PDF(Pubmed)
Abstract：
Background: Children in Ethiopia do not receive the recommended dose of vitamin A supplementation (VAS). Objective: This study aimed to explore the barriers to VAS uptake and program implementation among children aged 6-59 months in Ethiopia. Methods: Data were collected qualitatively using focus group discussions and in-depth interviews. The data were audio-recorded, transcribed, and inductively coded. The results were displayed using thematic analysis and the well-spoken verbatim of the respondents. Results: The barriers to VAS uptake were low parental awareness of the program and low interest or motivation, low promotion of the program among health professionals, an excessive workload for health extension workers, and low professional attention to VAS compared to other health services. Conclusion: Both client-side and supply-side issues posed significant obstacles to the uptake of VAS. It is important to educate mothers about VAS. Health workers should receive refresher training to raise their level of concern about VAS\'s importance and its schedule. It\'s crucial to initiate outreach programs for remote communities. The departmentalization of health extension packages will improve service and access.
摘要：
背景：埃塞俄比亚的儿童没有接受推荐剂量的维生素A补充剂（VAS）。目的：本研究旨在探讨埃塞俄比亚6-59个月儿童VAS摄取和计划实施的障碍。方法：使用焦点小组讨论和深入访谈定性收集数据。数据是录音的,转录，和感应编码。使用主题分析和受访者的口语逐字显示结果。结果：VAS吸收的障碍是父母对计划的认识低，兴趣或动机低，该计划在卫生专业人员中的推广率很低，健康推广人员的过多工作量，与其他卫生服务相比，专业人员对VAS的关注度较低。结论：客户端和供应方问题都对采用VAS构成了重大障碍。对母亲进行VAS教育很重要。卫生工作者应接受进修培训，以提高他们对VAS的重要性及其时间表的关注程度。为偏远社区启动外展计划至关重要。健康扩展包的部门化将改善服务和获取。
