Every Capsule Has a Name

Written by Amy Steets, Program Coordinator for Vitamin Angels -

Two weeks ago, Ada Lauren and I (as representatives from Vitamin Angels' Programs Division) travelled to Olds, Alberta, Canada to visit one of our long-time manufacturers of vitamin A capsules - check out the photos below! Banner Pharmacaps is a global gelatin-based drug delivery and specialty pharmaceutical company that has developed pharmaceutical technologies that conform to the highest standards of excellence and currently supply the majority of the Vitamin A capsules to International Aid Agencies under the auspices of the WHO and to Vitamin Angels.    Banner also supplies ongoing technical advice to Vitamin Angels, both with regards to capsule manufacturing specifications and packaging specifications.

In addition to meeting with the fabulous staff at the manufacturing plant, we had the pleasure of taking a tour of the product line to see our vitamin A being produced firsthand. When I visited Haiti last October, I remember seeing the boxes of product we had shipped prior to the visit stacked high in a storage room and felt an overwhelming sense of accomplishment and perspective about what we do at Vitamin Angels.  So you can only imagine the even greater sense of perspective I gained by seeing raw material injected into a gelatin capsule and then set to dry on a drying tray! As I watched each capsule pass by on the line, I couldn’t help but think, every capsule has a name. A child in Cote d’Ivoire may receive this life-saving dose. A child in India may receive that one. A child in Bolivia… and so on. To think that we are distributing 40 million of these capsules to 20 million children in 2010 is mind boggling when you see each capsule at its most elemental stage. 

So many people have a hand in getting those vitamin A capsules to the children that need them; the Banner manufacturing team, donors, the VA staff, and so on. When we all work together, great things happen!

Ready about Amy's trip to Haiti last October>>  Blog 1, Blog 2

raw material vitamin A in warehouse

  Raw material vitamin a in the warehouse waiting to move to production

raw material for capsules

Raw material for the capsules

Ribbon of capsule gelatin about to be filled with vitamin A - Vitamin Angels

Ribbon of capsule gelatin about to be filled with vitamin A

vitamin A capsules on the drying racks

Capsules on the drying tray

red vitamin A capsules

Vitamin A 200,000 iu capsules

blue vitamin A capsules

Vitamin A 100,000 iu (for children 6-12 months of age)

blue vitamin A capsules ready to be bottled

Vitamin A 100,000 iu after it had been tumbled and dried. Next stop… bottling!

vitamin A bottles on bottling line

Vitamin A bottles on the bottling line

bottles filled with vitamin A and waiting to be capped

Vitamin A bottles on the bottling line… about to be capped, sealed and labeled

pallets of finished vitamin A ready to be shipped to Vitamin Angels

What VA pallets of finished product vitamin A look like before they are shipped to VA (look for VA stickers coming soon!)

staff of Banner with Amy and Ada from Vitamin Angels

Amy and Ada with Banner staff (left to right: Cory Holmes, Ada Lauren, Ken Tkachuk, Amy Steets, Sandy Bowman)

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posted in Operation 20/20 | Vitamin Angels | Vitamin A | Child health | Notes from the Field

Update from Honduras

Vitamin Angels received the below update and photos from our partners at Cristo Salva in Honduras where they are distributing children's multivitamins and prenatal vitamins.

We continue to see a marked difference in those that take vitamins and deworming meds and those that do not.

We are “catching up” with our deworming, but should be up to speed by the end of the school year in December.  We have found a few “bellys” so we have our work cut out for us. 

With the country just coming out of the political situation from last year, schools continue to close for multiple days at a time.  We have children actually complaining to the teachers that they want their vitamins!

More children are wearing shoes, cutting down on soil contamination.  Clean water is an ongoing issue, partly by the fact that they turn the water off almost every day, making it difficult to obtain water except from a river or contaminated source.   We have dug two wells on our property and trying to find ways to get the water to the folks in the communities. 

We are now holding partera education classes (midwives). The local parteras are pushing the need for the prenatal vitamins and diet (as they can find food).  We continue to see healthy babies. The goal is every woman child bearing age to stay on the vitamins.  We have a long road ahead, but with education, even the teenagers are asking for the “big vitamin”.  

