunization and vitamin A supplementation status of the children. Data were analyzed using the Statistical Package for Social Sciences SPSS (version 20.0) at 95% confidence intervals. Result: A total of 418 caregiver-child pairs participated in this study and health records of all children (49% female, ages 6-59 months) were examined for VAS coverage. Overall, VAS coverage in the 12 months preceding the study was 64.3%. Among caregivers with mean age ± SD (30.4 ± 7.4 years), 65% had inadequate nutrition knowledge of vitamin A food sources and 62% did not know deficiency symptoms or diseases linked to vitamin A. Caregiver knowledge (OR: 1.7) age of child (OR: 1.2) and being a female child (OR: 2.3) were significantly associated with receipt of vitamin A supplementation among children (p<0.05). Conclusion: Vitamin A supplementation coverage was below the WHO recommended threshold and caregiver knowledge was inadequate in the South Dayi District. Caregiver-centered approaches are needed for improving vitamin A nutrition and supplementation among children in the district.

Published in Central African Journal of Public Health (Volume 2, Issue 2)
DOI 10.11648/j.cajph.20160202.17
Page(s) 89-98
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Vitamin A Supplementation Coverage, Correlates, Children, South Dayi District, Ghana

References
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[2] WHO. (2011). Vitamin A supplementation in infants and children 6–59 months of age. Geneva: World Health Organization, 269, 16.
[3] Lungu G. (2015). A study to determine mothers knowledge and practices towards vitamin A supplements and food rich in vitamin A in Mpanshya - Chongwe District.
[4] McLaren, Donald, Stewart, Frigg, Martin, & Leben, Arbeitskreis, Sehen. (2012). Sight and life manual on vitamin A deficiency disorders (VADD): Task Force Sight and Life 2nd Ed. Basel.
[5] Mayo-Wilson, E. Imdad, A., Herzer, K. Yakoob, M. Y., & Bhutta, Z. A. (2011). Vitamin A supplements for preventing mortality, illness, and blindness in children aged under 5: systematic review and meta-analysis. BMJ, 343, d5094.
[6] WHO. (2002). The world health report 2002: reducing risks, promoting healthy life: World Health Organization.
[7] West, K. P. (2002). Extent of vitamin A deficiency among preschool children and women of reproductive age. The Journal of Nutrition, 132(9), 2857S-2866S.
[8] UNICEF. (2007). Vitamin A Supplementation: A decade of progress. UNICEF Nutrition Section, New York.
[9] David Patricia. (2003). Evaluating the Vitamin A Supplementation Programme in northern Ghana: Has it contributed to improved child survival? Micronutrient Initiative and JSI.
[10] Ghana statistical and Macro International Inc. (2008). Population and Housing Census.
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[15] Semba, Richard D., De Pee, Saskia, Sun, Kai, Bloem, Martin W., & Raju V. K. (2010). The role of expanded coverage of the national vitamin a program in preventing morbidity and mortality among preschool children in India. The Journal of nutrition, 140(1), 208S-212S.
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[18] Bharmal F. Y. & Omair A. (2001). Evaluation of vitamin A supplementation in Gulshan-e-Sikandarabad. Evaluation.
[19] Matta, S., Matta, P. & Gupta, V. (2006). Knowledge among women regarding vitamin A deficiency: A hosital based study. Indian J. Prev. Soc. Med, 37(3&4), 138-141.
[20] Rahman, A., & Sapkota, M. (2014). Knowledge on vitamin A rich- foods among mothers of preschool children in Nepal: impacts on public health and policy concerns. Science Journal of Public Health 2 (4), 316-322.
[21] Chilima D. M., Kalimbira A. A., Mtimuni B. M. (2005). Vitamin A knowledge and supplementation in Malawi. Bunda Journal of Agriculture, Environmental Science and Technology, 3 (63-72), 1726-3220.
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Cite This Article
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    Doris Hadzi, Geoffrey Adebayo Asalu, Hayford Mawuli Avedzi, Prince Kubi Appiah, Elvis E. Tarkang. (2016). Vitamin a Supplementation Coverage and Correlates of Uptake Among Children 6-59 Months in the South Dayi District, Ghana. Central African Journal of Public Health, 2(2), 89-98. https://doi.org/10.11648/j.cajph.20160202.17

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    ACS Style

    Doris Hadzi; Geoffrey Adebayo Asalu; Hayford Mawuli Avedzi; Prince Kubi Appiah; Elvis E. Tarkang. Vitamin a Supplementation Coverage and Correlates of Uptake Among Children 6-59 Months in the South Dayi District, Ghana. Cent. Afr. J. Public Health 2016, 2(2), 89-98. doi: 10.11648/j.cajph.20160202.17

