Reaching the Hard to Reach with Vitamin A Supplementation in Low-performing Health Zones of DR Congo.

Simple item page
dc.contributor.authorKabena, Aimerance
dc.contributor.authorNahimana, Damien
dc.contributor.authorKabavulu, Patrice
dc.contributor.authorOruru, Geoffrey
dc.contributor.authorKatcher, Heather
dc.contributor.authorMayambu, Banea
dc.contributor.authorBlankenship, Jessica
dc.date.accessioned2015-10-16T06:45:17Z
dc.date.available2015-10-16T06:45:17Z
dc.date.issued2015
dc.description.abstractObjectives: Since 2002, mass campaigns have been held twice-yearly to reach children 6-59 months with vitamin A supplementation (VAS) and deworming, with coverage consistently over 80% in the majority of DR Congo's 515 health zones (HZ). However, between 2006-2010, 25 HZ achieved coverage <80% in at least 4/10 rounds, and were selected for formative research to identify barriers and motivators to receipt of VAS and inform delivery strategy. Methods: Based on the formative research findings, a communication strategy was implemented to address barriers (husband disapproval, rumors, access to services) and motivators (will of God, self-motivation) in six low-performing HZ. A post-event coverage survey was conducted in December 2012 after two rounds of implementation using a WHO EPI methodology 30x30 cluster design to evaluate the effectiveness of these activities and identify remaining barriers to receipt. Results: Eighty-five percent of caretakers reported their child received VAS during the last campaign (n=909) compared with administrative coverage of 104% and previous round administrative coverage of 72.8%. The primary sources of campaign information were town criers (65%), television (40%) and radio (40%). The most commonly cited reason for not receiving VAS was that the caretaker or child was not home when the distributors passed (37%). Conclusions: Use of criers and television/radio spots broadcast in local languages were most effective in increasing awareness of the campaigns. Both community and national radio and television stations played a variety of communication advertisements prior to and during the campaign, which helped achieve coverage of over 80% to meet child mortality reduction guidelines.en_US
dc.identifier.citationKabena Aimerance, Nahimana Damien, Kabavulu Patrice, Oruru Geoffrey, Katcher Heather, Mayambu Banea, Blankenship Jessica. Reaching the Hard to Reach with Vitamin A Supplementation in Low-performing Health Zones of DR Congo. European Journal of Nutrition & Food Safety. 2015 Special issue; 5(5): 331-332.en_US
dc.identifier.issn2347-5641
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/164559
dc.language.isoenen_US
dc.source.urihttps://sciencedomain.org/abstract/10492en_US
dc.titleReaching the Hard to Reach with Vitamin A Supplementation in Low-performing Health Zones of DR Congo.en_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ejnfs2015v5n5p331.pdf
Size:
227.72 KB
Format:
Adobe Portable Document Format
Description:
Conference abstract
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
European Journal of Nutrition & Food Safety