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Journal article
Comparing costs and cost-efficiency of platforms for micronutrient powder (MNP) delivery to children in rural Uganda
Annals of the New York Academy of Sciences, v 1502(1), pp 28-39
01 Oct 2021
PMID: 34169531
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Micronutrient powder (MNP) can reduce iron deficiency in young children, which has been well established in efficacy trials. However, the cost of different delivery platforms has not been determined. We calculated the cost and cost-efficiency of distributed MNP through community-based mechanisms and in health facilities in a primarily rural district in Uganda. An endline survey (n = 1072) identified reach and adherence. During the 9-month pilot, 37,458 (community platform) and 12,390 (facility platform) packets of MNP were distributed. Each packet consisted of 30 MNP sachets. In 2016, total costs were $277,082 (community platform, $0.24/sachet) and $221,568 (facility platform, $0.59/sachet). The cost per child reached was lower in the community platform ($53.24) than the facility platform ($65.97). The cost per child adhering to a protocol was $58.08 (community platform) and $72.69 (facility platform). The estimated cost of scaling up the community platform pilot to the district level over 3 years to cover approximately 17,890 children was $1.23 million (scale-up integrated into a partner agency program) to $1.62 million (government scale-up scenario). Unlike previous estimates, these included opportunity costs. Community-based MNP delivery costs were greater, yet more cost-efficient per child reached and adhering to protocol than facility-based delivery. However, total costs for untargeted MNP delivery under program settings are potentially prohibitive.
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Details
- Title
- Comparing costs and cost-efficiency of platforms for micronutrient powder (MNP) delivery to children in rural Uganda
- Creators
- Whitney Schott - Drexel UniversityBelinda Richardson - University of California, DavisEmily Baker - University of California, DavisAlexis D'Agostino - Santa Clara County Behavioral Health ServicesSorrel Namaste - ICF InternationalStephen A. Vosti - University of California, Davis
- Publication Details
- Annals of the New York Academy of Sciences, v 1502(1), pp 28-39
- Publisher
- Wiley
- Number of pages
- 12
- Grant note
- USAID; United States Agency for International Development (USAID) AID-OAA-A-11-00031; 7200AA18C00070 / U.S. Agency for International Development; United States Agency for International Development (USAID)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000665728600001
- Scopus ID
- 2-s2.0-85118211302
- Other Identifier
- 991019167609504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nutrition & Dietetics