Journal of Epidemiology and Global Health

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Volume 4, Issue 3, September 2014, Pages 169 - 176

Coverage of vitamin A supplementation and deworming during Malezi Bora in Kenya

Authors
Paloma C. Clohosseya, palomacclohossey@gmail.com, Heather I. Katchera, hkatcher@hki.org, Geoffrey O. Mogonchia, joruru@hki.org, Nancy Nyagohaa, mnyamwesi@yahoo.com, Marissa C. Isidroa, marissa.soohoo@gmail.com, Evelyn Kikechib, kikechieve@yahoo.com, Edgar E.V. Okotha, eonyango@hki.org, Jessica L. Blankenshipa, *, jblankenship@hki.org
aHelen Keller International, P.O. Box 13904-00800, Nairobi, Kenya
bMinistry of Public Health and Sanitation, Department of Nutrition, P.O. Box 30016-00100, Nairobi, Kenya
*Corresponding author. Address: Helen Keller International, Africa Regional Office, P.O. Box 13904-00800, Nairobi, Kenya. Tel.: +254 704 834 426.
Corresponding Author
Jessica L. Blankenshipjblankenship@hki.org
Received 27 August 2013, Revised 20 December 2013, Accepted 28 December 2013, Available Online 6 February 2014.
DOI
10.1016/j.jegh.2013.12.005How to use a DOI?
Keywords
Vitamin A; Deworming; Malezi Bora; Child health days; Kenya
Abstract

Twice-yearly child health weeks are an effective way of reaching children with essential child survival services in developing countries. In Kenya, child health weeks, or Malezi Bora, were restructured in 2007 from an outreach-based delivery structure to a health facility-based delivery structure to reduce delivery costs and increase sustainability of the events. Administrative data from 2007 to 2011 have demonstrated a decrease in coverage of Malezi Bora services to targeted children. A post-event coverage (PEC) survey was conducted after the May 2012 Malezi Bora to validate coverage of vitamin A supplementation (VAS) and deworming and to inform program strategy. Nine hundred caregivers with children aged 6–59 months were interviewed using a randomized, 30 × 30 cluster design. For each cluster, one facility-based health worker and one community-based health worker were also interviewed. Coverage of VAS was 31.0% among children aged 6–59 months and coverage of deworming was 19.6% among children aged 12–59 months. Coverage of VAS was significantly higher for children aged 6–11 months (45.7%, n = 116) than for children aged 12–59 months (28.8%, n = 772) (p < 0.01). Eighty-five percent (51/60) of health workers reported that Malezi Bora was implemented in their area while 23.6% of primary caregivers reported that Malezi Bora occurred in their area. The results of this PEC survey indicate that the existing Malezi Bora programmatic structure needs to be reviewed and reformed to meet WHO guidelines of 80% coverage with VAS.

Copyright
© 2014 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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<Previous Article In Issue
Next Article In Issue>
Journal
Journal of Epidemiology and Global Health
Volume-Issue
4 - 3
Pages
169 - 176
Publication Date
2014/02/06
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2013.12.005How to use a DOI?
Copyright
© 2014 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Paloma C. Clohossey
AU  - Heather I. Katcher
AU  - Geoffrey O. Mogonchi
AU  - Nancy Nyagoha
AU  - Marissa C. Isidro
AU  - Evelyn Kikechi
AU  - Edgar E.V. Okoth
AU  - Jessica L. Blankenship
PY  - 2014
DA  - 2014/02/06
TI  - Coverage of vitamin A supplementation and deworming during Malezi Bora in Kenya
JO  - Journal of Epidemiology and Global Health
SP  - 169
EP  - 176
VL  - 4
IS  - 3
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2013.12.005
DO  - 10.1016/j.jegh.2013.12.005
ID  - Clohossey2014
ER  -