Coverage Evaluation of Vitamin A in Oil Using Lot Quality Technique among the Beneficiaries in a Block of West Bengal, India
IOSR Journal of Dental and Medical Sciences
VAD is a controllable public health and nutritional problem. Ensuring high supplementation coverage is critical for eliminating VAD. Objectives: i) To assess the coverage of prophylactic Vitamin A in Oil among children aged 9-59 months in Amdanga Block ii) to find out the poorly performing villages (lots) iii)to determine the reasons for non receipt of a megadose. Methodology: A cross sectional study was conducted among the beneficiaries using LQT from December 2012-January 2013. The total and
... 013. The total and lot sample sizes were 663 and 9 respectively to be covered in 81 villages. The final sample size was 729. Decision value for a lot was set at 2. Data were collected from the Immunization card. The reasons were ascertained following WHO proforma. Results: Only 0.4% received age appropriate doses. Due to lack of supply for the last one year, children who missed ≤2 doses were considered acceptable. The estimated coverage was 67.16%; 59.2% lots had less satisfactory performance. The coverage with valid doses declined from the 1 st to the 9 th from 57.6% to 0%. Children who missed >2doses were significantly higher among those ≥36 months than <36 months (78.6% vs 21.4%); no significant association was found with gender. Lack of supply was the commonest cause (68.18%) of non receipt of a dose. Conclusion: BCC addressing both beneficiaries and providers is required to mitigate the lack of supply by improving the dietary intake, regular attendance to ICDS centre and early identification of ocular morbidities.