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- Publisher Website: 10.1093/heapol/czi007
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Article: The impact of vitamin A supplementation on mortality inequalities among children in Nepal
Title | The impact of vitamin A supplementation on mortality inequalities among children in Nepal |
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Authors | |
Keywords | Child mortality Health equity Nepal Vitamin A |
Issue Date | 2005 |
Citation | Health Policy and Planning, 2005, v. 20, n. 1, p. 60-66 How to Cite? |
Abstract | Objective: This paper examines gender, caste and economic differentials in child mortality in the context of a cluster-randomized trial of vitamin A distribution, in order to determine whether or not the intervention narrowed these differentials. Design: The study involved secondary analysis of data from a placebo-controlled randomized field trial of vitamin A supplements. The study took place between 1989-1991 in rural Sarlahi District of Nepal, with 30 059 children age 6 to 60 months. The main outcome measures were differences in mortality between boys and girls, between highest Hindu castes and others, and between the poorest quintile and the four other quintiles. Results: Without vitamin A, girls in rural Nepal experience 26.1 deaths per 1000, which is 8.3 deaths more than the comparison population of boys. With vitamin A the mortality disadvantage of girls is nearly completely attenuated, at only 1.41 additional deaths per 1000 relative to boys. Vitamin A supplementation also narrowed mortality differentials among Hindu castes, but did not lower the concentration of mortality across quintiles of asset ownership. The vitamin A-related attenuation in mortality disadvantage from gender and caste is statistically significant. Conclusions: We conclude that universal supplementation with vitamin A narrowed differentials in child death across gender and caste in rural Nepal. Assuring high-coverage vitamin A distribution throughout Nepal could help reduce inequalities in child survival in this population. © Oxford University Press, 2005; all rights reserved. |
Persistent Identifier | http://hdl.handle.net/10722/326685 |
ISSN | 2023 Impact Factor: 2.9 2023 SCImago Journal Rankings: 1.302 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Bishai, David | - |
dc.contributor.author | Kumar, K. C.Samir | - |
dc.contributor.author | Waters, Hugh | - |
dc.contributor.author | Koenig, Michael | - |
dc.contributor.author | Katz, Joanne | - |
dc.contributor.author | Khatry, Subarna K. | - |
dc.contributor.author | West, Keith P. | - |
dc.date.accessioned | 2023-03-31T05:25:47Z | - |
dc.date.available | 2023-03-31T05:25:47Z | - |
dc.date.issued | 2005 | - |
dc.identifier.citation | Health Policy and Planning, 2005, v. 20, n. 1, p. 60-66 | - |
dc.identifier.issn | 0268-1080 | - |
dc.identifier.uri | http://hdl.handle.net/10722/326685 | - |
dc.description.abstract | Objective: This paper examines gender, caste and economic differentials in child mortality in the context of a cluster-randomized trial of vitamin A distribution, in order to determine whether or not the intervention narrowed these differentials. Design: The study involved secondary analysis of data from a placebo-controlled randomized field trial of vitamin A supplements. The study took place between 1989-1991 in rural Sarlahi District of Nepal, with 30 059 children age 6 to 60 months. The main outcome measures were differences in mortality between boys and girls, between highest Hindu castes and others, and between the poorest quintile and the four other quintiles. Results: Without vitamin A, girls in rural Nepal experience 26.1 deaths per 1000, which is 8.3 deaths more than the comparison population of boys. With vitamin A the mortality disadvantage of girls is nearly completely attenuated, at only 1.41 additional deaths per 1000 relative to boys. Vitamin A supplementation also narrowed mortality differentials among Hindu castes, but did not lower the concentration of mortality across quintiles of asset ownership. The vitamin A-related attenuation in mortality disadvantage from gender and caste is statistically significant. Conclusions: We conclude that universal supplementation with vitamin A narrowed differentials in child death across gender and caste in rural Nepal. Assuring high-coverage vitamin A distribution throughout Nepal could help reduce inequalities in child survival in this population. © Oxford University Press, 2005; all rights reserved. | - |
dc.language | eng | - |
dc.relation.ispartof | Health Policy and Planning | - |
dc.subject | Child mortality | - |
dc.subject | Health equity | - |
dc.subject | Nepal | - |
dc.subject | Vitamin A | - |
dc.title | The impact of vitamin A supplementation on mortality inequalities among children in Nepal | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1093/heapol/czi007 | - |
dc.identifier.scopus | eid_2-s2.0-14644424606 | - |
dc.identifier.volume | 20 | - |
dc.identifier.issue | 1 | - |
dc.identifier.spage | 60 | - |
dc.identifier.epage | 66 | - |
dc.identifier.isi | WOS:000227278700007 | - |