We realize that the program is a “gift”. We know we have over extended the time allotted to us, but are so appreciative of the continued support.  I personally have learned quite a bit fumbling my way through all of this, not an expert by any means, but now much more able to understand what is required to run a program such as this. We are learning as we grow. 

I am enclosing photos. Again, thank you.
Pat Havener RN
Medical Director
Cristo Salva
www.cristosalva.org   
 

 

 

 

 

 

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posted in Thrive to Five | Vitamin Angels | Multivitamins | Child health | Maternal health

New Photos from Ghana

Our partners at the Boadi Foundation sent along some new photos of distributions of vitamin A that have been taking place over the past few months.  Together with the Boadi Foundation we are reaching 12,000 children in the Volta region of Ghana this year!

 

 

 

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posted in Operation 20/20 | Vitamin Angels | Vitamin A

Food shortages spark increasing malnutrition in West Africa’s Sahel region

Crop failure and poor harvests as a result of prolonged drought in West Africa’s Sahel region have led to food shortages and increased rates of malnutrition in the surrounding areas. A nationwide survey found that nearly 17 percent of Niger’s under-five children suffer from acute malnutrition. That’s a 42 percent increase from the same period last year.

According to an article from IRIN news, “nearly half of Niger’s children are chronically under-nourished and are lacking life-saving nutrients. “ The most affected regions are Diffa, Maradi, Zinderand Tahoua, where acute malnutrition falls into WHO’s critical threshold. “Nearly half a million children are acutely malnourished, including some 87,000 severely malnourished.”

Neighboring countries Chad, Nigeria, and Cameroon are also facing shortages and malnutrition risks.  NEMA (Nigeria Emergency Management Agency) estimated that 12 million people across the north could face a lack of basic commodities. 

Vitamin Angels is supplying 767,000 doses of vitamin A to Niger this year. We are also working to reach the populations of Chad and Nigeria with essential nutrients.

Read the article >>

Watch a BBC News report >>

 

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posted in Operation 20/20 | Vitamin Angels | Vitamin A | Child health

Notes from the Field: Child-Health week in Burundi

Recently, Vitamin Angels’ Program Coordinator, Cami Allen, traveled to Burundi to work with our field partner Food for the Hungry and to observe distributions of vitamin A donated by Vitamin Angels for use during the Mother-Child Health Week.

June 23, 2010

Mothers line the rural, red dirt road leading to the nearest distribution site in Kayanza Province, Burundi. Babies and infants are fastened around their waists in colorful wraps and small children walk alongside them, small hands fitting neatly into their mothers’ hands. Small groups travel together from their villages to the nearest distribution site. Some women and older children effortlessly balance baskets of bananas on their heads. Once the mothers and children have attended the local health clinic, they will go to the market to sell their produce.

Burundi is a stunning country. Farms and villages are slotted onto lush green hillsides, the burnt red soil of footpaths exposed under a wide blue sky. Since the end of conflict in 2006, Burundi’s transitional government has taken important steps to help families recover and set the country on good footing for human and economic development. Key to improving public health are the biannual Mother-Child Health Weeks.

Though field partner Food for the Hungry, Vitamin Angels has provided all of the vitamin A to be distributed to infants and children under age five during this year’s first Burundi Mother-Child Health Week, held June 7-9, 2010. Over two million children are to receive vitamin A in combination with deworming tablets – estimated to be around 90% of all children 6-59 months in Burundi. Mothers and women of child bearing age receive deworming tablets and tetanus immunizations.

Elizabet, 39, has arrived at a clinic in Musema District with her three daughters, Lea (2), Michelin (6), and Nshimururi (12). Lea is receiving both a high-dose vitamin A supplement and a deworming tablet. In a country where under-5 child mortality is 180 per 1,000 live births (the 10th highest in the world), a child that receives a dose of vitamin A is a child whose life may be saved by this essential immune-boosting micronutrient.

Families like Elizabet’s depend on subsistence agriculture. They farm and eat mainly cassava – a starchy root with few vitamins or minerals – plantains, sweet potatoes, and bananas. Nutrient-rich vegetables and fruits are beyond the means of many families, and are often sold for profit rather than given to children and mothers to eat. 

Elizabet heard about the Mother-Child Health Week on the radio and through the volunteer community health promoter in her village. She and her children have traveled together with the other members of her village. Elizabet says that she knows that the interventions given will help give her and her children better health, and will help to address some of the main problems faced by her family including malaria, parasites and diarrhea. Elizabet is grateful for the campaign and vows to bring her daughters back during the next event in December.

