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. 2021 Mar 5;17(1):e1141. doi: 10.1002/cl2.1141
Study name Prevention of vitamin A deficiency by supplementation alongside routine vaccinations: a randomised controlled trial in Ghana infants
Methods Randomised controlled trial
Participants Participant inclusion criteria
  • 1.

    Mothers normally resident in the study area

  • 2.

    Informed consent obtained from the mother

Participant exclusion criteria
  • 1.

    Mothers unable to give informed consent

  • 2.

    Mothers considered to be at high risk of adverse outcome in puerperal period

  • 3.

    Multiple deliveries

  • 4.

    Severe adverse reaction to vitamin A supplementation

Interventions 1st Group:
  • 1.

    Mothers 200,000 IU vitamin A shortly after delivery

  • 2.

    Infants: 25,000 IU vitamin A with each Diphtheria, Pertussis, Tetanus (DPT) vaccine 1, 2 and 3

2nd Group:
  • 1.

    Mothers 200,000 IU vitamin A at infant's Bacillus Calmette‐Guerin (BCG) vaccine and another 200,000 IU vitamin A at infant's 1st DPT

  • 2.

    Infants: 50,000 IU vitamin A with each DPT 1, 2 and 3

Outcomes Primary outcome measure
  • 1.

    Serum retinol levels, assessed by carrying out mRDR testing of infants at 6 weeks, 6 and 9 months

  • 2.

    Modified Retinol Dose Response (mRDR) tests

  • 3.

    Incidence of side effects such as bulging of the anterior fontanel and vomiting

  • 4.

    Incidence of severe morbidity

Secondary outcome measures
  • 1.

    Breast milk retinol concentrations, assessed at 6 weeks, 6 and 9 months for an assessment of the impact of the different supplementation regimes

  • 2.

    mRDR testing of infants at 9 months of age

Starting date 01/01/2004
Contact information World Health Organization
Geneva‐27
CH‐1211
Switzerland
Notes No results are available