Reassessing the cost-effectiveness of high-provitamin A bananas to reduce vitamin A deficiency in Uganda
There are two high-provitamin A (pVA) banana-based interventions potentially available in Uganda—biofortified genetically modified (GM) banana and fast-tracked banana landraces from outside Uganda that are naturally high in provitamin A (nHpVA). Based on the newest country statistics and using adopt...
| Autores principales: | , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
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Frontiers Media
2021
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| Acceso en línea: | https://hdl.handle.net/10568/113153 |
| _version_ | 1855540178370691072 |
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| author | Kozicka, Marta Elsey, Julia Ekesa, Beatrice Ajambo, Susan Kikulwe, Enoch Mutebi Gotor, Elisabetta |
| author_browse | Ajambo, Susan Ekesa, Beatrice Elsey, Julia Gotor, Elisabetta Kikulwe, Enoch Mutebi Kozicka, Marta |
| author_facet | Kozicka, Marta Elsey, Julia Ekesa, Beatrice Ajambo, Susan Kikulwe, Enoch Mutebi Gotor, Elisabetta |
| author_sort | Kozicka, Marta |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | There are two high-provitamin A (pVA) banana-based interventions potentially available in Uganda—biofortified genetically modified (GM) banana and fast-tracked banana landraces from outside Uganda that are naturally high in provitamin A (nHpVA). Based on the newest country statistics and using adoption scenarios obtained through focus group discussions and expert interviews, we assess obstacles and opportunities for adoption as well as cost-effectiveness of these interventions. In two alternative scenarios for the GM banana (M9 matooke), we assume 40% and 64% adoption rates, which would result in US$29,374,151 and US$63,259,415 in income saved, respectively. As an alternative, for the symmetrical scenarios, we calculate that if the nHpVA banana (Apantu plantain, native of Ghana) were to be adopted, US$46,100,148 and US$76,364,988 in income would be saved. Taking into account the full cost of R&D, we estimate that the M9 matooke could save one disability-adjusted life year (DALY) at a cost of US$67.37 at best and US$145.09 at worst. We estimate that the Apantu plantain could save one DALY at a cost of US$50.54 at best and US$83.72 at worst. Our DALY analysis estimates that all assessed HpVA banana interventions are extremely cost-effective in all scenarios, following both the World Bank's and the WHO criteria. Nevertheless, successful interventions would require extensive promotion campaigns and shifts in agricultural value chains. |
| format | Journal Article |
| id | CGSpace113153 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Frontiers Media |
| publisherStr | Frontiers Media |
| record_format | dspace |
| spelling | CGSpace1131532025-11-11T19:06:50Z Reassessing the cost-effectiveness of high-provitamin A bananas to reduce vitamin A deficiency in Uganda Kozicka, Marta Elsey, Julia Ekesa, Beatrice Ajambo, Susan Kikulwe, Enoch Mutebi Gotor, Elisabetta bananas vitamin a deficiency human nutrition supply balance cost analysis carencia de vitamina a bananos oferta y demanda análisis de costos There are two high-provitamin A (pVA) banana-based interventions potentially available in Uganda—biofortified genetically modified (GM) banana and fast-tracked banana landraces from outside Uganda that are naturally high in provitamin A (nHpVA). Based on the newest country statistics and using adoption scenarios obtained through focus group discussions and expert interviews, we assess obstacles and opportunities for adoption as well as cost-effectiveness of these interventions. In two alternative scenarios for the GM banana (M9 matooke), we assume 40% and 64% adoption rates, which would result in US$29,374,151 and US$63,259,415 in income saved, respectively. As an alternative, for the symmetrical scenarios, we calculate that if the nHpVA banana (Apantu plantain, native of Ghana) were to be adopted, US$46,100,148 and US$76,364,988 in income would be saved. Taking into account the full cost of R&D, we estimate that the M9 matooke could save one disability-adjusted life year (DALY) at a cost of US$67.37 at best and US$145.09 at worst. We estimate that the Apantu plantain could save one DALY at a cost of US$50.54 at best and US$83.72 at worst. Our DALY analysis estimates that all assessed HpVA banana interventions are extremely cost-effective in all scenarios, following both the World Bank's and the WHO criteria. Nevertheless, successful interventions would require extensive promotion campaigns and shifts in agricultural value chains. 2021-03-26 2021-03-30T06:51:33Z 2021-03-30T06:51:33Z Journal Article https://hdl.handle.net/10568/113153 en Open Access application/pdf Frontiers Media Kozicka, M.; Elsey, J.; Ekesa, B.; Ajambo, S.; Kikulwe, E.; Gotor, E. (2021) Reassessing the cost-effectiveness of high-provitamin A bananas to reduce vitamin A deficiency in Uganda. Frontiers in Sustainable Food Systems 5:649424. ISSN: 2571-581X |
| spellingShingle | bananas vitamin a deficiency human nutrition supply balance cost analysis carencia de vitamina a bananos oferta y demanda análisis de costos Kozicka, Marta Elsey, Julia Ekesa, Beatrice Ajambo, Susan Kikulwe, Enoch Mutebi Gotor, Elisabetta Reassessing the cost-effectiveness of high-provitamin A bananas to reduce vitamin A deficiency in Uganda |
| title | Reassessing the cost-effectiveness of high-provitamin A bananas to reduce vitamin A deficiency in Uganda |
| title_full | Reassessing the cost-effectiveness of high-provitamin A bananas to reduce vitamin A deficiency in Uganda |
| title_fullStr | Reassessing the cost-effectiveness of high-provitamin A bananas to reduce vitamin A deficiency in Uganda |
| title_full_unstemmed | Reassessing the cost-effectiveness of high-provitamin A bananas to reduce vitamin A deficiency in Uganda |
| title_short | Reassessing the cost-effectiveness of high-provitamin A bananas to reduce vitamin A deficiency in Uganda |
| title_sort | reassessing the cost effectiveness of high provitamin a bananas to reduce vitamin a deficiency in uganda |
| topic | bananas vitamin a deficiency human nutrition supply balance cost analysis carencia de vitamina a bananos oferta y demanda análisis de costos |
| url | https://hdl.handle.net/10568/113153 |
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