See photos from the trip >>

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posted in Burundi | Operation 20/20 | Vitamin Angels | Child health | Notes from the Field

Vitamin A handouts boost polio vaccine acceptance in Nigeria

An article released from IRIN earlier this month explained how the supplementation of vitamin A from Helen Keller International has led to an increase in acceptance of polio vaccines from parents for their children. As explained by the World Health Organization website, “polio is a viral disease transmitted through contaminated food and water. The disease affects mostly children and its symptoms include fever, fatigue, headache, vomiting, stiffness in the neck, and pain in the limbs. In a small proportion of cases, it causes paralysis, which is often permanent. Polio can only be prevented by immunization.”

Although Nigeria hopes to eradicate polio by 2015, the vaccine has met resistance from some religious groups and traditional leaders.  However thanks in large part to general acceptance of vitamin A supplementation, which is distributed in order to reduce child mortality, river blindness, malaria, and other infectious diseases, HKI has been able to successfully use vitamin A distributions as an entrée to parental acceptance polio vaccines during government immunizations and health days. “Now almost every household brings its under-fives for polio immunization once it is accompanied by a Vitamin A supplement,” local government immunization officer Mamman Isa told IRIN.

WHO reports that the number of polio cases has plummeted in the area by 99 percent – from 289 to three – in June 2010.
 

Read the article>>

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posted in Operation 20/20 | Vitamin Angels | Vitamin A | Child health

Mother sees her baby for the first time

A mother sees her baby for the first time! This photo of our partners in Guatemala, Faith In Practice, was taken during VA's trip to the country in March. Faith in Practice just received the latest shipment of prenatal vitamins for mothers in need in Guatemala.  

 

Faith in Practice Gautemala

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posted in Thrive to Five | Multivitamins | Maternal health

Study finds infections cause 68% of child deaths

Reuters reported on a study published by the Lancet on Wednesday which estimated that more than two thirds of the estimated 8.8 million under-five child deaths were caused by infectious diseases, like pneumonia, diarrhea, and malaria. At least 41% (3.6 million) of deaths in under-fives occurred in newly born babies, or neonates. The region with most deaths was Africa at 4.2 million, followed by southeast Asia at 2.4 million.

Read the Reuters article >>
 

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posted in Operation 20/20 | Thrive to Five | Multivitamins | Child health

Lancet report indicates significant drop in maternal mortality rates

Last month, a report released by the Lancet indicated a significant drop in the maternal mortality rate from 535,900 in 2005 to 342,900 in 2008. The report sparked some media frenzy as news sources from the New York Times to the Washington Post reported the sharp decline in maternal mortality worldwide. The findings come at a time when many had begun to doubt that any progress was being made towards Millennium Development Goal 5: to reduce maternal mortality ratios by three quarters from 1990 to 2015. The journal’s editor, Dr Horton, told the New York Times that “the overall message, for the first time in a generation, is one of persistent and welcome progress.”

Dr. Horton explained that the new study was based on “more and better data, and more sophisticated statistical methods than were used in a previous analysis by a different research team that estimated more deaths.” The researchers gathered about three times as much data as the previous researchers had found. But despite Horton and other health expert’s positivity, not everyone was ready to adopt the new statistics. Critics point out that the new numbers are still primarily estimates, and reliable research is still hard to collect or absent in many countries. Despite any disagreement over the new numbers, most experts agree that the maternal mortality rate has been slow to decline, and at least in some countries is well below what is needed to achieve MDG5.

Read the report from the Lancet (subscription required) >>

Read the New York Times article >>
 

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posted in Thrive to Five | Multivitamins | Maternal health

Pasang's Story, a new baby in Nepal

Our partners in Nepal, Bodhi Tree Foundation, sent us this story and pictures of Pasang and her new baby boy.

As we settled into our camp in Yalbang, a small Buddhist village in northern Humla, the man of a pregnant woman came to find us.  He had heard that there was a Nepali Health Worker and two western Nurses in town and was in need of our services.  His wife, Pasang, was in labor with her fourth pregnancy (of which only two children were still alive).

