ArticleMaternal & child nutrition2020
The cost of improving nutritional outcomes through food-assisted maternal and child health and nutrition programmes in Burundi and Guatemala.
Article in Maternal & child nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Economic Evaluations of Child Nutrition Interventions in Low- and Middle-Income Countries: Systematic Review and Quality Appraisal.Advances in nutrition (Bethesda, Md.) · 2022Pooled it
- Trial
- The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh.Maternal & child nutrition · 2023Trial
- Policies and interventions addressing child undernutrition in Latin America and the Caribbean: a scoping review.Frontiers in public health · 2026Article
- Incremental financial costs of strengthening large-scale child nutrition programs in Bangladesh, Ethiopia, and Vietnam: retrospective expenditure analysis.Globalization and health · 2025Article
- The costs of implementing anaemia reduction interventions among women fish processors in Ghana.Cost effectiveness and resource allocation : C/E · 2024Article
- The costs of implementing anaemia reduction interventions among women fish processors in Ghana.Cost effectiveness and resource allocation : C/E · 2024Article
- Article
- Costs and cost-effectiveness of treatment setting for children with wasting, oedema and growth failure/faltering: A systematic review.PLOS global public health · 2023Article
- Behaviour change interventions improve maternal and child nutrition in sub-Saharan Africa: A systematic review.PLOS global public health · 2023Article
- The Financial Costs of Mass Media Interventions Used for Improving Breastfeeding Practices in Bangladesh, Burkina Faso, Nigeria, and Vietnam.International journal of environmental research and public health · 2022Article
- Social assistance programme impacts on women's and children's diets and nutritional status.Maternal & child nutrition · 2022Review
- Strengthening causal inference from randomised controlled trials of complex interventions.BMJ global health · 2022Article
- Prevalence and overlap of known undernutrition risk factors in children in Nairobi Kenya.Maternal & child nutrition · 2022Article
- When Communities Pull Their Weight: The Economic Costs of an Integrated Agriculture and Nutrition Home-Grown Preschool Meal Intervention in Malawi.Food and nutrition bulletin · 2021Article
- The cost of improving nutritional outcomes through food-assisted maternal and child health and nutrition programmes in Burundi and Guatemala.Maternal & child nutrition · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Evidence on the cost-effectiveness of multisectoral maternal and child health and nutrition programmes is scarce. We conducted a prospective costing study of two food-assisted maternal and child health and nutrition programmes targeted to pregnant women and children during the first 1,000 days (pregnancy to 2 years). Each was paired with a cluster-randomized controlled trial to evaluate impact and compare the optimal quantity and composition of food rations (Guatemala, five treatment arms) and their optimal timing and duration (Burundi, three treatment arms). We calculated the total and per beneficiary cost, conducted cost consequence analyses, and estimated the cost savings from extending the programme for 2 years. In Guatemala, the programme model with the lowest cost per percentage point reduction in stunting provided the full-size family ration with an individual ration of corn-soy blend or micronutrient powder. Reducing family ration size lowered costs but failed to reduce stunting. In Burundi, providing food assistance for the full 1,000 days led to the lowest cost per percentage point reduction in stunting. Reducing the duration of ration eligibility reduced per beneficiary costs but was less effective. A 2-year extension could have saved 11% per beneficiary in Guatemala and 18% in Burundi. We found that investments in multisectoral nutrition programmes do not scale linearly. Programmes providing smaller rations or rations for shorter durations, although less expensive per beneficiary, may not provide the necessary dose to improve (biological) outcomes. Lastly, delivering effective programmes for longer periods can generate cost savings by dispersing start-up costs and lengthening peak operating capacity.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.