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Reducing micronutrient deficiencies in Pakistani children: are subsidies on fortified complementary foods cost-effective?
OBJECTIVE: To estimate the cost-effectiveness of price subsidies on fortified packaged complementary foods (FPCF) in reducing iodine deficiency, iron-deficiency anaemia and vitamin A deficiency in Pakistani children. DESIGN: The study proceeded in three steps: (i) we determined the current lifetime...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149007/ https://www.ncbi.nlm.nih.gov/pubmed/30017015 http://dx.doi.org/10.1017/S1368980018001660 |
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author | Wieser, Simon Brunner, Beatrice Tzogiou, Christina Plessow, Rafael Zimmermann, Michael B Farebrother, Jessica Soofi, Sajid Bhatti, Zaid Ahmed, Imran Bhutta, Zulfiqar A |
author_facet | Wieser, Simon Brunner, Beatrice Tzogiou, Christina Plessow, Rafael Zimmermann, Michael B Farebrother, Jessica Soofi, Sajid Bhatti, Zaid Ahmed, Imran Bhutta, Zulfiqar A |
author_sort | Wieser, Simon |
collection | PubMed |
description | OBJECTIVE: To estimate the cost-effectiveness of price subsidies on fortified packaged complementary foods (FPCF) in reducing iodine deficiency, iron-deficiency anaemia and vitamin A deficiency in Pakistani children. DESIGN: The study proceeded in three steps: (i) we determined the current lifetime costs of the three micronutrient deficiencies with a health economic model; (ii) we assessed the price sensitivity of demand for FPCF with a market survey in two Pakistani districts; (iii) we combined the findings of the first two steps with the results of a systematic review on the effectiveness of FPCF in reducing micronutrient deficiencies. The cost-effectiveness was estimated by comparing the net social cost of price subsidies with the disability-adjusted life years (DALY) averted. SETTING: Districts of Faisalabad and Hyderabad in Pakistan. SUBJECTS: Households with 6–23-month-old children stratified by socio-economic strata. RESULTS: The lifetime social costs of iodine deficiency, iron-deficiency anaemia and vitamin A deficiency in 6–23-month-old children amounted to production losses of $US 209 million and 175 000 DALY. Poor households incurred the highest costs, yet even wealthier households suffered substantial losses. Wealthier households were more likely to buy FPCF. The net cost per DALY of the interventions ranged from a return per DALY averted of $US 783 to $US 65. Interventions targeted at poorer households were most cost-effective. CONCLUSIONS: Price subsidies on FPCF might be a cost-effective way to reduce the societal costs of micronutrient deficiencies in 6–23-month-old children in Pakistan. Interventions targeting poorer households are especially cost-effective. |
format | Online Article Text |
id | pubmed-6149007 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-61490072018-09-24 Reducing micronutrient deficiencies in Pakistani children: are subsidies on fortified complementary foods cost-effective? Wieser, Simon Brunner, Beatrice Tzogiou, Christina Plessow, Rafael Zimmermann, Michael B Farebrother, Jessica Soofi, Sajid Bhatti, Zaid Ahmed, Imran Bhutta, Zulfiqar A Public Health Nutr Research Paper OBJECTIVE: To estimate the cost-effectiveness of price subsidies on fortified packaged complementary foods (FPCF) in reducing iodine deficiency, iron-deficiency anaemia and vitamin A deficiency in Pakistani children. DESIGN: The study proceeded in three steps: (i) we determined the current lifetime costs of the three micronutrient deficiencies with a health economic model; (ii) we assessed the price sensitivity of demand for FPCF with a market survey in two Pakistani districts; (iii) we combined the findings of the first two steps with the results of a systematic review on the effectiveness of FPCF in reducing micronutrient deficiencies. The cost-effectiveness was estimated by comparing the net social cost of price subsidies with the disability-adjusted life years (DALY) averted. SETTING: Districts of Faisalabad and Hyderabad in Pakistan. SUBJECTS: Households with 6–23-month-old children stratified by socio-economic strata. RESULTS: The lifetime social costs of iodine deficiency, iron-deficiency anaemia and vitamin A deficiency in 6–23-month-old children amounted to production losses of $US 209 million and 175 000 DALY. Poor households incurred the highest costs, yet even wealthier households suffered substantial losses. Wealthier households were more likely to buy FPCF. The net cost per DALY of the interventions ranged from a return per DALY averted of $US 783 to $US 65. Interventions targeted at poorer households were most cost-effective. CONCLUSIONS: Price subsidies on FPCF might be a cost-effective way to reduce the societal costs of micronutrient deficiencies in 6–23-month-old children in Pakistan. Interventions targeting poorer households are especially cost-effective. Cambridge University Press 2018-07-18 2018-10 /pmc/articles/PMC6149007/ /pubmed/30017015 http://dx.doi.org/10.1017/S1368980018001660 Text en © The Authors 2018 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Paper Wieser, Simon Brunner, Beatrice Tzogiou, Christina Plessow, Rafael Zimmermann, Michael B Farebrother, Jessica Soofi, Sajid Bhatti, Zaid Ahmed, Imran Bhutta, Zulfiqar A Reducing micronutrient deficiencies in Pakistani children: are subsidies on fortified complementary foods cost-effective? |
title | Reducing micronutrient deficiencies in Pakistani children: are subsidies on fortified complementary foods cost-effective? |
title_full | Reducing micronutrient deficiencies in Pakistani children: are subsidies on fortified complementary foods cost-effective? |
title_fullStr | Reducing micronutrient deficiencies in Pakistani children: are subsidies on fortified complementary foods cost-effective? |
title_full_unstemmed | Reducing micronutrient deficiencies in Pakistani children: are subsidies on fortified complementary foods cost-effective? |
title_short | Reducing micronutrient deficiencies in Pakistani children: are subsidies on fortified complementary foods cost-effective? |
title_sort | reducing micronutrient deficiencies in pakistani children: are subsidies on fortified complementary foods cost-effective? |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149007/ https://www.ncbi.nlm.nih.gov/pubmed/30017015 http://dx.doi.org/10.1017/S1368980018001660 |
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