Optimizing vitamin A supplementation: A comparative cost-effectiveness analysis of routine distribution strategies in northern Cote d'Ivoire.

ABSTRACT:

Background

While recent data on vitamin A deficiency (VAD) prevalence is lacking, the 2004 Côte d'Ivoire Nutrition and Mortality Survey reported that 26.7% of children aged 6-59 months were affected by VAD, and approximately 60% were at risk. Since 2016, the government has transitioned from mass campaigns to routine vitamin A supplementation (VAS) delivery integrated into health services. However, evidence on the cost-effectiveness of the routine distribution approaches is limited. This study evaluated the cost, coverage, and cost-effectiveness of three routine VAS delivery strategies across two health districts in northern Côte d'Ivoire.

Methods

A mixed-methods study evaluated three routine VAS delivery strategies - routine-fixed, advanced community-based, and catch-up - ac

SUBMITTER: Baker MM 

PROVIDER: S-EPMC12704894 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature