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Vitamin A

Vitamin A. See TIH/VA screens 14-17. VAC distribution 1993-1998. VAC coverage -- 1993-98. VAC evaluation results -- Philippines. High prev: Prev10(%) = 38.3 + 61.7(dVAC1-2)* - 17.7(dVAC3-4) - 7.6(dVAC5-6)*

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Vitamin A

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  1. Vitamin A

  2. See TIH/VA screens 14-17

  3. VAC distribution 1993-1998

  4. VAC coverage -- 1993-98

  5. VAC evaluation results -- Philippines High prev: Prev10(%) = 38.3 + 61.7(dVAC1-2)* - 17.7(dVAC3-4) - 7.6(dVAC5-6)* All HUC: Prev10 (%) = 27 - 18(dVAC1-2) - 11(dVAC3-4) - 2(dVAC5-6)* - 2(dstunting)* + 2(dinfection)*

  6. POLICY IMPLICATIONS-- Philippines • Shift in policy or resource allocation: • Change in dosing schedule from twice a year to three times a year • Universal distribution of VAC in high prevalence areas and targeted distribution where prevalence of VAD is low • Stunting may be a criterion for screening program targets in low prevalence areas

  7. Future Policy • VAC’s in high prevalence (<10 mcg/dl) areas • VAC’s ? Targetted to stunted children • post partum to ma’s • low dose supplementation in pregnancy (where?) • fortify widely -- oils, sugar, flour, weaning foods … • in ‘sprinkles’

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