دورية أكاديمية
The cost-effectiveness of small-quantity lipid-based nutrient supplements for prevention of child death and malnutrition and promotion of healthy development: modelling results for Uganda
| العنوان: | The cost-effectiveness of small-quantity lipid-based nutrient supplements for prevention of child death and malnutrition and promotion of healthy development: modelling results for Uganda |
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| المؤلفون: | Katherine P Adams, Stephen A Vosti, Charles D Arnold, Reina Engle-Stone, Elizabeth L Prado, Christine P Stewart, K Ryan Wessells, Kathryn G Dewey |
| المصدر: | Public Health Nutrition, Vol 26, Pp 2083-2095 (2023) |
| بيانات النشر: | Cambridge University Press, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Public aspects of medicine LCC:Nutritional diseases. Deficiency diseases |
| مصطلحات موضوعية: | Cost-effectiveness, Uganda, Economic analysis, Disability-adjusted life years, Nutrient supplements, Public aspects of medicine, RA1-1270, Nutritional diseases. Deficiency diseases, RC620-627 |
| الوصف: | Abstract Objective: Recent meta-analyses demonstrate that small-quantity lipid-based nutrient supplements (SQ-LNS) for young children significantly reduce child mortality, stunting, wasting, anaemia and adverse developmental outcomes. Cost considerations should inform policy decisions. We developed a modelling framework to estimate the cost and cost-effectiveness of SQ-LNS and applied the framework in the context of rural Uganda. Design: We adapted costs from a costing study of micronutrient powder (MNP) in Uganda, and based effectiveness estimates on recent meta-analyses and Uganda-specific estimates of baseline mortality and the prevalence of stunting, wasting, anaemia and developmental disability. Setting: Rural Uganda. Participants: Not applicable. Results: Providing SQ-LNS daily to all children in rural Uganda (> 1 million) for 12 months (from 6 to 18 months of age) via the existing Village Health Team system would cost ∼$52 per child (2020 US dollars) or ∼$58·7 million annually. SQ-LNS could avert an average of > 242 000 disability-adjusted life years (DALYs) annually as a result of preventing 3689 deaths, > 160 000 cases of moderate or severe anaemia and ∼6000 cases of developmental disability. The estimated cost per DALY averted is $242. Conclusions: In this context, SQ-LNS may be more cost-effective than other options such as MNP or the provision of complementary food, although the total cost for a programme including all age-eligible children would be high. Strategies to reduce costs, such as targeting to the most vulnerable populations and the elimination of taxes on SQ-LNS, may enhance financial feasibility. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 13689800 1368-9800 1475-2727 |
| Relation: | https://www.cambridge.org/core/product/identifier/S1368980023001805/type/journal_article; https://doaj.org/toc/1368-9800; https://doaj.org/toc/1475-2727 |
| DOI: | 10.1017/S1368980023001805 |
| URL الوصول: | https://doaj.org/article/4b9fd63a1fd641c0b177fde0b1d0d655 |
| رقم الأكسشن: | edsdoj.4b9fd63a1fd641c0b177fde0b1d0d655 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 13689800 14752727 |
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| DOI: | 10.1017/S1368980023001805 |