Xerophthalmia needs serious attention in West Java Province, especially after the economic crisis. The program to distribute vitamin A has been implemented, but we still find xerophthalmia in some areas of Indonesia (South Sumatra and West Nusa Tenggara provinces). This is a reminder that we need another way to solve the xerophthalmia problem. Cases of xerophthalmia decreased in number before the economic crisis, with the result that health workers in the field are forgetting the signs and symptoms of the condition, and also the risk factors associated with xerophthalmia, delaying its detection. Malnutrition is one of these risk factors, and because of the economic crisis, many children under 5 years old have been found to suffer from malnutrition in West Java Province. To encourage early detection of xerophthalmia, the West Java Province government provided training for trainers for general practitioners, nutritionists and nurses working in all the districts and cities of West Java Province (9 cities and 16 districts).
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