Iraq Iodine

Jordan

Vitamin A

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Program Data
Monitoring
Program Resources

EPIDEMIOLOGICAL DATA
     
Clinical Vitamin A Deficiency
Most Recent Clinical VAD Survey:  No survey reported.
 
Sub-clinical Vitamin A Deficiency
Most Recent Sub-Clinical VAD Survey:  The survey was conducted by the Social Productivity Programme (SPP) at the Jordanian Ministry of Planning in collaboration with the Ministry of Health and the University of Jordan.
Date: 1999
Groups Surveyed: school children (6-11 years)
Sample Size: 1027
Sampling Method: Children were sampled in less privileged areas of Jordan (Mafrak, Deir Alla, Shouneh, Karak, Tafileh, Maan, & Aqaba). Schools representing the seven study areas were selected randomly
  Estimated Prevalence of VAD:

Region/Group

Sample size

Population in region/group       (if available)

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

Prevalence in sample %

Aqaba

109

 

<0.7 mmol/l

26.6

Karak

31

 

<0.7 mmol/l

25.8

Ma’an

79

 

<0.7 mmol/l

21.1

Tafeelah

228

 

<0.7 mmol/l

4.8

Dair Alla

124

 

<0.7 mmol/l

19.3

Al Sheunah

170

 

<0.7 mmol/l

25.2

Al Badia

249

 

<0.7 mmol/l

33.7

National Total:

990

 

 

 
Other Sub-Clinical VAD Survey:  A study was conducted by MOH, UNICEF and WHO.
Date: June / July 1997
Groups Surveyed: Children 6-71 months.  The study areas selected were described as under privileged rural areas “Mafraq, Madaba , and the control area was Jerash city”.
Sample Size: 400 children (213m/183f) were selected from three areas, 300 from the two study areas and 100 from the control area.
Sampling Method: A convenient sample was collected from the households of both the study and the control areas (400 household), taking into consideration the average family size in Jordan (6.2 members) and the percentage of children under 5 years of age (15% of the population).
Estimated Prevalence of VAD:

Region/Group

Sample size

Population in region/group

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

Prevalence in sample %
Mafraq

152

 

< 0.7 mmol/l

8.2
Jarash

120

 

< 0.7 mmol/l

2.6

Madaba

173

 

< 0.7 mmol/l

1.4

 
 
     
 

POLICY AND LEGISLATION
 

Legislation on VAD
     There is no VAD legislation in Jordan, nor is it being developed or about to be enacted into law.
     There have been no documents published stating the national policy regarding VAD.

Government Agency to Address VAD

      The Ministry of Health.  Their function is both coordination and monitoring.

    

Contact Information: Nutrition Department, Ms. Wisam Qarqash
     
     

PROGRAM DATA
Supplementation
Program Description
     Vitamin A supplementation was conducted in eight high risk areas, to school children aged 6-11 years through their schools. The programme started in year 2000.
     There is no policy to address vitamin A supplementation for mothers within 8 weeks of delivery.
Targeting

    

Children: 20,000
Capsule Information

    

200,000 IU.
Implementation

    

Vitamin A supplementation is given through schools.
Estimated Number of People Supplemented

Region/Group

Estimated # of people supplemented, number of times/year
Aqaba 1621

Mafrak

1000

Ma’an

2000

Deralla

3500

Altafela

4000

Shuna

2500

Karak

4500

Badia

2500
National Total 21,621

 
Fortification   There are no current programs to fortify food
 
Other Programs  There are no other programs to control vitamin A.
     
     
 
MONITORING
 

Clinical and Sub-clinical VAD
     There is a survey being conducted in 2002, if it is found there is a need for monitoring activities, it will then be considered.
     Serum Retinol is used as the indicator for monitoring sub-clinical VAD in children.
 
Supplementation
     Imported capsules are tested by the Drug Administration Department in the Ministry of Health.

    

Coverage of the supplementation program is accomplished via field visits by supervisors to schools to make sure that vitamin A capsules are given to targeted children.
Fortification
     There is no fortification to monitor.
     
     
PROGRAM RESOURCES
Donor Agencies

 Implementing Agency

Description of Activities

Expenditure and source of funds in current year

Suppl.

Fortif.

Other (specify)

Ministry of Health

1. Distribution of Vitamin A supplements

2. Monitoring of distribution

3. Distribution of IEC materials

$5,000

 

 

Ministry of Planning

 

1.       Procurement of Vitamin A capsules

2.       Training of staff

$5,000

(in year 1999 after SPP study)

 

 

UNICEF

1. Production of IEC materials

2. Providing Vitamin A supplements through announced donations

$5,000

 

 
Total VAD Program Funding History and Forecast for Country

 

Year

VAD Activity

 

Total $(000)

 

Supplementation $(000)

 

Fortification $(000)

Other (specify)

Activity

$(000)

1998

 

 

 

 

 

1999

 

 

 

 

 

2000

$5,000

 

Distribution of Vit. A capsules

 

$5,000

2001

$5,000

 

Distribution of Vit. A capsules

 

$5,000

2002

$10,000

 

- Distribution of Vit. A capsules

- Production and distribution of IEC materials

 

$10,000

2003

*

 

 

 

 

2004

*

 

 

 

 

2005

*