ArticlePublic health nutrition2021
Cost-effectiveness of a market-based home fortification of food with micronutrient powder programme in Bangladesh.
Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Costs and cost-effectiveness of community health worker programs on reproductive, maternal, newborn and child health in low- and middle-income countries (2015-2024): A scoping review.PLOS global public health · 2026Article
- Impact of market-based home fortification with micronutrient powder on childhood anemia in Bangladesh: a modified stepped wedge design.Frontiers in nutrition · 2023Article
- 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
- A Social Business Model of Early Intervention and Rehabilitation for People with Disability in Rural Bangladesh.Brain sciences · 2022Article
- 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 · 2021Article
- Implementation science in nutrition: a summary and synthesis.Public health nutrition · 2021Article
- Caregiver perceived barriers to the use of micronutrient powder for children aged 6-59 months in Bangladesh.PloS one · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe estimated the cost-effectiveness of home fortification with micronutrient powder delivered in a sales-based programme in reducing the prevalence of Fe deficiency anaemia among children 6-59 months in Bangladesh.
designCross-sectional interviews with local and central-level programme staff and document reviews were conducted. Using an activity-based costing approach, we estimated start-up and implementation costs of the programme. The incremental cost per anaemia case averted and disability-adjusted life years (DALY) averted were estimated by comparing the home fortification programme and no intervention scenarios.
settingThe home fortification programme was implemented in 164 upazilas (sub-districts) in Bangladesh.
participantsCaregivers of child 6-59 months and BRAC staff members including community health workers were the participants for this study.
resultsThe home fortification programme had an estimated total start-up cost of 35·46 million BDT (456 thousand USD) and implementation cost of 1111·63 million BDT (14·12 million USD). The incremental cost per Fe deficiency anaemia case averted and per DALY averted was estimated to be 1749 BDT (22·2 USD) and 12 558 BDT (159·3 USD), respectively. Considering per capita gross domestic product (1516·5 USD) as the cost-effectiveness threshold, the home fortification programme was highly cost-effective. The programme coverage and costs for nutritional counselling of the beneficiary were influential parameters for cost per DALY averted in the one-way sensitivity analysis.
conclusionsThe market-based home fortification programme was a highly cost-effective mechanism for delivering micronutrients to a large number of children in Bangladesh. The policymakers should consider funding and sustaining large-scale sales-based micronutrient home fortification efforts assuming the clear population-level need and potential to benefit persists.
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