维生素 A 补充覆盖情况及其相关因素分析：来自埃塞俄比亚西南部西阿泽里特贝雷布雷行政区 6-59 月龄儿童。

Vitamin A supplementation coverage and its associated factors among children aged 6-59 months in West Azernet Berbere Woreda, South West Ethiopia.

机构信息

Lera Health Center, Siltie, Ethiopia.

Department of Midwifery, College of Medicine and Health Sciences, Wolkite University, PO Box 07, Wolkite, Ethiopia.

出版信息

BMC Pediatr. 2023 May 23;23(1):257. doi: 10.1186/s12887-023-04059-1.

DOI:10.1186/s12887-023-04059-1

PMID:37221505

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10204326/

Abstract

BACKGROUND

Vitamin A deficiency is one of the major public health problems in low and middle-income countries including Ethiopia. Despite this fact, little attention was given to routine vitamin A supplementation in hard-to-reach rural areas and districts. Therefore, this study aimed to assess vitamin A supplementation coverage and its associated factors among children aged 6-59 months in West Azernet Berbere woreda, southern Ethiopia, 2021.

METHODS

A community-based cross-sectional study was conducted from April to May 2021. A total sample size of 471 study participants was involved in the study area. A simple random sampling technique was used to recruit the study subject. A pretested structured interviewer-administered questionnaire was used. Bivariable and multivariable logistic regression analyses were done to identify variables having a significant association with vitamin A supplementation. The variables having a p-value ≤ 0.05 with 95% CI were used to declare an association between factors and a dependent variable.

RESULTS

In this study, a total of 471 respondents were successfully interviewed with a response rate of 97.3%. The coverage of vitamin A supplementation was found to be 58.0%. Family monthly income [AOR = 2.565, 95% CI(1.631,4.032)], having PNC visit [AOR = 1.801, 95% CI (1.158, 2.801)], husbands disapproval about vitamin A supplementation [AOR = 0.324, 95% CI (0.129, 0.813)], information about vitamin A supplementation [AOR = 2.932, 95% CI (1.893, 4,542)] and ANC follow-up [AOR = 1.882, 95% CI (1.084, 3.266)] were factors significantly associated to vitamin A supplementation.

CONCLUSION

Vitamin A supplementation was found to be low and it is strongly associated with family monthly income, postnatal care, husband's disapproval of vitamin A supplementation, antenatal care follow-up, and information about vitamin A supplementation. Based on our findings, it is recommended to improve the monthly income of the household by actively engaging in various income-generating activities, enhance health information dissemination among mothers, particularly those who are underprivileged by using different strategies like local health campaigns, and mass media, advocacy of antenatal, and postnatal follow-up and promote the involvement of males/husband in childhood immunization service.

摘要

背景

维生素 A 缺乏是包括埃塞俄比亚在内的中低收入国家的主要公共卫生问题之一。尽管如此，在难以到达的农村地区和地区，很少关注常规维生素 A 补充。因此，本研究旨在评估西阿泽尔奈特贝雷伯雷沃拉达（West Azernet Berbere Woreda）6-59 个月儿童的维生素 A 补充覆盖率及其相关因素，该地区位于埃塞俄比亚南部，2021 年。

方法

这是一项 2021 年 4 月至 5 月进行的基于社区的横断面研究。研究区域共涉及 471 名研究对象。采用简单随机抽样技术招募研究对象。使用经过预测试的访谈员管理的结构化问卷进行调查。采用单变量和多变量逻辑回归分析来确定与维生素 A 补充相关的因素。使用具有 95%CI 和 p 值≤0.05 的变量来表示因素与因变量之间的关联。

结果

在这项研究中，共成功采访了 471 名受访者，回应率为 97.3%。维生素 A 补充覆盖率为 58.0%。家庭月收入[比值比（OR）=2.565，95%置信区间（CI）（1.631，4.032）]、有产后护理（PNC）就诊[OR=1.801，95%CI（1.158，2.801）]、丈夫不赞成维生素 A 补充[OR=0.324，95%CI（0.129，0.813）]、关于维生素 A 补充的信息[OR=2.932，95%CI（1.893，4.542）]和 ANC 随访[OR=1.882，95%CI（1.084，3.266）]与维生素 A 补充显著相关。

结论

维生素 A 补充覆盖率低，与家庭月收入、产后护理、丈夫不赞成维生素 A 补充、产前护理随访以及维生素 A 补充信息高度相关。基于我们的研究结果，建议通过积极参与各种创收活动来提高家庭的月收入，通过利用当地健康运动和大众媒体等不同策略，在母亲中加强健康信息传播，特别是那些贫困的母亲，倡导产前和产后随访，并促进男性/丈夫参与儿童免疫服务。