Cargando…

The cost of not breastfeeding in Southeast Asia

Rates of exclusive breastfeeding are slowly increasing, but remain suboptimal globally despite the health and economic benefits. This study estimates the costs of not breastfeeding across seven countries in Southeast Asia and presents a cost-benefit analysis of a modeled comprehensive breastfeeding...

Descripción completa

Detalles Bibliográficos
Autores principales: Walters, Dylan, Horton, Susan, Siregar, Adiatma Yudistira Manogar, Pitriyan, Pipit, Hajeebhoy, Nemat, Mathisen, Roger, Phan, Linh Thi Hong, Rudert, Christiane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5013784/
https://www.ncbi.nlm.nih.gov/pubmed/27107295
http://dx.doi.org/10.1093/heapol/czw044
_version_ 1782452229265948672
author Walters, Dylan
Horton, Susan
Siregar, Adiatma Yudistira Manogar
Pitriyan, Pipit
Hajeebhoy, Nemat
Mathisen, Roger
Phan, Linh Thi Hong
Rudert, Christiane
author_facet Walters, Dylan
Horton, Susan
Siregar, Adiatma Yudistira Manogar
Pitriyan, Pipit
Hajeebhoy, Nemat
Mathisen, Roger
Phan, Linh Thi Hong
Rudert, Christiane
author_sort Walters, Dylan
collection PubMed
description Rates of exclusive breastfeeding are slowly increasing, but remain suboptimal globally despite the health and economic benefits. This study estimates the costs of not breastfeeding across seven countries in Southeast Asia and presents a cost-benefit analysis of a modeled comprehensive breastfeeding strategy in Viet Nam, based on a large programme. There have been very few such studies previously for low- and middle-income countries. The estimates used published data on disease prevalence and breastfeeding patterns for the seven countries, supplemented by information on healthcare costs from representative institutions. Modelling of costs of not breastfeeding used estimated effects obtained from systematic reviews and meta-analyses. Modelling of cost-benefit for Viet Nam used programme data on costs combined with effects from a large-scale cluster randomized breastfeeding promotion intervention with controls. This study found that over 12 400 preventable child and maternal deaths per year in the seven countries could be attributed to inadequate breastfeeding. The economic benefits associated with potential improvements in cognition alone, through higher IQ and earnings, total $1.6 billion annually. The loss exceeds 0.5% of Gross National Income in the country with the lowest exclusive breastfeeding rate (Thailand). The potential savings in health care treatment costs ($0.3 billion annually) from reducing the incidence of diarrhoea and pneumonia could help offset the cost of breastfeeding promotion. Based on the data available and authors’ assumptions, investing in a national breastfeeding promotion strategy in Viet Nam could result in preventing 200 child deaths per year and generate monetary benefits of US$2.39 for every US$1, or a 139% return on investment. These encouraging results suggest that there are feasible and affordable opportunities to accelerate progress towards achieving the Global Nutrition Target for exclusive breastfeeding by 2025.
format Online
Article
Text
id pubmed-5013784
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-50137842016-09-12 The cost of not breastfeeding in Southeast Asia Walters, Dylan Horton, Susan Siregar, Adiatma Yudistira Manogar Pitriyan, Pipit Hajeebhoy, Nemat Mathisen, Roger Phan, Linh Thi Hong Rudert, Christiane Health Policy Plan Original Articles Rates of exclusive breastfeeding are slowly increasing, but remain suboptimal globally despite the health and economic benefits. This study estimates the costs of not breastfeeding across seven countries in Southeast Asia and presents a cost-benefit analysis of a modeled comprehensive breastfeeding strategy in Viet Nam, based on a large programme. There have been very few such studies previously for low- and middle-income countries. The estimates used published data on disease prevalence and breastfeeding patterns for the seven countries, supplemented by information on healthcare costs from representative institutions. Modelling of costs of not breastfeeding used estimated effects obtained from systematic reviews and meta-analyses. Modelling of cost-benefit for Viet Nam used programme data on costs combined with effects from a large-scale cluster randomized breastfeeding promotion intervention with controls. This study found that over 12 400 preventable child and maternal deaths per year in the seven countries could be attributed to inadequate breastfeeding. The economic benefits associated with potential improvements in cognition alone, through higher IQ and earnings, total $1.6 billion annually. The loss exceeds 0.5% of Gross National Income in the country with the lowest exclusive breastfeeding rate (Thailand). The potential savings in health care treatment costs ($0.3 billion annually) from reducing the incidence of diarrhoea and pneumonia could help offset the cost of breastfeeding promotion. Based on the data available and authors’ assumptions, investing in a national breastfeeding promotion strategy in Viet Nam could result in preventing 200 child deaths per year and generate monetary benefits of US$2.39 for every US$1, or a 139% return on investment. These encouraging results suggest that there are feasible and affordable opportunities to accelerate progress towards achieving the Global Nutrition Target for exclusive breastfeeding by 2025. Oxford University Press 2016-10 2016-04-23 /pmc/articles/PMC5013784/ /pubmed/27107295 http://dx.doi.org/10.1093/heapol/czw044 Text en © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Original Articles
Walters, Dylan
Horton, Susan
Siregar, Adiatma Yudistira Manogar
Pitriyan, Pipit
Hajeebhoy, Nemat
Mathisen, Roger
Phan, Linh Thi Hong
Rudert, Christiane
The cost of not breastfeeding in Southeast Asia
title The cost of not breastfeeding in Southeast Asia
title_full The cost of not breastfeeding in Southeast Asia
title_fullStr The cost of not breastfeeding in Southeast Asia
title_full_unstemmed The cost of not breastfeeding in Southeast Asia
title_short The cost of not breastfeeding in Southeast Asia
title_sort cost of not breastfeeding in southeast asia
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5013784/
https://www.ncbi.nlm.nih.gov/pubmed/27107295
http://dx.doi.org/10.1093/heapol/czw044
work_keys_str_mv AT waltersdylan thecostofnotbreastfeedinginsoutheastasia
AT hortonsusan thecostofnotbreastfeedinginsoutheastasia
AT siregaradiatmayudistiramanogar thecostofnotbreastfeedinginsoutheastasia
AT pitriyanpipit thecostofnotbreastfeedinginsoutheastasia
AT hajeebhoynemat thecostofnotbreastfeedinginsoutheastasia
AT mathisenroger thecostofnotbreastfeedinginsoutheastasia
AT phanlinhthihong thecostofnotbreastfeedinginsoutheastasia
AT rudertchristiane thecostofnotbreastfeedinginsoutheastasia
AT waltersdylan costofnotbreastfeedinginsoutheastasia
AT hortonsusan costofnotbreastfeedinginsoutheastasia
AT siregaradiatmayudistiramanogar costofnotbreastfeedinginsoutheastasia
AT pitriyanpipit costofnotbreastfeedinginsoutheastasia
AT hajeebhoynemat costofnotbreastfeedinginsoutheastasia
AT mathisenroger costofnotbreastfeedinginsoutheastasia
AT phanlinhthihong costofnotbreastfeedinginsoutheastasia
AT rudertchristiane costofnotbreastfeedinginsoutheastasia