ArticleMaternal & child nutrition2021
Vitamin A supplementation and estimated number of averted child deaths in Ethiopia: 15 years in practice (2005-2019).
Article in Maternal & child nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Evidence on Strategies for Integrating Nutrition Interventions with Health and Immunization Systems in Conflict-affected Areas of Low- and Lower-middle-income Settings-A Systematic Review.Nutrition reviews · 2025Pooled it
- Vitamin A supplementation for preventing morbidity and mortality in children from six months to five years of age.The Cochrane database of systematic reviews · 2022Pooled it
- Zero-Dose Children and Nutrition-Service Gaps: A Case for Integrated Delivery in Low- and Middle-Income Countries.Vaccines · 2026Article
- Prevalence and Infection Intensity of Soil-Transmitted Helminths and Schistosomiasis Among Preschool Children in Mainland Tanzania.Journal of parasitology research · 2026Article
- The Cost and Cost-Effectiveness of Vitamin A Supplementation: An Assessment of a Vitamin A Days-Plus Event in Burkina Faso.Food and nutrition bulletin · 2025Article
- Bilateral keratomalacia years after biliopancreatic diversion with duodenal switch surgery: A case of severe vitamin A deficiency and literature review.The Journal of international medical research · 2025Review
- The cost-efficiency of vitamin A supplementation services in Kenya: An assessment of a Malezi Bora event in Kenya.Annals of the New York Academy of Sciences · 2025Article
- Spatial distribution and determinants of Vitamin A supplementation non-receipt among children aged 6-35 months in Ethiopia: a multiscale geographically weighted regression analysis.Frontiers in public health · 2025Article
- Clinical vitamin A deficiency among preschool aged children in southwest Ethiopia.Frontiers in nutrition · 2024Article
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- A multilevel analysis of factors associated with vitamin A supplementation among children aged 6-35 months in Ethiopia.Frontiers in public health · 2023Article
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- Trends in inequality in the coverage of vitamin A supplementation among children 6-59 months of age over two decades in Ethiopia: Evidence from demographic and health surveys.SAGE open medicine · 2022Article
- Risks to the delivery of essential nutrition services in Eastern and Southern Africa in the context of the COVID-19 pandemic.The Pan African medical journal · 2022Article
- Vitamin A supplementation and estimated number of averted child deaths in Ethiopia: 15 years in practice (2005-2019).Maternal & child nutrition · 2021Article
- Effects of different drying methods and ascorbic acid pretreatment on carotenoids and polyphenols of papaya fruit in Ethiopia.Food science & nutrition · 2021Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Vitamin A supplementation (VAS), started as a short-term strategy pending dietary improvements, has been implemented in Ethiopia for the last 15 years. We aimed to describe the trends in VAS coverage and estimated the associated reductions in child mortality. VAS coverage data obtained from the District Health Information System and the Demographic and Health Surveys were linked to child mortality data from the United Nations Interagency Group for Child Mortality Estimation (UN IGME). The number of child deaths averted was modelled assuming 12% and 24% reductions in all-cause mortality. From 2006 to 2011, VAS was delivered through campaigns, and coverage was above 85%. However, from 2011 onwards, VAS delivery was integrated to the routine health system, and the coverage declined to <60% with significant disparities by wealth quintile and rural-urban residence. VAS has saved between 167,563 to 376,030 child lives (2005-2019), but additional lives (>42,000) could have been saved with a universal coverage (95%). Inconsistent supply of vitamin A capsules, but more importantly, low access to health care, and the limited contact opportunities for children after 24 months may have contributed to the declining VAS coverage. Any changes in target or scale-up should thus consider these spatial and socioeconomic variations. Increasing the coverage of VAS and closing the equity gap in access to nutrition services is critical. However, with alternative programmes like vitamin A fortification being set-up, the benefits and safety of VAS need to be closely monitored, particularly in areas where there will be overlap.
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