Lesotho Iodine

Liberia

Vitamin A

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Program Data
Monitoring
Program Resources

EPIDEMIOLOGICAL DATA

     
Clinical Vitamin A Deficiency
Most Recent Clinical VAD Survey -- No survey to report.

 
Sub-clinical Vitamin A Deficiency
Most Recent Clinical VAD Survey -- national
     Date: Feb - June 1999
Groups Surveyed: Infants and children 6 months to 35 months of age, pregnant women aged 14 to 49 years and non-pregnant women of children aged 6 to 35 months
Sample Size: 6 - 35 months of age = 635, pregnant women aged 14 to 49 years = 188, and non-pregnant mothers = 617
Sampling Method: Sampling method was stratified, 2-stage cluster sampling with systematic selection (proportional to size) of 60 clusters and 15 households per cluster. (N = 900 households)
Estimated Prevalence of VAD:
 

Age Group

Sample Size

Indicator(s)  Specify cutoff or median serum retinol values

Prevalence ( %) or median value

6 to 35 months

635

< 0.70 um/liter

52.9%

Pregnant women 14-49 years

188

< 0.70 um/liter

12%

Non pregnant mothers

617

< 0.70um/liter

7.2%

 

     
 

POLICY AND LEGISLATION

 

Legislation on VAD

    There is no VAD legislation in Liberia, but a policy exists.
    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, monitoring, supplementation, policy guidance, training, public education and research.
     Contact Info: The Ministry of Health and Social Welfare.  Box 9009-1000-Monrovia-10, Liberia
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PROGRAM DATA

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Supplementation
Program Description
     Supplementation is integrated with routine immunization, reproductive health services and the National Immunization Days (NIDs). It is not done as a separate program.
     There is a policy that targets women in the immediate post-partum period up to 6 weeks nationwide. Supplementation began in 2001.  
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Targeting

    

Children 6 months to 59 months = 840,205 and Post partum women = 33,750
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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): Information as to quantity imported by commercial pharmacies and private health facilities and NGOs is not readily available. Donation to UNICEF from the Canadian Government in 2001 was 200,000IU capsules  = 2,3000,000 AND 100.000IUcapsules = 270,000
 

Fortification

    

There is no vitamin A fortification in Liberia.

 
Other Programs
Dietary Change
     Public education to promote consumption of food rich in vitamin A is done through radio and integrated with health education in health facilities but not as a special large-scale progranmme
     International NGOs (Africare & ADRA) have community-based nutrition projects that include dietary promotion for children and women.  Community-based promotion is done by traditional birth attendants and Support Groups where they exist but not as a special programme. The targets are families including men, pregnant and non-pregnant women in rural and urban areas.
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MONITORING
 

Clinical and Sub-clinical VAD  -- Monitoring has not begun.

Supplementation
     The numbers of capsules imported by UNICEF are monitored through review of distribution reports by the National Drug Service and review of stocks available and reports from health facilities and traditional birth attendants. Those imported by commercial pharmacies are not monitored.
     Coverage of the supplementation program is monitored through routine reports from health facilities, reports from NIDs and traditional birth attendants. Reports from health facilities however, are not always complete.
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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

National/State Governments

Policy guidance, training, co-ordinating supplementation, public education

 

External Agencies*

 

 

UNICEF

Survey, training ,public education, supply of vitamin A capsules, financial and material support for supplementation

 

NGOs

Supplementation

 

 

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