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Determinants of Vitamin A Deficiency of Under-5 Children in Rural and Urban Areas of Bangladesh
14 Pages Posted: 26 Nov 2019
More...Abstract
Vitamin A supplementation reduces child morbidity, mortality, as well as blindness all over the world especially in developing countries like Bangladesh. The success of the national vitamin A program implemented by the government of Bangladesh in rural and urban areas have characterized by several socio-economic and demographic factors. This study attempts to identify the important factors associated with vitamin A consumption using the national representative Bangladesh Demographic and Health Survey 2014 dataset. The Chi-square test is used for measuring the association between the status of Vitamin A Supplementation and socio-economic as well as demographic characteristics. Moreover, logistic regression is used to determine the important factors of the status of vitamin A consumption. Results depict that Region, Religion, Wealth index, Children's age, Mother's age, Mother's education, Father's education and Breast-feeding status are found to be significantly associated with vitamin A supplementation in rural area whereas, religion, wealth index, Children's age, Number of children, Mother's education, Father's education and Breast-feeding status are significant in urban areas of Bangladesh. Out of 5356 children who are aged 6-59 months, 3098 (57.8%) have received a vitamin A capsule in the rural area and among 1808 children, 1117 (61.8%) have received vitamin A supplementation in the urban area. In Bangladesh, mid-age children (OR: 3.018, CI: 1.440-3.833), others religion children (OR: 1.636, CI: 1.306-2.049), and children of higher educated mothers (OR: 1.410, CI: 1.216-1.635) of rural areas and mid-age children (OR: 2.326, CI: 1.585-3.414) and children of primary educated mothers (OR: 1.617, CI: 1.192-2.342) of urban areas are significantly more likely to consume vitamin A than others. This finding indicates that the consumption of vitamin A does not cover the target of sustainable development goals. Therefore, special efforts are required to ensure that the coverage of the national vitamin A program is increased so that the most vulnerable children are also better protected against morbidity, mortality, and blindness in Bangladesh.
Funding Statement: The authors declare that no funding has been received for this study from any individuals or organizations.
Declaration of Interests: The authors declare that they have no competing interests.
Ethics Approval Statement: This study is considered a secondary data set and the Ministry of Health and Welfare, Bangladesh is responsible in this regard.
Keywords: Vitamin A deficiency; Chi-square; Logistic regression; Bangladesh
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