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Coverage and educational actions related to the national vitamin A supplementation program: a study in children from the state of Alagoas()()()
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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9432251/ https://www.ncbi.nlm.nih.gov/pubmed/30321494 http://dx.doi.org/10.1016/j.jped.2018.08.006 |
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author | Lima, Riquelane B.M. Ferreira, Haroldo S. Cavalcante, Andressa L. Santos, Laíse Gabrielly M.L. Vieira, Regina Coeli S. Assunção, Monica L. |
author_facet | Lima, Riquelane B.M. Ferreira, Haroldo S. Cavalcante, Andressa L. Santos, Laíse Gabrielly M.L. Vieira, Regina Coeli S. Assunção, Monica L. |
author_sort | Lima, Riquelane B.M. |
collection | PubMed |
description | 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 < 12 months). The factors associated with greater coverage indicate an adequate focus of the program. The nutrition education activities have not demonstrated satisfactory results. This information should guide actions to improve the program. |
format | Online Article Text |
id | pubmed-9432251 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-94322512022-09-08 Coverage and educational actions related to the national vitamin A supplementation program: a study in children from the state of Alagoas()()() Lima, Riquelane B.M. Ferreira, Haroldo S. Cavalcante, Andressa L. Santos, Laíse Gabrielly M.L. Vieira, Regina Coeli S. Assunção, Monica L. J Pediatr (Rio J) Original Article 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 < 12 months). The factors associated with greater coverage indicate an adequate focus of the program. The nutrition education activities have not demonstrated satisfactory results. This information should guide actions to improve the program. Elsevier 2018-10-12 /pmc/articles/PMC9432251/ /pubmed/30321494 http://dx.doi.org/10.1016/j.jped.2018.08.006 Text en © 2018 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Lima, Riquelane B.M. Ferreira, Haroldo S. Cavalcante, Andressa L. Santos, Laíse Gabrielly M.L. Vieira, Regina Coeli S. Assunção, Monica L. Coverage and educational actions related to the national vitamin A supplementation program: a study in children from the state of Alagoas()()() |
title | Coverage and educational actions related to the national vitamin A supplementation program: a study in children from the state of Alagoas()()() |
title_full | Coverage and educational actions related to the national vitamin A supplementation program: a study in children from the state of Alagoas()()() |
title_fullStr | Coverage and educational actions related to the national vitamin A supplementation program: a study in children from the state of Alagoas()()() |
title_full_unstemmed | Coverage and educational actions related to the national vitamin A supplementation program: a study in children from the state of Alagoas()()() |
title_short | Coverage and educational actions related to the national vitamin A supplementation program: a study in children from the state of Alagoas()()() |
title_sort | coverage and educational actions related to the national vitamin a supplementation program: a study in children from the state of alagoas()()() |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9432251/ https://www.ncbi.nlm.nih.gov/pubmed/30321494 http://dx.doi.org/10.1016/j.jped.2018.08.006 |
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