使用当地食物管理适度浪费的成本:来自尼日利亚东北部三个干预措施的证据。

IF 3 3区 医学 Q2 NUTRITION & DIETETICS
Stacie Gobin, Margaret Holmesheoran, Pauline Adah, Halima Haruna, Amanda Yourchuck, Chloe Puett
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引用次数: 0

摘要

目标:鉴于高病例量和对疾病和死亡的易感性,适度消瘦管理是解决消瘦问题的国家一级战略的重要组成部分。然而,许多国家在提供有针对性的补充喂养计划方面遇到了挑战,其中包括管理母乳喂养的特殊配方食品(SFF)。一些执行机构制定了一个以社区为基础的项目,利用当地可获得的食物进行结核管理,称为汤姆·布朗(Tom Brown)。本研究评估了三个结核病项目的成本和成本效益(两个补充时间为8周,一个持续时间为10周)。环境:尼日利亚东北部。参与者:项目工作人员。设计:我们评估了制度成本,并选择了家庭和社区志愿者的社会成本估算值。结果:每个孩子的总成本为每8周155-184美元,每10周493美元。每个孩子每月的LF补充费用在5-21美元之间。单位成本受到实施时间和项目特征变化的影响,包括储存和运输模式、代金券转移和志愿者干部模式。受益人和志愿者准备食谱的机会成本是巨大的。现金/代金券部分在使用时,是体制和社会成本的成本驱动因素。结论:更新的世卫组织指南强调了LF在补充缺乏其他危险因素的MW儿童中的作用。鉴于并非所有的多发性硬化症儿童都需要sff,使用LF的方案方法是管理多发性硬化症的重要选择。这项来自尼日利亚的研究首次提供了使用LF管理MW的成本估算。需要进一步研究这些方法的有效性和成本效益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Cost of Managing Moderate Wasting Using Local Foods: Evidence from Three Interventions in Northeast Nigeria.

Objective: Management of moderate wasting (MW) is an important component of country-level strategies to address wasting, given high caseloads and susceptibility to illness and death. However, many countries experience challenges in providing targeted supplementary feeding programs with specially-formulated foods (SFF) involved in managing MW. Some implementing agencies have developed a community-based program using locally-available foods (LF) for MW management known as Tom Brown (TB). This study assessed the costs and cost-efficiency of three TB programs (two with 8-weeks supplementation duration, one with 10-weeks duration).

Setting: Northeast Nigeria.

Participants: Program staff.

Design: We assessed institutional costs and selected estimates of societal costs to households and community volunteers.

Results: Total cost per child ranged from $155-184 per 8-week program and $493 per 10-week program. Monthly LF supplementation cost per child ranged from $5-21. Unit costs were influenced by implementation duration and variations in program features including storage and transportation models, the inclusion of voucher transfers, and volunteer cadre models. Opportunity costs to beneficiaries and volunteers in preparing recipes were substantial. Cash/voucher components, where used, represented a cost driver for institutional and societal costs.

Conclusions: An updated WHO guideline emphasizes the role of LF for supplementing MW children who lack other risk factors. Given that SFFs are not necessary for all MW children to recover, program approaches using LF are important options for managing MW. This study from Nigeria provides the first cost estimates for using LF to manage MW. Future research is needed on effectiveness and cost-effectiveness of these approaches.

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来源期刊
Public Health Nutrition
Public Health Nutrition 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.10
自引率
6.20%
发文量
521
审稿时长
3 months
期刊介绍: Public Health Nutrition provides an international peer-reviewed forum for the publication and dissemination of research and scholarship aimed at understanding the causes of, and approaches and solutions to nutrition-related public health achievements, situations and problems around the world. The journal publishes original and commissioned articles, commentaries and discussion papers for debate. The journal is of interest to epidemiologists and health promotion specialists interested in the role of nutrition in disease prevention; academics and those involved in fieldwork and the application of research to identify practical solutions to important public health problems.
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