In a dark corner of the one room home we found Pasang laboring quietly by herself.  She allowed me to do a cervical check on her to determine how far along she was in her dilatation.  Since she was still in early labor we decided to head back to camp for a short while and instructed the family to come get us if there was any change. Two hours later we returned to find Pasang still in early labor.  While we waited for her labor to progress we were honored to be part of unique religious ceremony performed by a local monk to promote a safe, healthy birth for both mother and child.

After several more hours, I performed another cervical exam which indicated that Pasang was still in early labor.  Against my better judgement we were told to go back to camp and await their message for us to come back for the delivery.  We left Pasang and her husband with two clean delivery kits and new baby blankets.

When I awoke early the next morning I had a gut feeling that Pasang had delivered during the night.  I quickly walked the twenty minutes down to her home and entered the dark room to find her in different corner.  I knew instantly that she had had the baby.  The husband informed me that there was no time to get us.  Pasang had stood up, asked him for the ‘plastic’, moved to the other side of the room (where she was allowed to deliver), and the next thing he heard was a baby crying.  She had a baby boy and had done the entire delivery herself.  I was so happy for them and so sad for me since I had missed the delivery.  They allowed me to check the newborn, clean him up and to sterilize and re-cut the umbilical cord.  Pasang and her baby were both healthy and stable.  We gave her a year’s supply of pre/postnatal vitamins and instructed her on proper use.  I look forward to seeing Pasang and her baby when I return to Nepal this spring.

Vitamin Angels is so happy to be able to connect Pasang with the essential nutrients that will give her baby the foundation for a healthy life.
 

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posted in Thrive to Five | Multivitamins | Child health | Maternal health

Support groups for women influence child survival

A report out from India was released in early March explaining the positive and dramatic effect that women’s community groups have made in reducing neonatal mortality in some of the poorest areas of India. Between 2005 and 2008 a team of researchers evaluated the effectiveness of support groups on neonatal mortality compared to areas where no such groups existed. Researchers found that women in support groups were following better hygiene practices and providing improved care for newborns. There was a move away from harmful practices such as giving birth in unclean environments and delaying breastfeeding.

The women in the groups worked through a “community action cycle” of four stages. They would identify problems associated with pregnancy and childcare, develop strategies to address these problems (such as hygiene, birthing kits, etc.), work with local community leaders to implement strategies, and evaluate their success. A key factor of success, women were allowed to think through the issues and identify strategies themselves, rather than just being told what to do. The researchers also believe that the success of these groups lied partly in the access they give to a greater network of peers. While many women would otherwise have only a mother-in-law or limited social circle, support groups empower women with a network for help and support. 

Read the full article>>

Learn more about Vitamin Angels’ work in India>>

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posted in Thrive to Five | Multivitamins | Child health | Maternal health

Combating malnutrition in Nepal

IRIN news released an article last month announcing significant efforts are underway to improve the nutritional status of children and women across Nepal. A report from the Department of Health and UNICEF released in early March found that “50 percent of Nepali children are malnourished.”  More than a quarter of the country’s women were found to be malnourished, and poor maternal health among Nepali mothers has been shown to directly contribute to diminished child nutrition.

The Nepali government has been criticized by a number of NGOs and nutrition workers for not doing enough to educate women and health workers about nutrition, especially in the most remote areas. Struck by the results of the March report, officials say a combined effort by a range of ministries is underway to improve maternal and child nutrition in Nepal. The World Bank is providing significant new funding for nutrition, to be used within the Nepal Health Sector Program, which aims to “expand access to and the use of essential health care services in Nepal.” Still, officials say challenges lie ahead at the local level and target area-focus programs at community-level remain absent.

Read the full article>> 

Read about Vitamin Angels’ efforts in the remote district of Humlu, Nepal>>
 

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posted in Thrive to Five | Multivitamins | Child health | Maternal health

New study finds benefits to supplementation during pregnancy

A new study from Vietnam indicates that multiple micronutrient supplementation during pregnancy “could be an important intervention to help reduce stunting rates in Vietnam.” The study was carried out over three districts in the Red River Delta of Vietnam. In one district women received standard iron-folic acid supplements, in the second, women received multiple-micronutrient supplements (MMNs), and in the third, women received gender training in addition to the MMNs. Surveys were carried out in each district immediately after the trial ended and findings showed that mean birthweight was higher in districts receiving MMNs. Later surveys, carried out at around 2 years after the trial (when children were approximately 2 years of age), showed that children whose mothers had received MMNs were taller and stunting rates were about 10% lower than in the district receiving iron-folic acid. At this point, only the abstract to the study has been released, but you can read it here and we will be sure to post the link to the full study when it is made available.

