Childhood Vitamin A Capsule Supplementation Coverage in Nigeria: A Multilevel Analysis of Geographic and Socioeconomic Inequities

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dc.contributor.authorAremu, Olatunde
dc.contributor.authorLawoko, Stephen
dc.contributor.authorDalal, Koustuv
dc.date.accessioned2022-06-17T12:28:33Z
dc.date.available2022-06-17T12:28:33Z
dc.date.issued2010
dc.description.abstractVitamin A deficiency (VAD) is a huge public health burden among preschool-aged children in sub-Saharan Africa, and is associated with a high level of susceptibility to infectious diseases and pediatric blindness. We examined the Nigerian national vitamin A capsule (VAC) supplementation program, a short-term cost-effective intervention for prevention of VAD-associated morbidity for equity in terms of socioeconomic and geographic coverage. Using the most current, nationally representative data from the 2008 Nigerian Demographic and Health Survey, we applied multilevel regression analysis on 19,555 children nested within 888 communities across the six regions of Nigeria. The results indicate that there was variability in uptake of VAC supplement among the children, which could be attributed to several characteristics at individual, household, and community levels. Individual-level characteristics, such as maternal occupation, were shown to be associated with receipt of VAC supplement. The results also reveal that household wealth status is the only household-level characteristic that is significantly associated with receipt of VAC, while neighborhood socioeconomic disadvantage and geographic location were the community-level characteristics that determined receipt of VAC. The findings from this study have shown that both individual and contextual socioeconomic status, together with geographic location, is important for uptake of VAC. These findings underscore the need to accord the VAC supplementation program the much needed priority with focus on characteristics of neighborhoods (communities), in addition to individual-level characteristics.en_US
dc.identifier.citationAremu, O., Lawoko, S., & Dalal, K. (2010). Childhood vitamin A capsule supplementation coverage in Nigeria: a multilevel analysis of geographic and socioeconomic inequities. The Scientific World JOURNAL, 10, 1901-1914. DOI 10.1100/tsw.2010.188en_US
dc.identifier.other10.1100/tsw.2010.188
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/4018
dc.language.isoenen_US
dc.publisherThe Scientific World JOURNALen_US
dc.subjectChildhooden_US
dc.subjectCommunityen_US
dc.subjectCoverageen_US
dc.subjectGeographic variationen_US
dc.subjectInequityen_US
dc.subjectMultilevel analysisen_US
dc.subjectNigeriaen_US
dc.subjectNeighborhood socioeconomic disadvantageen_US
dc.subjectPediatric blindnessen_US
dc.subjectPreschoolen_US
dc.subjectSocioeconomicen_US
dc.subjectSupplementationen_US
dc.subjectVitamin A capsuleen_US
dc.subjectVitamin A deficiencyen_US
dc.titleChildhood Vitamin A Capsule Supplementation Coverage in Nigeria: A Multilevel Analysis of Geographic and Socioeconomic Inequitiesen_US
dc.typeArticleen_US
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