International Journal of Community Medicine and Public Health | March 2018 | Vol 5 | Issue 3 Page 1149
International Journal of Community Medicine and Public Health
Raut MK. Int J Community Med Public Health. 2018 Mar;5(3):1149-1156
http://www.ijcmph.com
pISSN 2394-6032 | eISSN 2394-6040
Original Research Article
Socio-demographic determinants of vitamin A supplementation in
Bangladesh: evidence from two rounds of Bangladesh demographic and
health surveys, 2007 and 2011
Manoj Kumar Raut*
INTRODUCTION
Vitamin A deficiency (VAD) is a major public health
problem in many developing countries. Vitamin A
deficiency causes xerophthalmia, a range of eye
conditions from night blindness to more severe clinical
outcomes such as keratomalacia and corneal scars, and
permanent blindness. WHO recommends vitamin A
supplementation with a dose of 30 mg retinol equivalents
in infants aged 6–11 months and 60 mg retinol
equivalents at least twice a year in young children aged
12–59 months living in settings where vitamin A
ABSTRACT
Background: Vitamin A supplementation reduces night blindness, child morbidity and mortality. In Bangladesh,
Vitamin A deficiency among children 6-59 months has remained just about stagnant at 20.5 per cent as per the latest
Bangladesh National Micronutrient Status Survey 2011-12 declining by a meagre 1.2 per cent from 21.7 per cent in
1997 (IPHN/HKI, 1997). Alarmingly, there is an absolute decline of 24 percentage points in VAS supplementation
from 2007 to 2011 according to the Bangladesh Demographic & Health Surveys (BDHS). The current status of
vitamin A supplementation raises concern because the Ministry of Health and Family Welfare (MoHFW)’s Health,
Population and Nutrition Sector Development Program (HPNSDP) 2011-2016 target of 90 per cent needs to be
achieved by 2016.
Methods: This paper tries to explore the socio-demographic causes of receipt of Vitamin A in Bangladesh by
analysing the data of the demographic and health surveys for 2007 and 2011 using SAS software. A log binomial
regression was conducted to explore the effect of education and exposure to mass media on receipt of vitamin A
supplementation.
Results: After adjusting for related socio-economic and demographic factors, parent’s education and among mass
media channels, television seems to play an important role in predicting receipt of Vitamin A, (Prevalence Ratio [PR]:
1.0973, 95% Confidence Interval [CI] 1.0499-1.1469) in BDHS 2011. Similarly, also those who watched television
were more likely to have received vitamin A (Prevalence Ratio [PR]: 1.0542, 95% Confidence Interval [CI] 1.0304-
1.0784).
Conclusions: It can be concluded that mass media seems to be working well in making the mothers aware about the
vitamin A campaign, especially, the exposure to television. Though mother’s education was not associated in the
2007 survey, but it was significantly associated with the receipt of vitamin A in the 2011 survey.
Keywords: Communication, Counselling, Education, Mass media, Vitamin A supplementation
Regional Manager, Research and Evaluation, Nutrition International, Asia Regional Office, New Delhi, India
Received: 10 January 2018
Revised: 03 February 2018
Accepted: 05 February 2018
*Correspondence:
Dr. Manoj Kumar Raut,
E-mail: rautmanojkumar@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20180775