Vitamin A Deficiency

Haiti

Honduras

Vitamin A

Iron

Mexico




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		Program Data
		Monitoring
		Program Resources

	EPIDEMIOLOGICAL DATA


Clinical Vitamin A Deficiency
Most Recent Clinical VAD Survey - There have been no clinical VAD surveys done in Honduras.
	Date:
	Groups Surveyed:
	Sample Size:
	Sampling Method:
	Sampling Strategy:
	Estimated Prevalence of VAD:	Presence of at least one of the following clinical indicators
		1. Conjunctival xeroxes with bitots spot
		2. Corneal xeroxes/ ulceration/ keratomalacia
		3. Corneal scar


Sub-clinical Vitamin A Deficiency
Most Recent Sub-clinical VAD Survey - National level
	Date:	1996
	Groups Surveyed:	Children 12-71 months in age.
	Sample Size:	1734 children.
	Sampling Method:

Estimated Prevalence of VAD: Indicator is serum retinol < 20 µg/dL

Region	Prevalence	Estimated Population Affected
TEGUCIGALPA	8.1%
SAN PEDRO SULA	7.3%
OTROS URBANOS	15.6%
OTROS RURALES	15.9%
OCCIDENTE RURAL	18.7%
SUR RURAL	7.9%
National Total	13%


	POLICY AND LEGISLATION

Legislation on VAD
	VAD legislation exists in Honduras and it was enacted in 1976. The law was mainly to fortify all the sugar produced or imported into Honduras.
	Legislation has been significantly revised.
	The government has not published any documents that state the national policy regarding VAD.


Government Agency to Address VAD
	Ministry of Health - The agency's function are to coordinate and monitor VAD activities.
	Contact Information: Fortification - Department of Food Control; Supplementation - Department of Mother-Child Health


	PROGRAM DATA


Supplementation
Program Description
	Vitamin A supplementation is provided universally to post-partum women and children 6-59 months.

Supplementation coverage for children 12-71 months in age is 89.9% (sometimes) and women 15-49 years in age was 30%.

Supplementations are given out through National Immunization Days, schools and clinics.

Targeting

Post-partum women 15-49 years: estimated 79,731 received at least one dose/yr.

Children 12-59 months: estimated 452,063 received at least one dose/yr.

Children 6-11 months: estimated 159,808 received at least one dose/yr.



Implementation

Vitamin A Supply (for target year)
Source	Supplementation: Capsules No. & Value of Capsules (2001)
	200,000 IU		100,000 IU		50,000 IU		10,000 IU
	No.	$	No.	$	No.	$	No.	$
Imported into country	1,902,037	DONATED BY UNICEF/MI	210,049	DONATED BY UNICEF/MI	N/A		N/A
Locally produced	N/A		N/A		N/A		N/A
Totals	1,902,037		210,049		0		0

Fortification

The only food reported to be fortified with vitamin A is sugar. In the year 2000, approximately 40% of the commodity was fortified at a level of 4.6 ppm. A monitoring system is in existence to assess the level of fortification.

Between the years 1999 and 2000, there was a production of 3,617,547 qq of fortified sugar. It was consumed by approximately 6,000,000 people.

Other Program - None reported.



	MONITORING

Clinical and Sub-clinical VAD
	The surveys described in the epidemiology section are not being repeated.
	There are no clinical VAD monitoring activities.
	The indicator that is used for monitoring sub-clinical VAD is serum retinol <20µg/dL.

Supplementation
	There is no monitoring of vitamin A capsules.

Fortification
	Sugar fortification is monitored by the producers (sugar factories), investigators from the Department of Food Control at the factories, and also at the retail level. In addition, the Department of Food Control conducts surveillance at the household levels.



	PROGRAM RESOURCES

Donor Agencies

Implementing Agency	Description of Activities	Expenditure and source of funds in current year
Implementing Agency	Description of Activities	Supplementation	Fortification
Ministry of Health	NR	X	X
INCAP/OPS	NR		X
MI	NR	X	X
UNICEF	NR		X
USAID	NR		X

NR - not reported


VAD Program Funding History and Projections
	Not Reported.

EPIDEMIOLOGICAL DATA

POLICY AND LEGISLATION

PROGRAM DATA

MONITORING

PROGRAM RESOURCES