Zambia Iodine

Zimbabwe

Vitamin A

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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: October 1999, Zimbabwe National Micronutrient Survey
Groups Surveyed: Children of both sexes from 6 to 71 months and 6 to 14 years plus women of child bearing age (15 to 49 yrs) from all the 8 provinces and the two main cities Harare and Bulawayo.
Sample Size: 3150
Sampling Method: Multi-stage sampling
Sampling Strategy: Using the ward as the sampling unit, the country's five agro-ecological zones were used as clusters from which a total of 50 wards were selected.  From each identified ward, one village was randomly selected.  This was followed by a systematic selection of households from which the respondents were obtained.
Estimated Prevalence of VAD:  

Area

Sample Size

Indicator/Prevalence

Est. Pop. Affected*

National (Children 6 – 71 months)

1,005

X1B = 0.17%

2611

 

 

XN = 0.03%

460

* Based on population figures from the Zimbabwe National Micronutrient Survey.

Sub-clinical Vitamin A Deficiency
Most Recent Sub-Clinical VAD Survey

    

The most recent sub-clinical VAD survey was described above.
   
Estimated Prevalence of VAD:  Indicator Serum Retinol < 20mcg/dl
 

Age Group

Sample Size

Prevalence

Est. Pop. Affected*

Children 12 - 71 mos

346

35.8%

549,855

Children 6 - 14 yrs

657

18.0%

 681,634

Women 15 - 49 yrs

804

6.9%

 212,434

* Based on population figures from the Zimbabwe National Micronutrient Survey.

 
     
 

POLICY AND LEGISLATION

 

Legislation on VAD

     There is no VAD legislation in Zimbabwe, however it is being developed.
 

Government Agency to Address VAD

      Ministry of Health and Child Welfare.  The agencies function is both coordination and monitoring.

    

Contact Information:  Not provided.
     

PROGRAM DATA

Supplementation
Program Description
     The program is scheduled to start in June 2002. 
     The target groups are children 6 to 71 months and mothers 8 weeks after delivery.
Capsule Information

    

Currently high-dose capsules are imported.  About 3,792,960 (200,000 IU) and 335,016 (100,000 IU) capsules.
Implementation

    

Supplementation is provided at National Immunization Days, clinics, and with food distributions.
Fortification

Program Description

     Margarine is fortified with Vitamin A and there is a pilot study of fortified maize.
 
Other Programs
Dietary Change
     There is a national program to promote vitamin A status through dietary change.  It targets rural women and children.
     The program is run by Intersectoral Food and Nutrition Committees.
     
     
 
MONITORING
 

Clinical and Sub-clinical VAD

     There are currently no monitoring activities in place.
     Surveys in Section II are not being repeated.
 
Supplementation
     Capsules are monitored through the use of tally sheets.
Fortification
     There is no monitoring for fortification.
     
     
PROGRAM RESOURCES
Donor Agencies

 Implementing Agency

Description of Activities,

 

 

 

UNICEF

Supplementation through food and Nutrition projects + supplementation

 

CARE ZIMBABWE

Fortification of Maize meal

 

OXFAM

Fortification of Maize meal