Determinants of successful vitamin A supplementation coverage among children aged 6-59 months in thirteen sub-Saharan African countries
Determinants of successful vitamin A supplementation coverage among children aged 6-59 months in thirteen sub-Saharan African countries
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DOI：
10.1017/s1368980017000684
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发表时间：
2017-08-01
影响因子：
3.2
通讯作者：
Doledec, David
中科院分区：
文献类型：
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作者：
Janmohamed, Amynah;Klemm, Rolf D. W.;Doledec, David
目的：大多数撒哈拉以南非洲国家经常对6-59个月的儿童进行维生素A补充（VAS）。本研究旨在探讨与VAS覆盖率相关的儿童、家庭和分娩平台因素，并确定13个非洲国家的合规障碍。设计：我们汇总了数据（n类似于60000），并使用二元和多元回归分析，以评估补充战略的影响，农村与城市居住，儿童性别，儿童年龄，结果：与固定地点加外展方法相比，挨家挨户分发导致VAS覆盖率更高（91 v. 63%），是校正模型中补充剂的显著预测因子（OR=19.0; 95%CI 17.2，21.1; P
Objective: Vitamin A supplementation (VAS) for children aged 6-59 months occurs regularly in most sub-Saharan African countries. The present study aimed to explore child, household and delivery platform factors associated with VAS coverage and identify barriers to compliance in thirteen African countries.Design: We pooled data (n similar to 60 000) from forty-four household coverage surveys and used bivariate and multivariable regression analyses to assess the effects of supplementation strategy, rural v. urban residence, child sex, child age, caregiver education and campaign awareness on child VAS status.Setting/Subjects: Primary caregivers of children aged 6-59 months in thirteen countries.Results: Door-to-door distribution resulted in higher VAS coverage than fixed-site plus outreach approaches (91 v. 63 %) and was a significant predictor of supplementation in the adjusted model (OR=19.0; 95 % CI 17.2, 21.1; P