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    10 visualizações4 páginas

    Iblt 06 I 1 P 55 G

    Enviado por

    api-3702148

    Direitos autorais:

    Attribution Non-Commercial (BY-NC)
    Baixe no formato PDF ou leia online no Scribd
    Sinalizar o conteúdo como inadequado
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    Indian J. Prev. Soc. Med. Vol. 37 No. 1 6L 2, 2006 PREVALENCE OF VITAMIN A DEFICIENCY IN BIHAR: A GENDER PERSPECTIVE R.J. Yadav ABSTRACT Objective: The prevalence of Vitamin A Deficiency among the people of Bihar have been presented in this paper Design: Two stage design was adopted with Probability Proportional to ‘Size (PPS) Sampling Setting Study covered 28630 households from 1182 villages and 236 wards from all blocks of all the 50 districts of Binar Subjects: About 1,10,000 persons ( 53 000 males & 57,000 females) were studied Methods: Information on households’ characteristics, Health status and about Vitamin-A deficiency for the members of 20 households per village/town of about one lakh persons were collected in the state Results. Prevalence of Vitamin A was ‘observed slightly higher among males ( 38 per cent) as compared to females ( 30 per cent) The Prevalence of Vitamin A deficiency (more than one per cent) was observed among males and females i Darbhanga and Gaya among rural as well as in urban areas Key Words: Probability Proportional to Size (PPS) Sampling INTRODUCTION: Nutntonal surveillance 1s an essential component to monttor health and nutntion status of population in @ country and help m formulating policy measures and planning Such a system would provide trends in nutritional situation over time In recognition of this national Nutntional policy laid due emphasis in strengthening the Nutntion surveillance system The Food and Nutntion Bureau, Department of Women and Child Development, has sponsored the present study to cover most of the states which were not included in the NNMB surveys and assigned the task to three most competent institutions in the country ‘The specal feature of the study ts that the study was designed to collect data to provide district level rnutntion profile for each distnct of all the states following uniform sampling design, methodology and standards District level data were pooled to provide state level estimates of the nutntion parameters Depiay Director, Insitute for Research in Medical Statisties Indian Council of Medical Research Medical Enclave New Deth, indexed in : Index Medicus (IMSEAR) INSDOG NCI Current Gontent Database of Alcohol & Drug Abuse National Database in TB & Alled Diseases IndMED Entered im WHO CD ROM for South East Asia RI Yadav Prevalence of Vitamin A deficiency in Bihar : A gender perspective In the process, 187 districts were studied in 18 states information on nutrition condition of poputation at the distnct level are generated for the first time in the country and wall provide valuable baseline information to planners and researchers Planning at the lowest fevel are generally not possible due to lack of adequate data at the same ime planning at the ‘grass root fevet' are realistic and full the asprration of people of the area. The dstnct level nutrton data 1s expected to provide adequate information in formulating policy programmes and. ‘decide the pronty area at the micro level for their implementation SUBJECT AND METHODS ‘The study was aimed at providing the distnct nutrition profile of all the distncts in this state covering the assessment and substitute of Dretary intake of the population of the study area classified in vanous groups, ‘utntonal status of chiidren and adult population using vanous nutntional mdicators, prevatence of vanous ‘utntonal deficiency disorders and knowleage attitude practice of mothers relaung to breast feeding practices ‘and introducton of supplements and subsitutes: {n thes study, ail the biocks of each distnct have been covered For selection of the sample from each biock, 2 villages, one up to 2 population of 1000 and another of more than 1000 have been selected by using probabuity proportional to size (PPS) sampling In each selected witage, 20 households have been selected An urban sample of 20 per cent has also been covered in each district. For thes, the chstnct headquarter city! town ‘and two other towns (selected randomiy} were taken. Information on household characterstics, demographnc, Profile, and anthropometnes was collected Health status and Nutntonal assessment schedules were carried out for the members of these 20 households per wilagetown Information about the nutztonal deficency signs of the people of Bihar was also collected. The study covered about one lakh people of which about 53,000 were males and 57 000 were females ‘The Institute for Research in Mecical Statistics one of tne premier institute of Indian Council of Meckcal Research, New Delt undertook a study to assess rutrtional status mciuding the prevalence of nutritonal deficiency among people of Rajasthan. Bihar, Chandigarh and Delt Bihar is the second most populous state the country and 1s an under developed state due fc heavy pressure of population on land and low level of development Ths paper 1s an attempt to study the prevaience of Vitamin A deficency signs A gender perspective among the people of Bihar RESULTS AND DISCUSSION ‘The mfornation on Vitamin A deficiency in urban 2s wen as in rural area are being presented in tabie 1 Indian J. Prev. Soc. Med Vol. 37 No.1 & 2 56 Jan-June, 2006 RJ Yadav Prevatence of Vitamin A deficiency in Bihar : A gender perspective TABLE-1: Prevalence of Vitamin A deficiency signs (%) Vitamin A Urban Rural [__ Combined Deficiency Male Female | Male | Female | Male | Female Bitots Spot 0213 0187 oreo | 07105 | o176 | 0113 Comeal Xerosis 0034 | 0063 | 0119 | 0056 0105 | 0057 [Keratomalasia | 0011 | 0073 | 0045 0073 0039 | 0073 Corneal Opac oot ose | 0074 | 0052 0064 | 0052 0407 | 0286 0364 | 0295 Prevalence of Vitamin : A deficiency was examined for Bitot's Spot, Comeal Xerosis, Keratomalasia and Comeal Opacity The Prevalence of vitamin -A deficiency among males and feriale were observed as 38 and 30 percent respectively The prevalence of Bitot's spot, comeal Xerosis and corneal opacity was observed higher among males and the prevalence of Keratomalasia was more among females The prevalence of overall deficiency was higher among male in rural area whereas the same prevalence was higher among females in urban areas Distribution of districts according to prevalence of Vitamin- A deficiency are being presented in table 2 TABLE-2 : Distnbution of districts according to prevalence of Vitamun- A deficiency ‘Sex ‘Area District with Prevalence 1% 05 -1.0%

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