FOREWORD

PREFACE AND ACKNOWLEDGEMENTS

SUMMARY

CHAPTER I. INTRODUCTION

CHAPTER II. PROBLEM DEFINITION ⁸

CHAPTER III. A COMPARATIVE EVALUATION OF DIFFERENT INTERVENTIONS

SUPPLEMENTATION ¹⁰
DIETARY MODIFICATION

Improving Consumption of Vitamin A-Rich Foods¹¹
Breastfeeding Promotion¹³
Improving Availability of Vitamin A-Rich Foods¹⁴

FORTIFICATION¹⁶
PREVENTION AND MANAGEMENT OF DISEASE¹⁷

CHAPTER IV. SOME CONSIDERATIONS IN THE CHOICE OF STRATEGY ¹⁸

SEQUENCING OF INTERVENTIONS
FACTORS TO CONSIDER IN THE CHOICE OF STRATEGY

i) Trends in Vitamin A Deficiency
ii) Disease Pattern, Particularly Measles and Diarrhoea Incidence
iii) Extent of Breastfeeding, Maternal Nutritional Status and Deficiency Control in 0-6 Month Children
iv) Political Support at National, Regional and Community Levels
v) Communications
vi) Available Resources
vii) Operational Feasibility of the Intervention
viii) Cost-Effectiveness
ix) Sustainability
x) Complementarity with Other Interventions
xi) Urbanisation

PROCESS LEADING TO SELECTION OF INTERVENTIONS

CHAPTER V. CONCLUDING STATEMENT THE CONTROL OF VITAMIN A DEFICIENCY

ANNEXES

Annex I: Study Objectives
Annex II: Age-Specific Benefits of Vitamin A Deficiency Control

Illustration: A District in India

Annex III: Evaluation Inventory
Annex IV: Additional References
Annex V: Summary Information on Evaluations Reviewed, by Strategy Type¹
Annex VI: Consultative Group Meeting Participants