Vitamin A Prophylaxis Programme
Introduction
Vitamin A deficiency is a major public health concern in India, leading to nutritional blindness and increased susceptibility to infections in
children. To combat this, the Government of India launched the National Vitamin A Prophylaxis Programme in 1970. The programme aims to
reduce the prevalence of vitamin A deficiency among children under the age of five
Objectives of the Programme
1. Prevent Nutritional Blindness – Reduce the incidence of xerophthalmia and night blindness.
2. Improve Immune Function – Enhance resistance to infections and reduce child mortality.
3. Promote Awareness – Educate communities on the importance of vitamin A through health campaigns.
Target Group
- Initially targeted children aged 1-5 year.
- Revised in 1992 to cover children 9 months to 3 years.
- Expanded further in 2006 to include all children up to 5 years.
Dosage Schedule
The programme provides high-dose vitamin A supplementation as per the following schedule:
1. First Dose: 100,000 IU at 9 months of age (along with the measles vaccine).
2. Subsequent Doses: 200,000 IU every 6 months up to 5 years (total of 9 doses).
Implementation Strategies
1. Integration with Immunization Programmes – Administered alongside routine immunization to improve coverage.
2. Anganwadi and Health Centers – Distribution through primary healthcare centers and Anganwadi workers.
3. Mass Awareness Campaigns – Conducting information sessions in rural and urban areas.
4. Monitoring and Evaluation – Regular assessment to ensure effective distribution and uptake.
Achievements and Challenges
Achievements:
- Significant reduction in cases of nutritional blindness.
- Decline in child mortality rates due to improved immunity.
Challenges:
- Logistical Issues – Ensuring timely distribution in remote areas.
- Awareness Gaps – Educating caregivers about the importance of vitamin A.
- Compliance – Encouraging families to complete the full dosage schedule.
Conclusion
The Vitamin A Prophylaxis Programme has played a crucial role in reducing vitamin A deficiency in India. However, continued efforts in
awareness, distribution, and monitoring are essential to sustain the progress and further improve child health outcomes.
References
1. Park, K. (2021). *Textbook of Preventive and Social Medicine*. Banarasidas Bhanot Publishers.
2. National Health Mission, Government of India. (n.d.). *Vitamin A Supplementation Programme*. Retrieved from [https://nhm.gov.in](https://
nhm.gov.in)
3. World Health Organization (WHO). (2020). *Guidelines on Vitamin A Supplementation*. Retri
eved from [https://www.who.int](https://www.who.int)