Burundi Iodine

Cameroon

Vitamin A

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Country Index Epidemiological Data
Country Profile Policy & Legislation
Program Data
Monitoring
Program Resources

EPIDEMIOLOGICAL DATA

     
Clinical Vitamin A Deficiency
Most Recent Clinical VAD Survey
Date: 1992
Groups Surveyed: Children 2-5 yrs. both sexes
Sample Size: 5420
Sampling Method: Random Sample
Estimated Prevalence of Clinical VAD:

Region/Group*

Sample size

Prevalence in sample %

Logone and Chari Division

5420

0.62%  Xeropthalmia

 

 

0.47% Bitot’s spot

 

 

0.06% corneal xerosis

 

 

0.12% corneal ulceration

 

 
Sub-clinical Vitamin A Deficiency
Most Recent Clinical VAD Survey
Date: August to November 2000
Groups Surveyed: Children 12 - 71 months
Sample Size: 2375
Sampling Method: The most recent survey took place nationwide. The country was divided by ecological zones. The survey targeted children, male and female, aged 12 to 71 months.  WHO cluster sampling was used.  2375 children were sampled for serum retinol.
Estimated Prevalence of Sub-clinical VAD:  Indicator is serum retinol < 20 µg/dl
 

Region/Group*

Sample size

Indicator

Prevalence in sample %

Est. Pop. Affected
 Forestry zone

497

serum retinol < 20 µg/dl

38.0

 
 High  lands

472

serum retinol < 20 µg/dl

32.6

 

 Coastal

472

serum retinol < 20 µg/dl

35.1

 

 Sahel

474

serum retinol < 20 µgdl

50.6

 

 Douala/Yaoundé

478

serum retinol < 20 µg/dl

37.5

 
         
 
     
 

POLICY AND LEGISLATION

 

Legislation on VAD

    There is no VAD legislation in Cameroon, however, there is a national policy for the administration protocol for vitamin A capsules.
 

Government Agency to Address VAD

     The Nutrition Unit of the MoPH is responsible for coordination and monitoring of VAD.
     Contact Info:  Daniel Sibetcheu
     

PROGRAM DATA

   
Supplementation
Program Description
     Supplementation takes place during National Immunization Days.  This began partially in 1998, but became national in 1999.  There is also supplementation during routine immunization and consultation of sick children, which began in 1998.
     Women are to be supplemented with 2 capsules of 200,000 IU within 6-8 weeks after delivery
 
Targeting

    

Children 6 mos - 5 yrs: 3,025,035 (NID's)

    

Lactating women: 608,000
Implementation

    

Coverage has been 100% during NID's.  Routine immunization coverage is 9% (MICS).  Data is not available for supplementation for lactating mothers.
VA Supply (for target year):

Source

Supplementation: Capsules

No. & Value of Capsules (000)

 

200,000 IU

100,000 IU

50,000 IU

10,000 IU

 

No.

$

No.

$

No.

$

No.

$

Imported into country

3,783,000

Donation/UNICEF

1,574,000

Donation/UNICEF

4,591,000

Donation/UNICEF

 

0

 

Locally produced

0

 

0

 

0

 

 

 

Totals

3,783,000

Donation/UNICEF

1,574,000

Donation/UNICEF

4,591,000

Donation/UNICEF

 

 

 

 

Fortification

    

The only reported food that is fortified is margarine.  This commodity is reported to be 100% fortified, however the level of fortification has not been determined and there is no monitoring.

 
Other Programs
Dietary Change
     There are no national or community-based programs to promote improved vitamin A status through dietary change.
     
     
 
MONITORING
 

Clinical and Sub-clinical VAD

     The surveys described in the epidemiology section are not being repeated.
     The indicator used for monitoring sub-clinical VAD is supplementation coverage.
     There is no monitoring for clinical VAD.
 
Supplementation
     The number of capsules is monitored at the national level by stock management.
     Coverage of the supplementation program is monitored via surveys and recording in health facilities.
Fortification
     There is no monitoring of fortified foods.
     
     
PROGRAM RESOURCES
   
Donor Agencies

 

Implementing Agency

 

Description of Activities

Expenditure and source of funds in current year

Supplementation

Fortification

National/State Governments

Training, advocacy, monitoring, survey

State Budget (NR)

NR

UNICEF

- Vitamin A capsules supply,TRAINING

 - provision of funds for activities

UNICEF (NR)

 NR

 WHO

Training

60,000 US$

 NR

NR = Not Reported
VAD Program Funding History and Projections

 

Year

VAD Activity

 

Total $(000)

 

Supplementation $(000)

 

Fortification $(000)

Other (specify)

Activity

$(000)

2001

 

 

 

 

 

2002

500,000

 

 

 

500,000

2003

1,000,000

50,000

40,000

 

1,090,000

2004

1,000,000

150,000

250,000

 

1,400,000

2005

900,000

500,000

500,000

 

1,900,000