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Free Content Effects of vitamin A supplementation on child mortality: evidence from Nepal's 2001 Demographic and Health Survey

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Summary 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.

Keywords: Nepal; child mortality; vitamin A

Document Type: Research Article


Affiliations: East-West Center, Honolulu, HI, USA

Publication date: 2005-08-01

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