A content of breast milk and hence offer protection for the breast-fed infant. The goal here is an immediate effect on the course of morbidity and on reduction of case fatality rates. Such case management is complementary and additional to approaches for controlling vitamin A deficiency at a population level. Political support and sustained allocation of government resources are needed for the development, implementation, and maintenance of vitamin A programmes. Linking research and human resource development with intervention activities continues to be important in initiating, maintaining, and building on vitamin A interventions.
Effective management is essential to the success of any type of vitamin A programme.
Experience has shown that the success of vitamin A programmes is limited more by management problems than by lack of appropriate intervention technologies. Development of an effective management system will usually require as much attention as the choice of intervention. Similarly, evaluation of vitamin A programmes should involve management aspects as well as impact.