Tsegaye Kalkidan Berhane, Assem Abel Sinshaw, Alemu Destaye Shiferaw, Birhan Getenet Shumet, Eticha Biruk Lelisa
Department of Optometry, College of Medicine and Health Sciences, Comprehensive Specialized Hospital, University of Gondar, Gondar, Ethiopia.
Department of Clinical Epidemiology, Institute of Public Health, College of Medicine and Health Sciences, Comprehensive Specialized Hospital, University of Gondar, Gondar, Ethiopia.
Pan Afr Med J. 2024 Oct 18;49:43. doi: 10.11604/pamj.2024.49.43.44537. eCollection 2024.
vitamin A is a nutrient required for normal visual system function, growth, and development. Periodic vitamin A supplementation is a cost-effective strategy for preventing vitamin A deficiency in children. This study aimed to assess the coverage and associated factors of vitamin A supplementation among children aged 6-59 months in Gondar City, Northwest Ethiopia 2022.
a community-based cross-sectional study with a multistage random sampling technique was done on 587 mothers with 6-59-month-old children from October 20 to November 10, 2022, in Gondar City. The descriptive statistics are summarized by frequency, percent, and summary statistics. Binary logistic regression was performed, and variables with a P-value <0.05 were considered significantly associated.
the vitamin A supplementation coverage was 34.4% (95% CI (30.3% - 38.3%)). Children aged 6-13 months [AOR=9.50, 95% CI; (4.59-9.66)], 14-27 months [95% CI; (3.07-12.03)], mothers who had an education level of certificate or above [AOR=3.79, 95% CI; (1.45-9.90)], mothers who learned in secondary schools [AOR=3.29, 95% CI; (1.28-8.45)], mothers who had four or more antenatal care visits [AOR=4.32 (95% CI: (1.54-11.97) and mothers' good knowledge towards vitamin A [AOR: 2.20 (95% CI: 1.60-4.10)] showed a statistically significant association.
the coverage of vitamin A supplementation exceeded the 70% UNISAFE threshold. A younger child's age, maternal education level, more than 4 antenatal visits, and good knowledge of vitamin A were significant factors. Extended and more integrated immunization programs with robust health education regarding vitamin A supplementation would play a prodigious role in getting higher coverage.
维生素A是正常视觉系统功能、生长和发育所需的一种营养素。定期补充维生素A是预防儿童维生素A缺乏的一种具有成本效益的策略。本研究旨在评估2022年埃塞俄比亚西北部贡德尔市6至59个月大儿童维生素A补充的覆盖率及相关因素。
2022年10月20日至11月10日，在贡德尔市对587名有6至59个月大孩子的母亲进行了一项采用多阶段随机抽样技术的基于社区的横断面研究。描述性统计通过频率、百分比和汇总统计进行总结。进行了二元逻辑回归分析，P值<0.05的变量被认为具有显著相关性。
维生素A补充的覆盖率为34.4%（95%置信区间（30.3%-38.3%））。6至13个月大的儿童[AOR=9.50，95%置信区间；（4.59-9.66）]、14至27个月大的儿童[95%置信区间；（3.07-12.03）]、教育水平为证书及以上的母亲[AOR=3.79，95%置信区间；（1.45-9.90）]、在中学学习过的母亲[AOR=3.29，95%置信区间；（1.28-8.45）]、进行过四次或更多次产前检查的母亲[AOR=4.32（95%置信区间：（1.54-11.97）]以及母亲对维生素A的良好认知度[AOR：2.20（95%置信区间：1.60-4.10）]显示出统计学上的显著关联。
维生素A补充的覆盖率超过了联合国儿童基金会设定的70%的阈值。儿童年龄较小、母亲教育水平、四次以上产前检查以及对维生素A的良好认知是显著因素。扩展并更综合的免疫规划以及关于维生素A补充的强有力的健康教育将在提高覆盖率方面发挥巨大作用。
