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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-3445
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dc.contributor.authorWieser, Simon-
dc.contributor.authorBrunner, Beatrice-
dc.contributor.authorTzogiou, Christina-
dc.contributor.authorPlessow, Rafael-
dc.contributor.authorZimmermann, Michael B.-
dc.contributor.authorFarebrother, Jessica-
dc.contributor.authorSoofi, Sajid-
dc.contributor.authorBhatti, Zaid-
dc.contributor.authorAhmed, Imran-
dc.contributor.authorBhutta, Zulfiqar A.-
dc.date.accessioned2018-12-18T16:48:04Z-
dc.date.available2018-12-18T16:48:04Z-
dc.date.issued2018-
dc.identifier.issn1368-9800de_CH
dc.identifier.issn1475-2727de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/13965-
dc.description.abstractObjective: 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.de_CH
dc.language.isoende_CH
dc.publisherCambridge University Pressde_CH
dc.relation.ispartofPublic Health Nutritionde_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectChildde_CH
dc.subjectComplementary foodde_CH
dc.subjectCost-effectivede_CH
dc.subjectMalnutritionde_CH
dc.subjectMicronutrientde_CH
dc.subjectPakistande_CH
dc.subjectSubsidyde_CH
dc.subject.ddc613.2: Diätetikde_CH
dc.titleReducing micronutrient deficiencies in Pakistani children : are subsidies on fortified complementary foods cost-effective?de_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Management and Lawde_CH
zhaw.organisationalunitWinterthurer Institut für Gesundheitsökonomie (WIG)de_CH
dc.identifier.doi10.21256/zhaw-3445-
dc.identifier.doi10.1017/S1368980018001660de_CH
dc.identifier.pmid30017015de_CH
zhaw.funding.euNode_CH
zhaw.issue15de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end2906de_CH
zhaw.pages.start2893de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume21de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
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Wieser, S., Brunner, B., Tzogiou, C., Plessow, R., Zimmermann, M. B., Farebrother, J., Soofi, S., Bhatti, Z., Ahmed, I., & Bhutta, Z. A. (2018). Reducing micronutrient deficiencies in Pakistani children : are subsidies on fortified complementary foods cost-effective? Public Health Nutrition, 21(15), 2893–2906. https://doi.org/10.21256/zhaw-3445
Wieser, S. et al. (2018) ‘Reducing micronutrient deficiencies in Pakistani children : are subsidies on fortified complementary foods cost-effective?’, Public Health Nutrition, 21(15), pp. 2893–2906. Available at: https://doi.org/10.21256/zhaw-3445.
S. Wieser et al., “Reducing micronutrient deficiencies in Pakistani children : are subsidies on fortified complementary foods cost-effective?,” Public Health Nutrition, vol. 21, no. 15, pp. 2893–2906, 2018, doi: 10.21256/zhaw-3445.
WIESER, Simon, Beatrice BRUNNER, Christina TZOGIOU, Rafael PLESSOW, Michael B. ZIMMERMANN, Jessica FAREBROTHER, Sajid SOOFI, Zaid BHATTI, Imran AHMED und Zulfiqar A. BHUTTA, 2018. Reducing micronutrient deficiencies in Pakistani children : are subsidies on fortified complementary foods cost-effective? Public Health Nutrition. 2018. Bd. 21, Nr. 15, S. 2893–2906. DOI 10.21256/zhaw-3445
Wieser, Simon, Beatrice Brunner, Christina Tzogiou, Rafael Plessow, Michael B. Zimmermann, Jessica Farebrother, Sajid Soofi, Zaid Bhatti, Imran Ahmed, and Zulfiqar A. Bhutta. 2018. “Reducing Micronutrient Deficiencies in Pakistani Children : Are Subsidies on Fortified Complementary Foods Cost-Effective?” Public Health Nutrition 21 (15): 2893–2906. https://doi.org/10.21256/zhaw-3445.
Wieser, Simon, et al. “Reducing Micronutrient Deficiencies in Pakistani Children : Are Subsidies on Fortified Complementary Foods Cost-Effective?” Public Health Nutrition, vol. 21, no. 15, 2018, pp. 2893–906, https://doi.org/10.21256/zhaw-3445.


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