Limits...
Lessons learned from implementation of a demonstration program to reduce the burden of anemia and hookworm in women in Yen Bai Province, Viet Nam.

Phuc TQ, Mihrshahi S, Casey GJ, Phu LB, Tien NT, Caruana SR, Thach TD, Montresor A, Biggs BA - BMC Public Health (2009)

Bottom Line: Addressing these diseases at a population level before women become pregnant could significantly improve women's health before and during pregnancy, as well as their infants' growth and development.The program resulted in effective distribution of iron-folic acid tablets and deworming treatment to all villages in the target districts, with full or partial compliance of 85%.In March 2008 the program was expanded to all districts in the province, a target population of approximately 250,000 WRA, and management was handed over to provincial authorities.

View Article: PubMed Central - HTML - PubMed

Affiliation: National Institute of Malariology, Parasitology and Entomology (NIMPE), Hanoi, Viet Nam. tquangphuc@yahoo.com

ABSTRACT

Background: Iron deficiency, anemia and hookworm disease are important public health problems for women of reproductive age living in developing countries and affect the health of newborns and infants. Iron supplementation and deworming treatment are effective in addressing these problems in both pregnant and non-pregnant women. Daily iron supplementation and deworming after the first trimester is recommended for pregnant women although these programs usually do not operate efficiently or effectively. Weekly iron-folic acid supplementation and regular deworming for non-pregnant women may be a viable approach for improving iron status and preventing anemia during the reproductive years. Addressing these diseases at a population level before women become pregnant could significantly improve women's health before and during pregnancy, as well as their infants' growth and development.

Methods and results: This paper describes the major processes undertaken in a demonstration intervention of preventive weekly iron-folic acid supplementation with regular deworming for all 52,000 women aged 15-45 years in two districts of Yen Bai province, in northern Viet Nam. The intervention strategy included extensive consultation with community leaders and village, commune, district and provincial health staff, and training for village health workers. Distribution of the drugs was integrated with the existing health service infrastructure and the village health workers were the direct point of contact with women. Iron-folic acid tablets and deworming treatment were provided free of charge from May 2006. An independent Vietnamese NGO was commissioned to evaluate compliance and identify potential problems. The program resulted in effective distribution of iron-folic acid tablets and deworming treatment to all villages in the target districts, with full or partial compliance of 85%.

Conclusion: Training for health staff, the strong commitment of all partners and the use of appropriate educational materials led to broad support for weekly iron-folic acid supplementation and high participation in the regular deworming days. In March 2008 the program was expanded to all districts in the province, a target population of approximately 250,000 WRA, and management was handed over to provincial authorities.

Show MeSH

Related in: MedlinePlus

Design and evaluation of a preventive WIFS and deworming program. *WRA = Women of Reproductive Age defined as 16 – 45 years. IEC = Information, Education and Communication. WIFS = Weekly Iron-Folic acid Supplementation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2724519&req=5

Figure 1: Design and evaluation of a preventive WIFS and deworming program. *WRA = Women of Reproductive Age defined as 16 – 45 years. IEC = Information, Education and Communication. WIFS = Weekly Iron-Folic acid Supplementation.

Mentions: The project was implemented in stages as shown in Figure 1 after further meetings with the provincial People's Committee and health services and district and commune health staff to discuss the purpose and methodology of the intervention.


Lessons learned from implementation of a demonstration program to reduce the burden of anemia and hookworm in women in Yen Bai Province, Viet Nam.

Phuc TQ, Mihrshahi S, Casey GJ, Phu LB, Tien NT, Caruana SR, Thach TD, Montresor A, Biggs BA - BMC Public Health (2009)

Design and evaluation of a preventive WIFS and deworming program. *WRA = Women of Reproductive Age defined as 16 – 45 years. IEC = Information, Education and Communication. WIFS = Weekly Iron-Folic acid Supplementation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2724519&req=5

Figure 1: Design and evaluation of a preventive WIFS and deworming program. *WRA = Women of Reproductive Age defined as 16 – 45 years. IEC = Information, Education and Communication. WIFS = Weekly Iron-Folic acid Supplementation.
Mentions: The project was implemented in stages as shown in Figure 1 after further meetings with the provincial People's Committee and health services and district and commune health staff to discuss the purpose and methodology of the intervention.

Bottom Line: Addressing these diseases at a population level before women become pregnant could significantly improve women's health before and during pregnancy, as well as their infants' growth and development.The program resulted in effective distribution of iron-folic acid tablets and deworming treatment to all villages in the target districts, with full or partial compliance of 85%.In March 2008 the program was expanded to all districts in the province, a target population of approximately 250,000 WRA, and management was handed over to provincial authorities.

View Article: PubMed Central - HTML - PubMed

Affiliation: National Institute of Malariology, Parasitology and Entomology (NIMPE), Hanoi, Viet Nam. tquangphuc@yahoo.com

ABSTRACT

Background: Iron deficiency, anemia and hookworm disease are important public health problems for women of reproductive age living in developing countries and affect the health of newborns and infants. Iron supplementation and deworming treatment are effective in addressing these problems in both pregnant and non-pregnant women. Daily iron supplementation and deworming after the first trimester is recommended for pregnant women although these programs usually do not operate efficiently or effectively. Weekly iron-folic acid supplementation and regular deworming for non-pregnant women may be a viable approach for improving iron status and preventing anemia during the reproductive years. Addressing these diseases at a population level before women become pregnant could significantly improve women's health before and during pregnancy, as well as their infants' growth and development.

Methods and results: This paper describes the major processes undertaken in a demonstration intervention of preventive weekly iron-folic acid supplementation with regular deworming for all 52,000 women aged 15-45 years in two districts of Yen Bai province, in northern Viet Nam. The intervention strategy included extensive consultation with community leaders and village, commune, district and provincial health staff, and training for village health workers. Distribution of the drugs was integrated with the existing health service infrastructure and the village health workers were the direct point of contact with women. Iron-folic acid tablets and deworming treatment were provided free of charge from May 2006. An independent Vietnamese NGO was commissioned to evaluate compliance and identify potential problems. The program resulted in effective distribution of iron-folic acid tablets and deworming treatment to all villages in the target districts, with full or partial compliance of 85%.

Conclusion: Training for health staff, the strong commitment of all partners and the use of appropriate educational materials led to broad support for weekly iron-folic acid supplementation and high participation in the regular deworming days. In March 2008 the program was expanded to all districts in the province, a target population of approximately 250,000 WRA, and management was handed over to provincial authorities.

Show MeSH
Related in: MedlinePlus