Shifts in Social Determinants of Vitamin A Supplementation Among Children Under Five in Kenya, 2003-2014.
Child Health Weeks
Kenya
Social determinants
Targeted promotion campaigns
Vitamin A supplementation
Journal
Maternal and child health journal
ISSN: 1573-6628
Titre abrégé: Matern Child Health J
Pays: United States
ID NLM: 9715672
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
accepted:
01
05
2023
medline:
2
6
2023
pubmed:
11
5
2023
entrez:
11
5
2023
Statut:
ppublish
Résumé
In Africa and Asia, 190 million preschoolers are vitamin A deficient. This study examined the social determinants of intake of vitamin A supplementation (VAS) among children aged 6-59 months during three different time periods in Kenya to identify those most vulnerable to vitamin A deficiency and highlight the varied targeting and outreach efforts; before the onset of a national restructuring and targeted distribution of VAS in children below 5 years through a twice-yearly door-to-door campaign called Child Health Weeks, during the implementation period, and several years later. The cross-sectional, national Demographic and Health Surveys were administered in Kenya in 2003, 2008-09, and 2014. Bivariate and multivariable logistic regression analyses were used to assess variables associated with VAS among children (n = 28,239). An overall two-fold increase in VAS was recorded between 2003 (31.8%) and 2014 (67.5%). In 2008-09, children aged 6-11 months were the most likely to receive VAS. In 2003 and 2014, geographical regions and settings, birth order of the child, educational level of the mother, religion, wealth index, number of antenatal visits, and access to a radio were identified as being significantly associated with VAS, in at least one of the years. These determinants were not significant in 2008-09 during the initial Child Health Weeks promotion campaign. The determinants of VAS varied during the three study periods, particularly in 2008-09 when the Child Health Weeks was first implemented. As efforts to increase VAS continue, addressing child-specific determinants will be essential to reduce health disparities.
Identifiants
pubmed: 37166572
doi: 10.1007/s10995-023-03663-y
pii: 10.1007/s10995-023-03663-y
doi:
Substances chimiques
Vitamin A
11103-57-4
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1284-1292Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
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