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Effects of vitamin A supplementation on child mortality: evidence from Nepal's 2001 Demographic and Health Survey
Shyam Thapa 1,2 , Minja Kim Choe 2 and Robert D. Retherford 2
  Family Health International, Arlington, VA, USA
  East-West Center, Honolulu, HI, USA
Authors
S. Thapa, Family Health International, 2101 Wilson Blvd., Suite 700, Arlington, VA 22201 USA. Tel.: (703) 516 9779; Fax: (703) 516 9781; E-mail: sthapa@fhi.org (corresponding author).
Minja Kim Choe and Robert D. Retherford, East-West Center, Population and Health, 1601 East-West Road, Honolulu, HI 96848, USA. E-mail: retherfr@eastwestcenter.org, mchoe@hawaii.edu
Copyright 2005 Blackwell Publishing Ltd
KEYWORDS
vitamin A • child mortality • Nepal

Summary

AbstractIntroductionMaterials and methodsResultsDiscussionAcknowledgementsReferences

Objective To assess the effect of Nepal's vitamin A supplementation programme on child mortality at age 12–59 months.

Materials and methods Logistic regression, applied to retrospective data from Nepal's 2001 Demographic and Health Survey.

Results After a number of potentially confounding variables are controlled, the effect of 100% community-level vitamin A coverage since the child's birth, relative to no coverage, is to reduce the odds of dying at age 12–59 months by slightly more than half (OR = 0.47, P = 0.03).

Conclusions The estimated beneficial effect of vitamin A supplementation on child mortality is larger than that found in most earlier clinical studies. This larger effect may be due mainly to the other health-related activities undertaken by the female community health volunteers who distribute vitamin A capsules.


DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1365-3156.2005.01448.x About DOI

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