Ghana Iodine

Guinea

Vitamin A

 Iron Guinea Bissau
     
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Country Profile Policy & Legislation
Program Data
Monitoring
Program Resources

EPIDEMIOLOGICAL DATA
     
Clinical Vitamin A Deficiency
Most Recent Clinical VAD Survey
Date: May/June 1995 (Middle and Upper Guinea)
Groups Surveyed: Children 6 mos. to 6 yrs. old
Sample Size: 3,056 (1532 children in Middle Guinea and 1524 children in Upper Guinea)
Sampling Method: Representative multistage probability sample, a transversal, single passage survey with quantitative (anthropometry) and qualitative (HKI FF-Method, eye examination) chapters from 20 villages each in Middle Guinea and Upper Guinea. The survey uses the National Census Bureau population database for sampling.  For the nutritional survey every one in three children was selected.
Estimated Prevalence of VAD:

Region/Group

Sample size

Population in region/group (if available)

Prevalence in sample %
Middle Guinea: children 6months 71months

1532

 

XN:  0.6%

X1B:  0.13%

X3A/X3B:  0%

XS0%
Upper Guinea: children 6months 71months

1524

 

XN: 0%

X1B:  0.07%

X3A/X3B:  0%

XS:  0%

 
Sub-clinical Vitamin A Deficiency
Most Recent Clinical VAD Survey
     Date: January, 1997
Groups Surveyed: Children who had undergone clinical exam and nutritional questionnaire in 1995.
Sample Size: 767 children.  (333 of 510 kids  in Middle Guinea and 434 of 499 kids in Upper Guinea were found)
Sampling Method:

Methodology from clinical survey above.  MRDR methodology was used.
Estimated Prevalence of VAD:

 

Region/Group

Sample size

Indicator(s) specify cutoff and/or median serum retinol

Prevalence in sample %
Middle Guinea: children 6months 71months

230

MRDR

<0.06: 35.2%

>=0.06: 64.8%

65.8% of children serum retinol <0.70μg/dl
Upper Guinea: children 6months 71months

215

MRDR

<0.06: 73.5%

>=0.06: 26.5%

77.3% of children serum retinol <0.70μg/dl
 
     
 

POLICY AND LEGISLATION
 

Legislation on VAD
    There is no VAD legislation in Guinea, however, a draft policy was developed in 2000 which focuses on both fortification and supplementation.
    There have been no government documents published stating national policy regarding VAD.
 

Government Agency to Address VAD

     Food and Nutrition section of the Ministry of Public Health and National Nutrition Institute.  Their function is both coordination and monitoring.
     Contact Info:  p/a HKI POBox 6050 Conakry, Republic of Guinea
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PROGRAM DATA
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Supplementation
Program Description
     Supplementation occurs 2x/year for kids 6-59months: in May (2week period; distribution through health centers) and in October (4 days during NID).
     There is no policy to address vitamin A supplementation for mothers within 8 weeks of delivery.  
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Targeting

    

Children 6  - 59 mos: approximately 1.5 million children
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Implementation

    

Supplements are given through National Immunization Days in October and via health centers in May.
VA Supply (for target year): Not Reported
 

Fortification
    

There is no vitamin A fortification in Guinea.
 
Other Programs
Dietary Change
     There are no large-scale or national programs (including mass media campaigns) to promote improved vitamin A status through dietary change.
     International NGOs (Africare & ADRA) have community-based nutrition projects that include dietary promotion for children and women.
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MONITORING
 

Clinical and Sub-clinical VAD
     There is no monitoring system in place.
     The surveys described above are not being repeated.
 
Supplementation
     The number of capsules is not monitored.
     Coverage of the supplementation program is monitored with tally sheets and summary monitoring sheets.
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Fortification
     There is no fortification to monitor.
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PROGRAM RESOURCES
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Donor Agencies

 

Implementing Agency

 

Description of Activities

Expenditure and source of funds in

current year

Supplementation

Fortification

Other (specify)

National/State Governments

Capsule distribution twice a year

 

 

 

External Agencies*

 

 

 

 

UNICEF 

Vitamin A capsule supply

VAC distribution to post partum women in some areas

 

 

 

USAID/HKI 

VAC monitoring, IEC activities, VAD research

$20,000

$20,000

 

Africare/HKI

community based VAC distribution, monitoring and IEC

$5,000

 

 

 

HKI/UNICEF

VAC distribution post-NIDs

$125,000

 

 
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VAD Program Funding History and Projections

 

Year

VAD Activity

 

Total $(000)

 

Supplementation $(000)

 

Fortification $(000)

Other (specify)

Activity

$(000)

1998

 

 

 

 

 

1999

50

 

 

 

50

2000

50

 

 

 

50

2001

50

 

 

 

50

2002

250

20

 

 

270

2003

250

30

Nat'l survey

150

430

2004

 

 

 

 

 

2005

 

 

 

 

 

 

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