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
Richard D SembaV K Raju

Abstract

Higher food prices increase the risk of vitamin A deficiency among preschool children in poor families, because a larger part of the household food budget is spent on grain foods and less on vitamin A-rich foods. Vitamin A supplementation is an important source of vitamin A for children. Our objective was to characterize coverage of the India national vitamin A program for preschool children and identify risk factors for not receiving vitamin A. Anthropometric and demographic data were examined in 23,008 children aged 12-59 mo in the India National Family Health Survey, 2005-2006. Within the last 6 mo, 20.2% of children received vitamin A supplementation. The prevalence of stunting, severe stunting, underweight, and severe underweight was higher among children who did not receive vitamin A compared with those who received vitamin A (P < 0.0001). In families with a child who did and did not receive vitamin A, respectively, the proportion with a history of under-5 child mortality was 8.4 vs. 11.4% (P < 0.0001). By state, vitamin A program coverage was inversely proportional to the under-5 child mortality rate (r = -0.51; P = 0.004). Maternal education of > or =10 y [odds ratio (OR) 2.22; 95% CI 1.69-2.91], 7-9 y (OR 1.99; 95% CI ...Continue Reading

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Citations

Nov 27, 2009·The Journal of Nutrition·Kevin A SztamChristopher Duggan
May 18, 2016·BMC Pregnancy and Childbirth·Alfa MuhihiGrace Jean-Yee Chan
Nov 20, 2009·The Journal of Nutrition·Patrick Webb
Jul 27, 2017·Journal of Developmental and Behavioral Pediatrics : JDBP·Mohammad Yawar Yakoob, Clifford W Lo
Nov 20, 2009·The Journal of Nutrition·C Peter Timmer
Nov 27, 2009·The Journal of Nutrition·Ashley A CampbellRichard D Semba
Dec 14, 2011·The Journal of Nutrition·Richard D Semba
Nov 21, 2012·Paediatrics and International Child Health·A M NguyenD A Schaumerg
Nov 27, 2009·The Journal of Nutrition·Keith P West, Sucheta Mehra
Nov 27, 2009·The Journal of Nutrition·David Nabarro

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