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    AMA Style

    Doris Hadzi, Geoffrey Adebayo Asalu, Hayford Mawuli Avedzi, Prince Kubi Appiah, Elvis E. Tarkang. Vitamin a Supplementation Coverage and Correlates of Uptake Among Children 6-59 Months in the South Dayi District, Ghana. Cent Afr J Public Health. 2016;2(2):89-98. doi: 10.11648/j.cajph.20160202.17

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  • @article{10.11648/j.cajph.20160202.17,
      author = {Doris Hadzi and Geoffrey Adebayo Asalu and Hayford Mawuli Avedzi and Prince Kubi Appiah and Elvis E. Tarkang},
      title = {Vitamin a Supplementation Coverage and Correlates of Uptake Among Children 6-59 Months in the South Dayi District, Ghana},
      journal = {Central African Journal of Public Health},
      volume = {2},
      number = {2},
      pages = {89-98},
      doi = {10.11648/j.cajph.20160202.17},
      url = {https://doi.org/10.11648/j.cajph.20160202.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20160202.17},
      abstract = {Introduction: Vitamin A is essential for immune function, vision, reproduction, and cellular communication. Insufficient amounts of vitamin A decreases children’s ability to resist diseases and increases risks for childhood deaths, hospital stay, and missed school days. Two annual doses of vitamin A supplementation (VAS) for children 6-59 months, with a coverage threshold of 70% as recommended by UNICEF in settings with high deficiency. Methodology: For this cross-sectional study, we assessed nutrition knowledge of vitamin A among caregivers with children 6-59 months and coverage of VAS in the South Dayi District, Volta Region, Ghana, using structured questionnaires. Child health records were reviewed to determine immunization and vitamin A supplementation status of the children. Data were analyzed using the Statistical Package for Social Sciences SPSS (version 20.0) at 95% confidence intervals. Result: A total of 418 caregiver-child pairs participated in this study and health records of all children (49% female, ages 6-59 months) were examined for VAS coverage. Overall, VAS coverage in the 12 months preceding the study was 64.3%. Among caregivers with mean age ± SD (30.4 ± 7.4 years), 65% had inadequate nutrition knowledge of vitamin A food sources and 62% did not know deficiency symptoms or diseases linked to vitamin A. Caregiver knowledge (OR: 1.7) age of child (OR: 1.2) and being a female child (OR: 2.3) were significantly associated with receipt of vitamin A supplementation among children (pConclusion: Vitamin A supplementation coverage was below the WHO recommended threshold and caregiver knowledge was inadequate in the South Dayi District. Caregiver-centered approaches are needed for improving vitamin A nutrition and supplementation among children in the district.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Vitamin a Supplementation Coverage and Correlates of Uptake Among Children 6-59 Months in the South Dayi District, Ghana
    AU  - Doris Hadzi
    AU  - Geoffrey Adebayo Asalu
    AU  - Hayford Mawuli Avedzi
    AU  - Prince Kubi Appiah
    AU  - Elvis E. Tarkang
    Y1  - 2016/12/09
    PY  - 2016
    N1  - https://doi.org/10.11648/j.cajph.20160202.17
    DO  - 10.11648/j.cajph.20160202.17
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 89
    EP  - 98
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20160202.17
    AB  - Introduction: Vitamin A is essential for immune function, vision, reproduction, and cellular communication. Insufficient amounts of vitamin A decreases children’s ability to resist diseases and increases risks for childhood deaths, hospital stay, and missed school days. Two annual doses of vitamin A supplementation (VAS) for children 6-59 months, with a coverage threshold of 70% as recommended by UNICEF in settings with high deficiency. Methodology: For this cross-sectional study, we assessed nutrition knowledge of vitamin A among caregivers with children 6-59 months and coverage of VAS in the South Dayi District, Volta Region, Ghana, using structured questionnaires. Child health records were reviewed to determine immunization and vitamin A supplementation status of the children. Data were analyzed using the Statistical Package for Social Sciences SPSS (version 20.0) at 95% confidence intervals. Result: A total of 418 caregiver-child pairs participated in this study and health records of all children (49% female, ages 6-59 months) were examined for VAS coverage. Overall, VAS coverage in the 12 months preceding the study was 64.3%. Among caregivers with mean age ± SD (30.4 ± 7.4 years), 65% had inadequate nutrition knowledge of vitamin A food sources and 62% did not know deficiency symptoms or diseases linked to vitamin A. Caregiver knowledge (OR: 1.7) age of child (OR: 1.2) and being a female child (OR: 2.3) were significantly associated with receipt of vitamin A supplementation among children (pConclusion: Vitamin A supplementation coverage was below the WHO recommended threshold and caregiver knowledge was inadequate in the South Dayi District. Caregiver-centered approaches are needed for improving vitamin A nutrition and supplementation among children in the district.
    VL  - 2
    IS  - 2
    ER  - 

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Author Information
  • School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana

  • School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana

  • School of Public Health Sciences, University of Alberta, Alberta, Canada

  • School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana

  • School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana

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