Cargando…

Willingness to pay for small‐quantity lipid‐based nutrient supplements for women and children: Evidence from Ghana and Malawi

Small‐quantity lipid‐based nutrient supplements (SQ‐LNS) are designed to enrich maternal and child diets with the objective of preventing undernutrition during the first 1,000 days. Scaling up the delivery of supplements such as SQ‐LNS hinges on understanding private demand and creatively leveraging...

Descripción completa

Detalles Bibliográficos
Autores principales: Adams, Katherine P., Vosti, Stephen A., Ayifah, Emmanuel, Phiri, Thokozani E., Adu‐Afarwuah, Seth, Maleta, Kenneth, Ashorn, Ulla, Arimond, Mary, Dewey, Kathryn G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6088232/
https://www.ncbi.nlm.nih.gov/pubmed/28960913
http://dx.doi.org/10.1111/mcn.12518
_version_ 1783346809594183680
author Adams, Katherine P.
Vosti, Stephen A.
Ayifah, Emmanuel
Phiri, Thokozani E.
Adu‐Afarwuah, Seth
Maleta, Kenneth
Ashorn, Ulla
Arimond, Mary
Dewey, Kathryn G.
author_facet Adams, Katherine P.
Vosti, Stephen A.
Ayifah, Emmanuel
Phiri, Thokozani E.
Adu‐Afarwuah, Seth
Maleta, Kenneth
Ashorn, Ulla
Arimond, Mary
Dewey, Kathryn G.
author_sort Adams, Katherine P.
collection PubMed
description Small‐quantity lipid‐based nutrient supplements (SQ‐LNS) are designed to enrich maternal and child diets with the objective of preventing undernutrition during the first 1,000 days. Scaling up the delivery of supplements such as SQ‐LNS hinges on understanding private demand and creatively leveraging policy‐relevant factors that might influence demand. We used longitudinal stated willingness‐to‐pay (WTP) data from contingent valuation studies that were integrated into randomized controlled nutrition trials in Ghana and Malawi to estimate private valuation of SQ‐LNS during pregnancy, postpartum, and early childhood. We found that average stated WTP for a day's supply of SQ‐LNS was more than twice as high in Ghana than Malawi, indicating that demand for SQ‐LNS (and by extension, the options for effective delivery of SQ‐LNS) may be very context specific. We also examined factors associated with WTP, including intervention group, household socioeconomic status, birth outcomes, child growth, and maternal and child morbidity. In both sites, WTP was consistently negatively associated with household food insecurity, indicating that subsidization might be needed to permit food insecure households to acquire SQ‐LNS if it is made available for purchase. In Ghana, WTP was higher among heads of household than among mothers, which may be related to control over household resources. Personal experience using SQ‐LNS was not associated with WTP in either site.
format Online
Article
Text
id pubmed-6088232
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-60882322018-08-17 Willingness to pay for small‐quantity lipid‐based nutrient supplements for women and children: Evidence from Ghana and Malawi Adams, Katherine P. Vosti, Stephen A. Ayifah, Emmanuel Phiri, Thokozani E. Adu‐Afarwuah, Seth Maleta, Kenneth Ashorn, Ulla Arimond, Mary Dewey, Kathryn G. Matern Child Nutr Original Articles Small‐quantity lipid‐based nutrient supplements (SQ‐LNS) are designed to enrich maternal and child diets with the objective of preventing undernutrition during the first 1,000 days. Scaling up the delivery of supplements such as SQ‐LNS hinges on understanding private demand and creatively leveraging policy‐relevant factors that might influence demand. We used longitudinal stated willingness‐to‐pay (WTP) data from contingent valuation studies that were integrated into randomized controlled nutrition trials in Ghana and Malawi to estimate private valuation of SQ‐LNS during pregnancy, postpartum, and early childhood. We found that average stated WTP for a day's supply of SQ‐LNS was more than twice as high in Ghana than Malawi, indicating that demand for SQ‐LNS (and by extension, the options for effective delivery of SQ‐LNS) may be very context specific. We also examined factors associated with WTP, including intervention group, household socioeconomic status, birth outcomes, child growth, and maternal and child morbidity. In both sites, WTP was consistently negatively associated with household food insecurity, indicating that subsidization might be needed to permit food insecure households to acquire SQ‐LNS if it is made available for purchase. In Ghana, WTP was higher among heads of household than among mothers, which may be related to control over household resources. Personal experience using SQ‐LNS was not associated with WTP in either site. John Wiley and Sons Inc. 2017-09-28 /pmc/articles/PMC6088232/ /pubmed/28960913 http://dx.doi.org/10.1111/mcn.12518 Text en © 2017 The Authors. Maternal and Child Nutrition published by John Wiley & Sons, Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Adams, Katherine P.
Vosti, Stephen A.
Ayifah, Emmanuel
Phiri, Thokozani E.
Adu‐Afarwuah, Seth
Maleta, Kenneth
Ashorn, Ulla
Arimond, Mary
Dewey, Kathryn G.
Willingness to pay for small‐quantity lipid‐based nutrient supplements for women and children: Evidence from Ghana and Malawi
title Willingness to pay for small‐quantity lipid‐based nutrient supplements for women and children: Evidence from Ghana and Malawi
title_full Willingness to pay for small‐quantity lipid‐based nutrient supplements for women and children: Evidence from Ghana and Malawi
title_fullStr Willingness to pay for small‐quantity lipid‐based nutrient supplements for women and children: Evidence from Ghana and Malawi
title_full_unstemmed Willingness to pay for small‐quantity lipid‐based nutrient supplements for women and children: Evidence from Ghana and Malawi
title_short Willingness to pay for small‐quantity lipid‐based nutrient supplements for women and children: Evidence from Ghana and Malawi
title_sort willingness to pay for small‐quantity lipid‐based nutrient supplements for women and children: evidence from ghana and malawi
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6088232/
https://www.ncbi.nlm.nih.gov/pubmed/28960913
http://dx.doi.org/10.1111/mcn.12518
work_keys_str_mv AT adamskatherinep willingnesstopayforsmallquantitylipidbasednutrientsupplementsforwomenandchildrenevidencefromghanaandmalawi
AT vostistephena willingnesstopayforsmallquantitylipidbasednutrientsupplementsforwomenandchildrenevidencefromghanaandmalawi
AT ayifahemmanuel willingnesstopayforsmallquantitylipidbasednutrientsupplementsforwomenandchildrenevidencefromghanaandmalawi
AT phirithokozanie willingnesstopayforsmallquantitylipidbasednutrientsupplementsforwomenandchildrenevidencefromghanaandmalawi
AT aduafarwuahseth willingnesstopayforsmallquantitylipidbasednutrientsupplementsforwomenandchildrenevidencefromghanaandmalawi
AT maletakenneth willingnesstopayforsmallquantitylipidbasednutrientsupplementsforwomenandchildrenevidencefromghanaandmalawi
AT ashornulla willingnesstopayforsmallquantitylipidbasednutrientsupplementsforwomenandchildrenevidencefromghanaandmalawi
AT arimondmary willingnesstopayforsmallquantitylipidbasednutrientsupplementsforwomenandchildrenevidencefromghanaandmalawi
AT deweykathryng willingnesstopayforsmallquantitylipidbasednutrientsupplementsforwomenandchildrenevidencefromghanaandmalawi