Trials and studies such as this one conducted in Vietnam are an important piece of Vitamin Angels’ work. They provide the evidence we need to support our multiple-micronutrient (multivitamin) projects abroad, giving us the assurance that work such as ours is making a measurable impact on the health and development of the children and mothers in need.

Some of the Vitamin Angels staff just returned from Guatemala, where we work with our in-country partner, Faith In Practice, to provide new and expecting mothers with MMNs in rural areas where health care is not readily available or affordable. You can help us reach mothers and children with MMNs in Guatemala and around the world by giving here. And don’t forget to check out our other blog posts from the trip!      

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posted in Thrive to Five | Multivitamins | Child health | Maternal health

New Photo From Our Partners in Liberia

Our in-country field partners in Liberia, Reclaim Kids, sent us this photo yesterday of some of our beneficiaries from Paynesville Liberia. The Paynesville Health Clinic serves 3,000 children under five, assisting them with preventive care and treatment.        

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posted in Operation 20/20 | Child health

Bearing witness

Despite the intense heat and humidity, more than 400 people showed up for the clinic and vitamin distribution today in the village of San Agustin (see map). On the car ride to the clinic this morning, some of the doctors were talking about the extreme malnutrition they have seen and reaffirmed that the vitamins for mothers and young children are absolutely essential. They described treating children who were so deficient in iron that their natural instinct was to start eating dirt to obtain some nutrients.

One of the best parts of coming out into the field is connecting with the individuals we are reaching. Their stories are just amazing. And while delving deeper into personal stories can initially seem a little too invasive - first and foremost we wish to respect the dignity and sometimes challenging life situations of all beneficiaries - making that connection and building that trust can be so rewarding. Today's experiences show just how meaningful those personal interactions can be, for both sides. It is not only an opportunity for us to learn about those we serve, but for them to share their stories.

This morning we had the opportunity to speak with a group of mothers visiting the clinic. Nearly every mother we spoke with complained of their children having stomach aches, headaches and a lack of appetite - all signs of malnutrition. When we asked women what they wanted, they said they wanted to be able to feed their children. Looking at the children, malnutrition is readily apparent, stunting (short for their age), anemia, vitamin A deficiency, skin problems, and lots of babies who haven't made it. 

The drought for the last couple of years has only complicated an already bad situation. Most of the poor people we met are laborers or work on the coffee farms, many of them making only $2-3 a day (and this is when there is work). The drought for the last few years has diminished crop yields, cutting down on what food is available and reducing employment opportunities. This on top of minimal government support for healthcare has resulted in challenging conditions and malnutrition for many families. 

Jessamyn spoke with Claudia, a mother who told her she could not afford to buy a pot or even a pestle to pound her corn. Her family eats only corn and beans. A bit later Jessamyn had women literally lined up, wanting to talk with her. They heard someone was writing down their stories and wanted to share their lives with someone who was willing to listen. At the end of her interview, Esperanza who is 7 1/2 months pregnant started crying, saying how thankful she is that Vitamin Angels and Faith In Practice had come to help her and the women in this community. She knows what a difference the vitamins will make to her health and that of her baby. She said that quality vitamins, like those she now has access to through the clinic, are just not available in Guatemala.

Tomorrow, (our last day), we're back in San Agustin handing our more children's multivitamins and prenatal multivitamins (thanks again to all of the contributors who make the donations from Andrew Lessman, and ProCaps Labs possible!), and getting more chances to connect with these moms, children and babies. For more personal accounts from our beneficiaries (new ones from Guatemala will be up soon!), check out our field stories.

 

Thanks Meredith, Barry, Mike, Julie and Martie from Univera, and its public charity Univera Serve First. Your support, along with our other donors, makes these projects possible. And as always to Matt Dayka, our trusted photographer. Check out some new photos from the trip here!
 

 

Notes from the Field, Guatemala - Jessamyn with Esperanza from Vitamin Angels on Vimeo.

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posted in Thrive to Five | Child health | Maternal health | Notes from the Field | Products

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