265130 Comparison of mass vitamin A supplementation coverage results by post event coverage survey and reported tallies

Wednesday, October 31, 2012 : 9:00 AM - 9:15 AM

Fatmata Fatima Sesay, BSc, MSc, MSPH , Helen Keller International, Freetown, Sierra Leone
Mary Hodges, MBBS MRCP DSc , Helen Keller International, Freetown, Sierra Leone
Habib Kamara, Bsc , Helen Keller International, Freetown, Sierra Leone
Heather Katcher, PhD, RD , Kenya Regional Office, Helen Keller International, Nairobi, Kenya
BACKGROUND: Sierra Leone has reduced child mortality from 267/1000 in 2005 to 118/1000 in 2010. An estimated 23% of this reduction can be attributed to Vitamin A Supplementation (VAS) as coverage of at least 80% was achieved and maintained since 2004. METHODOLOGY: Multi-staged cluster sampling was used to select 30 Enumeration Areas (EAs) country-wide and 30 households within each EA. One caretaker per household whose child was 6-59 months old was randomly selected and interviewed. Data were collected by trained surveyors using mobile phones via Episurveyor. RESULTS: In all, 92.5% of caretakers recalled their children received VAS (697/753), 4.5% of children were missed and 3% of caretakers did not remember if their child received VAS. Of the missed children, 47% (n=16) had been out of the area, 29% (n=10) of caretakers' homes were not reached by VAS teams, and 15% (n=5) did not know about the campaign. Of those who received VAS, 93% (647/697) received VAS via door to door and 7% (n=50) at health centers. VAS coverage reported by the Ministry of Health and Sanitation based upon tallies of capsules utilized (1,266,861) and a target population projection from the 2004 census (1,205,077) was 105%.

CONCLUSION: The results show that mass VAS in Sierra Leone reaches over 90% of children age 6-59 months. These efforts need to be sustained to support continued reduction in child mortality in Sierra Leone.Because the projected census figures underestimate the actual population, post event coverage surveys should be regularly conducted to validate VAS coverage.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice

Learning Objectives:
To discuss why additional monitoring is needed to validate tally sheet data from vitamin A supplementation campaigns

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have 10 years work expereince in research, training, program development and advocacy in nutrition and public health. I am currently the Nutrition Program Manager for Helen Keller International where my responsibilities include providing technical support in research, training, policy development, program management and development.Prior to joining HKI, I worked for Child Fund and Action Contre La Faim where I provided technical support in both health and nutrition programs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.