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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2017
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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 |
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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 |
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