National Vitamin A Prophylaxis Programme: need for change in current age strategy.
Indian J Pediatr
;
1999 Nov-Dec; 66(6): 825-9
Artigo
em Inglês
| IMSEAR
| ID: sea-80777
ABSTRACT
Child survival and Safe Motherhood Programme emphasises on giving vitamin A prophylaxis upto three years of age only, contrary to earlier practice of its administration upto six years of age, based on the assumption of reduction of serious manifestations of vitamin A deficiency three years of age onwards. A cross-sectional study enrolling 1094 children was done to investigate vitamin A deficiency in under six children in urban slums of Nagpur city in Central India in post CSSM scenario. Clinical as well as subclinical (detected by abnormal conjunctival impression cytology) assessment of vitamin A status was performed according to standard procedures, as per WHO recommendations. The overall prevalence of xerophthalmia was 8.7%. Only milder manifestations of xerophthalmia were observed. Significantly higher prevalence of xerophthalmia was observed in more than three years of age. Although nonsignificant, higher prevalence of subclinical vitamin A deficiency was observed in above three years of age group. In view of current age strategy for vitamin A supplementation (< or = 3 years) and observed higher prevalence of clinical and subclinical vitamin A deficiency above three years of age in this study (also endorsed by earlier studies) a call for review of current age strategy for vitamin A supplementation is warranted.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Vitamina A
/
Deficiência de Vitamina A
/
Humanos
/
Avaliação de Programas e Projetos de Saúde
/
Pré-Escolar
/
Xeroftalmia
/
Prevalência
/
Estudos Transversais
/
Fatores Etários
/
Lactente
Tipo de estudo:
Estudos de avaliação
/
Guia de Prática Clínica
/
Estudo observacional
/
Estudo de prevalência
/
Fatores de risco
Idioma:
Inglês
Revista:
Indian J Pediatr
Ano de publicação:
1999
Tipo de documento:
Artigo
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