Transcript The National Vitamin A Program: Objective
NEPAL NATIONAL VITAMIN A PROGRAM
Nepal Vitamin A Program Objectives
• reduce child mortality and prevent xerophthalmia through supplementation of children 6-60 months of age with high-dose vitamin A capsules • reduce vitamin A deficiency to a level that no longer constitutes a public health problem.
Nepal Vitamin A Program Implementation Strategy
• • • • • twice yearly supplementation community-based female volunteers (FCHVs) vit A and health education monitoring and evaluation
Nepal Vitamin A Program Implementation Strategy
Nepali Technical Assistance Group (NTAG) • • • • • training logistics support assistance with education and promotional activities field supervision monitoring and evaluation.
FCHV giving Vitamin A
CHALLENGES
Nepal Vitamin A Program
All 75 Districts are covered now NVAP Initiated Districts
Child Deaths Averted by Vitamin A Supplementation 50000 90 92 96 96 100 90 86 86 92 40000 80 35,329 29,120 30000 60 26,698 20,880 20000 40 16,365 14,727 12,581 8,486 10000 20 0 1993/94 1994/95 1995/96 1996/97 1997/98 1998/99 Estimated Child Deaths Averted Coverage (6-59 months) 1999/00 2000/01 0
Trend in Under-Five Mortality
200 150 196 158 161 Based on 2001 DHS Based on 1996 DHS Projected from 1996 Projected from 2001 118 126 100 91 94 75 73 56 50 0 1983 1988 1993 1998 2003
Trend based on the equation: Y = 211.66 exp -0.1379x
2008
Nepal Vitamin A Program Elements of Success
• community-based, female community health volunteers • slow, consistent, gradual expansion • GON ownership, enabling policy environment • donor coordination • community empowerment and ownership • support systems strengthened • NTAG