{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T06:49:12Z","timestamp":1792133352433,"version":"4.4.0"},"reference-count":0,"publisher":"Springer Publishing Company","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Doct Nurs Pract"],"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Malnutrition, particularly vitamin A deficiency, affects approximately 49% of children aged 6\u201359 months in sub-Saharan Africa, increasing the risks of morbidity, mortality, poor growth, and preventable blindness. Tanzania has followed the World Health Organization\u2019s (WHO) guidelines for biannual vitamin A supplementation (VAS) since 2004, but rural access remains limited. A preliminary assessment at a rural Tanzanian day care showed only 29% VAS coverage, indicating a substantial gap in coverage.\n                    <jats:bold>Objective:<\/jats:bold>\n                    To improve nutritional health among children aged 6\u201359 months through a comprehensive VAS program at a local day care in Tanzania.\n                    <jats:bold>Methods:<\/jats:bold>\n                    An interdisciplinary team coordinated structural and workflow changes, secured the supplement through established partnerships, and administered it to all 21 eligible children per WHO protocols.\n                    <jats:bold>Results:<\/jats:bold>\n                    All 21 eligible children enrolled in the day care received their initial dose of VAS at implementation. VAS was sustained at 100% among 29 children, including the 21 original children and 8 newly enrolled.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    A structured, community-based supplementation program in rural Tanzania successfully addressed critical gaps in vitamin A access for children aged 6\u201359 months.\n                    <jats:bold>Implications for Nursing:<\/jats:bold>\n                    This quality improvement project demonstrates the feasibility of global health collaboration through strategic planning, stakeholder engagement, and context sensitivity to improve child health outcomes.\n                  <\/jats:p>","DOI":"10.1891\/jdnp-2025-0082","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:50:44Z","timestamp":1792065044000},"page":"JDNP-2025-0082.R1","source":"Crossref","is-referenced-by-count":0,"title":["Advancing Global Health Initiative Through Pediatric Vitamin A Supplementation"],"prefix":"10.1891","author":[{"given":"Tenica K.","family":"Watt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica A.","family":"Alessandrini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanna","family":"Fitzpatrick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renee","family":"Franquiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Jones-Swing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. Elias","family":"Snyder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"793","published-online":{"date-parts":[[2026,10,15]]},"container-title":["Journal of Doctoral Nursing Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1891\/JDNP-2025-0082","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T06:30:17Z","timestamp":1792132217000},"score":1,"resource":{"primary":{"URL":"http:\/\/connect.springerpub.com\/lookup\/doi\/10.1891\/JDNP-2025-0082"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":0,"alternative-id":["10.1891\/JDNP-2025-0082"],"URL":"https:\/\/doi.org\/10.1891\/jdnp-2025-0082","relation":{},"ISSN":["2380-9418","2380-9426"],"issn-type":[{"value":"2380-9418","type":"print"},{"value":"2380-9426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]}}}