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Coverage and factors associated with vitamin A supplementation among children aged 6–59 months in twenty-three sub-Saharan African countries

Bibliographic Data

ID15094299
AuthorsAnselm S Berde (0000-0002-8898-1266, North-West University, corresponding author), Petra Bester (0000-0002-8440-7638, North-West University), Iolanthé M Kruger (0000-0002-8636-7174, North-West University)
Year2019
Volume22
Issue10
Pages1770-1776
Publication date2019-07-01
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980018004056
PMID30755287
OpenAlexW2914505571
LanguageEN
Citations received8
References cited19

Objective The present study aimed to give an overall view of the pattern of high-dose vitamin A supplementation (VAS) coverage in twenty-three sub-Saharan African countries and factors associated with receipt of VAS among children aged 6–59 months. Design Cross-sectional data from the twenty-three Demographic and Health Surveys conducted from 2011 to 2015 in twenty-three sub-Saharan African countries were pooled. A multilevel logistic regression model was used to explore factors associated with VAS. Setting Twenty-three sub-Saharan African countries. Participants Children ( n 215 511) aged 6–59 months. Results The overall coverage of VAS among children aged 6–59 months for the surveys included was 59·4 %. In the multivariable analysis, children whose mothers had primary (adjusted OR (aOR)=1·43; 95 % CI 1·39, 1·47) or secondary or above (aOR=1·72; 95 % CI 1·67, 1·77) educational status were more likely to receive VAS than children whose mothers had no formal education. Other factors associated with significantly increased likelihood of VAS were: living in urban areas; children of working mothers; children whose mothers had higher media exposure; children of older mothers v . children of mothers aged 15–19 years; and older children v . children aged 6–11 months. At the country level, lower media exposure was significant and negatively associated with VAS. Conclusions Broader VAS coverage is needed according to our data. More efforts are needed to scale up coverage, focusing mostly on groups at risk of non-receipt of vitamin A

Cross-sectional study · Developing country · Environmental health · Logistic regression · Receipt · Antioxidant Activity and Oxidative Stress · Child Nutrition and Water Access · Demography · Iron Metabolism and Disorders · Medicine · Pediatrics

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Citations per year2
Citation span2022 - 2025 (4)
Highly citedNo

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