De-Worming and Vitamin A Supplementation Coverage, Awareness and Barriers Reported By Post Event Coverage Survey in Sierra Leone
Habib I.KamaraMary H.HodgesFatmata F.SesayMohamed TurayAminata S.KoromaAmara JambaiHeather Katcher
Ondokuz Mayis UniversityHelen Keller InternationalNutrition Program, Ministry of Health and Sanitation Sierra LeoneDirectorate of Disease Prevention and Control, Ministry of Health and SanitationHelen Keller International Regional Office
摘要：Vitamin A Supplementation（VAS）has been integrated in twice yearly Maternal and Child Health weeks in Sierra Leone since 2008 to support child survival.Vitamin A is a cost effective child survival intervention that is associated with 24%reduction in under five mortality.High VAS coverage>80%has been maintained since 2004.Post event coverage surveys（PECS）have been conducted for VAS intermittently to validate coverage and to inform program strategy and in 2013 included de-worming with albendazole（ALB）distribution.)Methodology Using the WHO reference manual on coverage surveys,cluster sampling was used to select 20 clusters/district and 25 caregivers with children between 6-59 months/cluster for a desired precision of+5%at 80%Confidence Interval（CI）were used.In addition,1 health worker（HW）or one community health volunteer（CHV）from the nearest health facility in each cluster was interviewed.Results from the PECS were compared with the Ministry of Health and Sanitation reported coverage calculated from HW tally sheets and national census population projections（2004）.Enumerators sent data via Samsung Galaxy phones using the Magpie application.Results Overall 6,033 caregivers and 180 HW/CHVs were interviewed.VAS and ALB coverage was 91%（CI 92.6%±90.4%）and 87%（CI 88.3%±86.1%）respectively.There was significant difference between VAS and ALB coverage（p<0.05）although there was no significant difference between VAS and ALB coverage by rural versus urban or by sex.The reported coverage from HW tallies and population projections was VAS:101.5%and ALB:102.0%.Main sources of information regarding the campaignreported by caregivers were CHVs:35%（2,520/7209）,radio:24%（1701/7209）and roaming vehicle/loudspeaker:22%（1,577/7209）.HWs could identify the correct dose of VAS and ALB（96%,89%）and（95%,93%）and the correct frequency（77%:78%）respectively.Conclusions PECS results for VAS and ALB was high reaching 91%and 87%respectively.
6th International Conference on Health Care & Life Science Research（ICHLSR）