The impact of vitamin A supplementation on mortality inequalities among children in Nepal -- Bishai et al. 20 (1): 60 -- Health Policy and Planning

This report finding sumed up is that:

Without vitamin A, girls in rural Nepal experience 26.1 deaths per 1000, which is 8.3 deaths more than the comparison population of boys.

With vitamin A the mortality disadvantage of girls is nearly completely attenuated, at only 1.41 additional deaths per 1000 relative to boys.

Vitamin A supplementation also narrowed mortality differentials among Hindu castes, but did not lower the concentration of mortality across quintiles of asset ownership.

The vitamin A-related attenuation in mortality disadvantage from gender and caste is statistically significant.

It really explained the importance of having Vitamine A supplements for your Wellness & Longevity.

I was not aware of the importance of Nutrition Supplement until I come to America. But there are thousnads of brand of these Supplements on the market.Do you really know what are you eating?? & How effective they are.

Anyway, Pharmanex Bio-Photonic Scanner
would answer to your concern; whether your money invested in Nutrition Supplements is actually flash out to the drain.

The impact of vitamin A supplementation on mortality inequalities among children in Nepal
David Bishai1,*, K C Samir Kumar2, Hugh Waters3, Michael Koenig1, Joanne Katz3, Subarna K Khatry4 and Keith P West, Jr.3

1 Department of Population and Family Health Sciences, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA, 2 Department of Community Medicine, Institute of Medicine, Maharajgunj, Kathmandu, Nepal, 3 Department of International Health, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA and 4 Nepal Nutrition Intervention Project-Sarlahi, c/o Nepal Eye Hospital, Kathmandu, Nepal

Correspondence: * Correspondence: David Bishai, Department of Population and Family Health Sciences, Johns Hopkins University, Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, USA. Email:Email: dbishai@jhu.edu; Fax: +1 410 955-2303

Objective: This paper examines gender, caste and economic differentials in child mortality in the context of a cluster-randomized trial of vitamin A distribution, in order to determine whether or not the intervention narrowed these differentials.

Design: The study involved secondary analysis of data from a placebo-controlled randomized field trial of vitamin A supplements. The study took place between 1989–1991 in rural Sarlahi District of Nepal, with 30 059 children age 6 to 60 months. The main outcome measures were differences in mortality between boys and girls, between highest Hindu castes and others, and between the poorest quintile and the four other quintiles.

Results: Without vitamin A, girls in rural Nepal experience 26.1 deaths per 1000, which is 8.3 deaths more than the comparison population of boys. With vitamin A the mortality disadvantage of girls is nearly completely attenuated, at only 1.41 additional deaths per 1000 relative to boys. Vitamin A supplementation also narrowed mortality differentials among Hindu castes, but did not lower the concentration of mortality across quintiles of asset ownership. The vitamin A-related attenuation in mortality disadvantage from gender and caste is statistically significant.

Conclusions: We conclude that universal supplementation with vitamin A narrowed differentials in child death across gender and caste in rural Nepal. Assuring high-coverage vitamin A distribution throughout Nepal could help reduce inequalities in child survival in this population.

Key Words: health equity • vitamin A • child mortality • Nepal


The impact of vitamin A supplementation on mortality inequalities among children in Nepal -- Bishai et al. 20 (1): 60 -- Health Policy and Planning