E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Prevalence and determinants of xerophthalmia in rural children

Vijender K Agrawal, Pooja Agrawal.

Abstract
Background: Vitamin A deficiency (VAD) is recognized as a major cause of blindness among children in India.

Aims & Objective: The study was planned to find out prevalence Of VAD in rural children.

Material and Methods: This cross sectional study was undertaken amongst children (0-15 years) in a rural area selected by simple random sampling out of villages under a Primary Health Centre. Out of 844 children 802 participated in study. WHO classification of xerophthalmia was adopted in study to find out prevalence.

Results: Overall prevalence of xerophthalmia was 5.4 %. Only the milder manifestations of xerophthalmia viz. night blindness and Bitot’s spots were observed. Not a single case of active corneal involvement was seen. Prevalence of Bitot’s spots was 0.9 % in children under 6 years of age and 3.3 % in children above 6 years of age. Prevalence of xerophthalmia was significantly more in older children. Higher prevalence (Not significant) was observed in males, lower socioeconomic status as well as in large family. Overall prevalence of anaemia was found 11.8 % in study population. Significantly high prevalence of xerophthalmia (Odds ratio 5.7) was observed in children suffering from anaemia.

Conclusion: Presence of milder manifestation of xerophthalmia and 0.9 % prevalence of Bitot’s spots in children under 6 years of age in present study shows declining trend of VAD (but still a public health problem since prevalence is more than 0.5 %) and 3.3 % prevalence in children above 6 years of age shows that apart from strengthening of Vitamin A prophylaxis programme to increase coverage, health education is needed for dietary diversification to include vegetables and fruits in the diet for long-term sustainability in improving vitamin A status of children of all age group.

Key words: Prevalence, Rural children, Xerophthalmia.


 
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REFERENCES
1. Sommer A. Vitamin A deficiency and its consequences: a field guide to detection and control, 3rd ed. Geneva, World Health Organization, 1994.


2. Sommer A, Emran N, Tjakrasudjatma S. Clinical characteristics of vitamin A responsive and nonresponsive Bitot's spots. American Journal of Ophthalmology, 1980, 90:160171.


3. Rahamathullaji L, Underwood BA, Thulasiraj RD. Reduced mortality among children in Southern India receiving a small weekly dose of vitamin A. New England Journal of Medicine 1990, 323: 929-35.

http://dx.doi.org/10.1056/NEJM199010043231401

[
Pubmed]   

4. World Health Organization. Indicators for Assessing Vitamin A Deficiency and their Application in Monitoring and Evaluation Intervention Programme. WHO, Geneva, 1996, pp 5-14.


5. Indian Institute of Population Sciences, Mumbai. National Family Health Survey II Data, 2000.


6. Singh P, Toteja G S. M Micronutrient Profile of Indian Children and Women: Summary of Available Data for Iron and Vitamin A . Indian Pediatrics 2003; 40:477-479.

[
Pubmed]   

7. Mahajan BK, Gupta MC. Textbook of Preventive and Social Medicine. Jaypee Brothers. Medical publishers (P) Ltd., New Delhi, Second edition, 1995 : 134-5.


8. K Park. Parks Textbook of Preventive and social medicine. 18th edition. Jabalpur: BanarsidasBhanot. .2005:4 50.


9. Garg S, Nayar S, Garg A, Sane S. Vitamin A deficiency in preschool children. Indian Pediatrics 1984, 21 : 491-4.

[
Pubmed]   

10. Sharma SK, Mathur GP, Mathur S, Singh YD. An epidemiological study of hypovitaminosisA in preschool children of urban slums in Gorakhpur. Indian Journal of Preventive and Social Medicine 1985, 16 (4) : 131-6.


11. Katiyar GP, Jaiswal P, Reddy DCS, Agrawal KN. Biosocial determinants of xerophthalmia in under-five children. Indian Journal of Preventive and Social Medicine 1986, 17 (2) : 69-78.


12. Kartha GP, Purohit CK. Prevalence of xerophthalmia an evaluation in the context of ongoing National vitamin A supplementation programme in five villages of Dholkataluka of Ahmedabad district. Indian Journal of Community Medicine 1991, 16 (3) : 115-8.


13. Sampathkumar V, Abel R. Xerophthalmia in rural South Indian children. Indian Pediatrics 1993, 30: 246-8.

[
Pubmed]   

14. Fakhir S, Srivastava I, Ahmad P, Husan SS. Prevalence of xerophthalmia in preschool children in an urban slum. Indian Pediatrics 1993, 30 : 668-70.

[
Pubmed]   

15. Chamani N, Sharma P, Meena N, Sharma U. Pattern of vitamin deficiencies among the malnourished preschool children in ICDS blocks of Jaipur city. Indian Journal of Maternal and child Health. 1994, 5 (4) : 109-11.


16. Pal R, Sagar V. Antecedent risk factors of xerophthalmia among Indian rural preschool children. Eye Contact Lens. 2008 ;34(2):106-8.

http://dx.doi.org/10.1097/ICL.0b013e3181379fd7

PMid:18327046

How to Cite this Article
Pubmed Style

Vijender K Agrawal, Pooja Agrawal. Prevalence and determinants of xerophthalmia in rural children. Int J Med Sci Public Health. 2013; 2(1): 94-97. doi:10.5455/ijmsph.2013.2.94-97


Web Style

Vijender K Agrawal, Pooja Agrawal. Prevalence and determinants of xerophthalmia in rural children. http://www.ijmsph.com/?mno=25569 [Access: February 15, 2020]. doi:10.5455/ijmsph.2013.2.94-97


AMA (American Medical Association) Style

Vijender K Agrawal, Pooja Agrawal. Prevalence and determinants of xerophthalmia in rural children. Int J Med Sci Public Health. 2013; 2(1): 94-97. doi:10.5455/ijmsph.2013.2.94-97



Vancouver/ICMJE Style

Vijender K Agrawal, Pooja Agrawal. Prevalence and determinants of xerophthalmia in rural children. Int J Med Sci Public Health. (2013), [cited February 15, 2020]; 2(1): 94-97. doi:10.5455/ijmsph.2013.2.94-97



Harvard Style

Vijender K Agrawal, Pooja Agrawal (2013) Prevalence and determinants of xerophthalmia in rural children. Int J Med Sci Public Health, 2 (1), 94-97. doi:10.5455/ijmsph.2013.2.94-97



Turabian Style

Vijender K Agrawal, Pooja Agrawal. 2013. Prevalence and determinants of xerophthalmia in rural children. International Journal of Medical Science and Public Health, 2 (1), 94-97. doi:10.5455/ijmsph.2013.2.94-97



Chicago Style

Vijender K Agrawal, Pooja Agrawal. "Prevalence and determinants of xerophthalmia in rural children." International Journal of Medical Science and Public Health 2 (2013), 94-97. doi:10.5455/ijmsph.2013.2.94-97



MLA (The Modern Language Association) Style

Vijender K Agrawal, Pooja Agrawal. "Prevalence and determinants of xerophthalmia in rural children." International Journal of Medical Science and Public Health 2.1 (2013), 94-97. Print. doi:10.5455/ijmsph.2013.2.94-97



APA (American Psychological Association) Style

Vijender K Agrawal, Pooja Agrawal (2013) Prevalence and determinants of xerophthalmia in rural children. International Journal of Medical Science and Public Health, 2 (1), 94-97. doi:10.5455/ijmsph.2013.2.94-97





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