Social costs of iron deficiency anemia in 6–59-month-old children in India

Plessow, Rafael; Arora, Narendra Kumar; Brunner, Beatrice; Tzogiou, Christina; Eichler, Klaus; Brügger, Urs; Wieser, Simon

doi:10.21256/zhaw-4672

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-4672

Full metadata record

DC Field	Value	Language
dc.contributor.author	Plessow, Rafael	-
dc.contributor.author	Arora, Narendra Kumar	-
dc.contributor.author	Brunner, Beatrice	-
dc.contributor.author	Tzogiou, Christina	-
dc.contributor.author	Eichler, Klaus	-
dc.contributor.author	Brügger, Urs	-
dc.contributor.author	Wieser, Simon	-
dc.date.accessioned	2018-08-17T06:33:52Z	-
dc.date.available	2018-08-17T06:33:52Z	-
dc.date.issued	2015	-
dc.identifier.issn	1932-6203	de_CH
dc.identifier.uri	https://digitalcollection.zhaw.ch/handle/11475/9050	-
dc.description.abstract	Introduction: Inadequate nutrition has a severe impact on health in India. According to the WHO, iron deficiency is the single most important nutritional risk factor in India, accounting for more than 3% of all disability-adjusted life years (DALYs) lost. We estimate the social costs of iron deficiency anemia (IDA) in 6-59-month-old children in India in terms of intangible costs and production losses. Materials and Methods: We build a health economic model estimating the life-time costs of a birth cohort suffering from IDA between the ages of 6 and 59 months. The model is stratified by 2 age groups (6-23 and 24-59-months), 2 geographical areas (urban and rural), 10 socio-economic strata and 3 degrees of severity of IDA (mild, moderate and severe). Prevalence of anemia is calculated with the last available National Family Health Survey. Information on the health consequences of IDA is extracted from the literature. Results: IDA prevalence is 49.5% in 6-23-month-old and 39.9% in 24-58-month-old children. Children living in poor households in rural areas are particularly affected but prevalence is high even in wealthy urban households. The estimated yearly costs of IDA in 6–59-month-old children amount to intangible costs of 8.3 m DALYs and production losses of 24,001 m USD, equal to 1.3% of gross domestic product. Previous calculations have considerably underestimated the intangible costs of IDA as the improved WHO methodology leads to a threefold increase of DALYs due to IDA. Conclusion: Despite years of iron supplementation programs and substantial economic growth, IDA remains a crucial public health issue in India and an obstacle to the economic advancement of the poor. Young children are especially vulnerable due to the irreversible effects of IDA on cognitive development. Our research may contribute to the design of new effective interventions aiming to reduce IDA in early childhood.	de_CH
dc.language.iso	en	de_CH
dc.publisher	Public Library of Science	de_CH
dc.relation.ispartof	PLOS ONE	de_CH
dc.rights	http://creativecommons.org/licenses/by/4.0/	de_CH
dc.subject	Iron-deficiency anemia	de_CH
dc.subject	Public health	de_CH
dc.subject	Quality-adjusted life years	de_CH
dc.subject	Risk factors	de_CH
dc.subject	Rural population	de_CH
dc.subject	Cost of illness	de_CH
dc.subject.ddc	362.1041: Gesundheitsökonomie	de_CH
dc.title	Social costs of iron deficiency anemia in 6–59-month-old children in India	de_CH
dc.type	Beitrag in wissenschaftlicher Zeitschrift	de_CH
dcterms.type	Text	de_CH
zhaw.departement	School of Management and Law	de_CH
zhaw.organisationalunit	Winterthurer Institut für Gesundheitsökonomie (WIG)	de_CH
dc.identifier.doi	10.21256/zhaw-4672	-
dc.identifier.doi	10.1371/journal.pone.0136581	de_CH
dc.identifier.pmid	26313356	de_CH
zhaw.funding.eu	No	de_CH
zhaw.issue	8	de_CH
zhaw.originated.zhaw	Yes	de_CH
zhaw.pages.end	16	de_CH
zhaw.pages.start	1	de_CH
zhaw.publication.status	publishedVersion	de_CH
zhaw.volume	10	de_CH
zhaw.publication.review	Peer review (Publikation)	de_CH
zhaw.funding.zhaw	Burden of micronutrient deficiencies and cost-effectiveness of interventions with fortified foods	de_CH
Appears in collections:	Publikationen School of Management and Law

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Plessow, R., Arora, N. K., Brunner, B., Tzogiou, C., Eichler, K., Brügger, U., & Wieser, S. (2015). Social costs of iron deficiency anemia in 6–59-month-old children in India. Plos One, 10(8), 1–16. https://doi.org/10.21256/zhaw-4672

Plessow, R. et al. (2015) ‘Social costs of iron deficiency anemia in 6–59-month-old children in India’, PLOS ONE, 10(8), pp. 1–16. Available at: https://doi.org/10.21256/zhaw-4672.

R. Plessow et al., “Social costs of iron deficiency anemia in 6–59-month-old children in India,” PLOS ONE, vol. 10, no. 8, pp. 1–16, 2015, doi: 10.21256/zhaw-4672.

PLESSOW, Rafael, Narendra Kumar ARORA, Beatrice BRUNNER, Christina TZOGIOU, Klaus EICHLER, Urs BRÜGGER und Simon WIESER, 2015. Social costs of iron deficiency anemia in 6–59-month-old children in India. PLOS ONE. 2015. Bd. 10, Nr. 8, S. 1–16. DOI 10.21256/zhaw-4672

Plessow, Rafael, Narendra Kumar Arora, Beatrice Brunner, Christina Tzogiou, Klaus Eichler, Urs Brügger, and Simon Wieser. 2015. “Social Costs of Iron Deficiency Anemia in 6–59-Month-Old Children in India.” Plos One 10 (8): 1–16. https://doi.org/10.21256/zhaw-4672.

Plessow, Rafael, et al. “Social Costs of Iron Deficiency Anemia in 6–59-Month-Old Children in India.” Plos One, vol. 10, no. 8, 2015, pp. 1–16, https://doi.org/10.21256/zhaw-4672.