According to UNICEF, this is the first time that the Department of Health in South Africa has conducted an intervention of this scale, in all provinces, with the primary aim of increasing Vitamin “A” coverage rates. In select provinces, the campaign roll out will follow an integrated approach including vitamin A supplementation, deworming and some growth screening using Mid Upper Arm Circumference (MUAC) tapes.
“Globally, it is estimated that the provision of twice yearly vitamin A supplements to children can contribute to the reduction of child mortality by 23 per cent,” said Joan Matji, Senior Nutrition Specialist at UNICEF South Africa. “UNICEF estimates that in order to maximize the impact of Vitamin “A” supplementation on child mortality, at least 70 per cent of children in South Africa need to be provided with vitamin A supplementation every 6 months, she added.”
UNICEF in partnership with the Department of Health has over the years managed implementation of national high impact interventions to prevent further deterioration in micronutrient deficiencies in South Africa, especially amongst the most vulnerable children and women. “An example is the national flour fortification programme, which is now being introduced in other countries it the region,” Ms Matji said.
South Africa’s first national nutrition survey among children 6-71 months, found that 33.3 per cent of children are deficient in Vitamin “A”. This prevalence indicates that deficiency in Vitamin “A” is a serious health concern for the country. Since the effect of one capsule of vitamin A administered to a child lasts for only four to six months, health experts recommend that a supplement be provided twice yearly to children during the first 5 years of life.
The 2008 Vitamin “A” supplementation Campaign
A 1999 South Africa’s National Food Consumption Survey showed that most children appear to consume a diet low in energy and poor in protein quality and micronutrient density. It also found that one out of two children aged 1-9 years have an intake of approximately less than half the recommended level for Vitamin “A”. In response, routine supplementation to children aged 6 to 59 months and to post partum women has been implemented at South African health facilities as a policy since 2003.
UNICEF has actively supported every step of this first Vitamin “A” campaign by bringing in a technical expert to guide the planning phase, mobilizing partners such as the Micronutrient Initiative and the Canadian International Development Agency to secure vitamin A capsules, scissors and indelible ink, and in documenting the campaign experience, including assessing the number of children reached, the costs and the impacts. UNICEF will also help determine the sustainability of this new intervention.
“UNICEF looks forward in future to supporting the implementation of a more integrated vitamin “A” supplementation programme that is part of an overall child survival package in order to truly accelerate high impact interventions in the country, “ Ms. Matji said.
The official launch of this campaign was undertaken by the National Minister of Health at J. Dumane Community Health Centre in Voslorus, Ekhuruleni, Gauteng Province.
UNICEF is on the ground in over 150 countries and territories to help children survive and thrive, from early childhood through adolescence. The world’s largest provider of vaccines for developing countries, UNICEF supports child health and nutrition, good water and sanitation, quality basic education for all boys and girls, and the protection of children from violence, exploitation, and AIDS. UNICEF is funded entirely by the voluntary contributions of individuals, businesses, foundations and governments.
For further information please contact UNICEF South Africa: http://www.unicef.org/southaftrica
Yvonne Duncan, email@example.com, Mobile +27 82 561 3970
Joan Matji, Jmatji@unicef.org, Mobile: + 27 79 498 4993