Danielle X Morales, Nathalie Prieto, Sara E Grineski, Timothy W Collins
Race/Ethnicity, Obesity, and the Risk of Being Verbally Bullied: a National Multilevel Study
Journal of racial and ethnic health disparities
vitamin deficiency vad leading contributor poor health nutrition young children subsaharan africa funding constraints compelling many countries shift longstanding campaigns integrating vitamin supplementation vas routine health services assessed child vas coverage associated factors integrated delivery systems mozambique senegal sierra leone campaignbased delivery strategy tanzania data obtained using representative household surveys administered primary caregivers n 16343 children aged 659 months mozambique n 1659 senegal n 7254 sierra leone n 4149 tanzania n 3281 singledose vas coverage assessed bivariate multivariable associations examined child vas receipt respect rural urban residence child age sex maternal age education vas program knowledge household wealth vas coverage children aged 659 months 428 95 ci 402 456 mozambique 461 95 ci 449 474 senegal 869 95 ci 858 879 sierra leone 424 95 ci 402 446 tanzania significantly higher children 611 vs 2459 months mozambique senegal tanzania sierra leone children aged 1223 months aor 186 95 ci 120 286 2459 months aor 155 95 ci 107 225 likely receive vas compared 611 months maternal awareness vas programs associated higher uptake mozambique aor 400 95 ci 281 568 senegal aor 272 95 ci 235 315 tanzania aor 1450 95 ci 1098 1917 increased household wealth associated higher likelihood child vas senegal tanzania findings indicate routine delivery approaches vas achieving level coverage needed public health impact settings intensive outreach efforts contributed higher coverage sierra leone highlight importance reducing burdens associated seeking supplementation health facilities countries move towards incorporating vas routine health services essentiality informed communities potential losses older children socioeconomically disadvantaged populations key considerations subsaharan african context