The cost of improving nutritional outcomes through food‐assisted maternal and child health and nutrition programs in Burundi and Guatemala
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 (preg...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
| Language: | Inglés |
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John Wiley & Sons
2020
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| Online Access: | https://hdl.handle.net/10568/142789 |
| _version_ | 1855538501084250112 |
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| author | Heckert, Jessica Leroy, Jef L. Olney, Deanna K. Ritcher, Susan Iruhiriye, Elyse Ruel, Marie T. |
| author_browse | Heckert, Jessica Iruhiriye, Elyse Leroy, Jef L. Olney, Deanna K. Ritcher, Susan Ruel, Marie T. |
| author_facet | Heckert, Jessica Leroy, Jef L. Olney, Deanna K. Ritcher, Susan Iruhiriye, Elyse Ruel, Marie T. |
| author_sort | Heckert, Jessica |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | 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. |
| format | Journal Article |
| id | CGSpace142789 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | John Wiley & Sons |
| publisherStr | John Wiley & Sons |
| record_format | dspace |
| spelling | CGSpace1427892024-10-25T08:05:01Z The cost of improving nutritional outcomes through food‐assisted maternal and child health and nutrition programs in Burundi and Guatemala Heckert, Jessica Leroy, Jef L. Olney, Deanna K. Ritcher, Susan Iruhiriye, Elyse Ruel, Marie T. maternal and child health costs programmes child health food rationing nutrition cost analysis 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. 2020-01-01 2024-05-22T12:11:04Z 2024-05-22T12:11:04Z Journal Article https://hdl.handle.net/10568/142789 en Open Access John Wiley & Sons Heckert, Jessica; Leroy, Jef L.; Olney, Deanna K.; Ritcher, Susan; Iruhiriye, Elyse; and Ruel, Marie T. 2020. The cost of improving nutritional outcomes through food‐assisted maternal and child health and nutrition programs in Burundi and Guatemala. Maternal and Child Nutrition 16(1): e12863. https://doi.org/10.1111/mcn.12863 |
| spellingShingle | maternal and child health costs programmes child health food rationing nutrition cost analysis Heckert, Jessica Leroy, Jef L. Olney, Deanna K. Ritcher, Susan Iruhiriye, Elyse Ruel, Marie T. The cost of improving nutritional outcomes through food‐assisted maternal and child health and nutrition programs in Burundi and Guatemala |
| title | The cost of improving nutritional outcomes through food‐assisted maternal and child health and nutrition programs in Burundi and Guatemala |
| title_full | The cost of improving nutritional outcomes through food‐assisted maternal and child health and nutrition programs in Burundi and Guatemala |
| title_fullStr | The cost of improving nutritional outcomes through food‐assisted maternal and child health and nutrition programs in Burundi and Guatemala |
| title_full_unstemmed | The cost of improving nutritional outcomes through food‐assisted maternal and child health and nutrition programs in Burundi and Guatemala |
| title_short | The cost of improving nutritional outcomes through food‐assisted maternal and child health and nutrition programs in Burundi and Guatemala |
| title_sort | cost of improving nutritional outcomes through food assisted maternal and child health and nutrition programs in burundi and guatemala |
| topic | maternal and child health costs programmes child health food rationing nutrition cost analysis |
| url | https://hdl.handle.net/10568/142789 |
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