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To determine vitamin D supplementation frequency among children aged 1–24 months, factors that influence adherence, and reasons for discontinuation of initiated vitamin D. This cross-sectional study was conducted using a questionnaire administered to the mothers  via  face-to-face interview of 560 children aged from 1 to 24 months admitted to outpatient clinics from June to December 2017. A total of 351 children were administered vitamin D, and the rate of supplementation in the first year of life was 83%, while it was only 28% between 13 and 24 months. The rate of vitamin D supplementation was higher among exclusively formula-fed children ( p  &lt; .05). When the data were analyzed using logistic regression analysis, only visit family physicians were statistically significant independent variable in increasing supplementation ( p  &lt; .05). Compared with family refusal, the rate of discontinuation of vitamin D by the healthcare providers was higher after the first year of life ( p  &lt; .05). The rate of vitamin D discontinuation by healthcare providers, especially by nurses who considered the duration of supplementation adequate, was statistically significantly higher when compared with the fontanel closure and other independent variables ( p  &lt; .05). The rate of vitamin D supplementation was higher among families who visited family physicians, which suggests the importance of well-baby visits. Since vitamin D supplementation was less common among exclusively breastfed children, mothers should be educated. Healthcare professionals need further education about the importance of vitamin D supplementation and indications for discontinuation.

Factors influencing initiation and discontinuation of vitamin D supplementation among children 1-24-months-old