Coverage and educational actions related to the national vitamin A supplementation program: a study in children from the state of Alagoas

Autor: Riquelane B.M. Lima, Haroldo S. Ferreira, Andressa L. Cavalcante, Laíse Gabrielly M.L. Santos, Regina Coeli S. Vieira, Monica L. Assunção
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Jornal de Pediatria, Vol 96, Iss 2, Pp 184-192 (2020)
Druh dokumentu: article
ISSN: 0021-7557
DOI: 10.1016/j.jped.2018.08.006
Popis: Objectives: To estimate the coverage of the National Vitamin A Supplementation Program (Programa Nacional de Suplementação de Vitamina A) in children from Alagoas, to identify factors associated with this coverage, and to analyze the adequacy of nutrition education actions. Methods: Household survey involving a representative probabilistic sample of children aged 6 to 59 months from Alagoas and their mothers (n = 509). Coverage was defined by the percentage of children with supplementation records in the last semester. The association between the independent variables (socioeconomic, demographic, and health) and the National Vitamin A Supplementation Program coverage was analyzed based on the prevalence ratio and its 95% CI. The mothers’ knowledge of questions related to vitamin A was considered as an indicator of the adequacy of nutrition education actions. Results: Program coverage was 91.9% in children aged 6-11.9 months and 38.6% in children aged 12-59 months. In the adjusted analysis, the factors that were associated with greater coverage were: age between 6-11.9 months (PR = 2.50, 95% CI: 2.10-2.96), living in rural areas (PR = 1.45, 95% CI: 1.20-1.76) and living in a house with ≤ 4 rooms (PR = 1.33, 95% CI: 1.09-1.63). Only 26.1% of the mothers were able to mention some food source of vitamin A and only 19.2% were aware of the consequences of vitamin deficiency for health. Conclusions: The National Vitamin A Supplementation Program coverage is below the targets set by the Ministry of Health (except for children
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