Factors Influencing the Failure to Receive of Vitamin a In Bangladeshi Children Aged 6-59 Months

Document Type : Original Article

Authors

1 Jahangirnagar University

2 Khulna University

10.30491/ijtmgh.2024.428141.1394

Abstract

Introduction: In Bangladesh, vitamin A deficiency (VAD) among children aged 6 to 59 months is still a major issue in public health. Several investigations have been carried out to identify the key risk factors for vitamin A deficiency. This study analyzes the relationship among the factors and identifies the most relevant component which enhances avoiding vitamin A consumption, as well as offering practical recommendations for increasing vitamin A intake in children.
Methods: A sample of 5902 kids between the ages of 6 and 59 months was examined. To find significant risk factors, multiple logistic regression and generalized linear mixed models were applied. Due to its lowest Akaike Information Criteria (AIC) and Bayesian Information Criterion (BIC) values, the generalized linear mixed-effects regression (GLMER) model performs better than logistic regression when analyzing clustered data.
Results: 4,720 (or 80%) of the 5902 children aged 6-59 months received a vitamin A capsule in the following six months, falling short of the WHO standard and the nation's target of 90%. Children aged 6 to 12 months were significantly 2.78 times more likely to not receive VAS. Children whose mothers were illiterate (AOR = 4.37, p< 0.001, 95% CI: 2.04-9.35) or who did not work (AOR = 2.18, p <0.001, 95% CI: 1.55-3.60) were also deprived from vitamin A consumption. Female children were more likely to be overlooked by the vitamin A program.
Conclusion: The appropriate authorities should develop Preventive awareness campaigns for extremely vulnerable local communities, with a specific focus on educating the mothers of children about the importance and advantages of vitamin A supplementation.

Keywords



Articles in Press, Accepted Manuscript
Available Online from 17 April 2024
  • Receive Date: 01 December 2023
  • Revise Date: 18 January 2024
  • Accept Date: 02 February 2024