Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting
Treatment outcomes for acute malnutrition can be improved by integrating treatment into community case management (iCCM). However, little is known about the cost-effectiveness of this integrated nutrition intervention. The present study investigates the cost-effectiveness of treating moderate acute...
| Autores principales: | , , , , , , , , , , , , , , , , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Wiley
2024
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/149143 |
| _version_ | 1855519956353941504 |
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| author | Ilboudo, Patrick G. Donfouet, Hermann Pythagore Pierre Wilunda, Calistus Cichon, Bernardette Tewoldeberhan, Daniel Njiru, James Keane, Emily Mwangi, Bonventure Mwaniki, Elizabeth Zerfu, Taddese Alemu Schofield, Lilly Maina, Lucy Kutondo, Edward Agutu, Olivia Okoth, Peter Raburu, Judith Kavoo, Daniel Karimurio, Lydia Matanda, Charles Mutua, Alex Gichohi, Grace Kimani-Murage, Elizabeth |
| author_browse | Agutu, Olivia Cichon, Bernardette Donfouet, Hermann Pythagore Pierre Gichohi, Grace Ilboudo, Patrick G. Karimurio, Lydia Kavoo, Daniel Keane, Emily Kimani-Murage, Elizabeth Kutondo, Edward Maina, Lucy Matanda, Charles Mutua, Alex Mwangi, Bonventure Mwaniki, Elizabeth Njiru, James Okoth, Peter Raburu, Judith Schofield, Lilly Tewoldeberhan, Daniel Wilunda, Calistus Zerfu, Taddese Alemu |
| author_facet | Ilboudo, Patrick G. Donfouet, Hermann Pythagore Pierre Wilunda, Calistus Cichon, Bernardette Tewoldeberhan, Daniel Njiru, James Keane, Emily Mwangi, Bonventure Mwaniki, Elizabeth Zerfu, Taddese Alemu Schofield, Lilly Maina, Lucy Kutondo, Edward Agutu, Olivia Okoth, Peter Raburu, Judith Kavoo, Daniel Karimurio, Lydia Matanda, Charles Mutua, Alex Gichohi, Grace Kimani-Murage, Elizabeth |
| author_sort | Ilboudo, Patrick G. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Treatment outcomes for acute malnutrition can be improved by integrating treatment into community case management (iCCM). However, little is known about the cost-effectiveness of this integrated nutrition intervention. The present study investigates the cost-effectiveness of treating moderate acute malnutrition (MAM) through community health volunteer (CHV) and integrating it with routine iCCM. A cost-effectiveness model compared the costs and effects of CHV sites plus health facility-based treatment (intervention) with the routine health facility-based treatment strategy alone (control). The costing assessments combined both provider and patient costs. The cost per DALY averted was the primary metric for the comparison, on which sensitivity analysis was performed. Additionally, the integrated strategy's relative value for money was evaluated using the most recent country-specific gross domestic product threshold metrics. The intervention dominated the health facility-based strategy alone on all computed cost-effectiveness outcomes. MAM treatment by CHVs plus health facilities was estimated to yield a cost per death and DALY averted of US$ 8743 and US$ 397, respectively, as opposed to US$ 13,846 and US$ 637 in the control group. The findings also showed that the intervention group spent less per child treated and recovered than the control group: US$ 214 versus US$ 270 and US$ 306 versus US$ 485, respectively. Compared with facility-based treatment, treating MAM by CHVs and health facilities was a cost-effective intervention. Additional gains could be achieved if more children with MAM are enrolled and treated. |
| format | Journal Article |
| id | CGSpace149143 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Wiley |
| publisherStr | Wiley |
| record_format | dspace |
| spelling | CGSpace1491432025-04-08T18:31:21Z Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting Ilboudo, Patrick G. Donfouet, Hermann Pythagore Pierre Wilunda, Calistus Cichon, Bernardette Tewoldeberhan, Daniel Njiru, James Keane, Emily Mwangi, Bonventure Mwaniki, Elizabeth Zerfu, Taddese Alemu Schofield, Lilly Maina, Lucy Kutondo, Edward Agutu, Olivia Okoth, Peter Raburu, Judith Kavoo, Daniel Karimurio, Lydia Matanda, Charles Mutua, Alex Gichohi, Grace Kimani-Murage, Elizabeth child nutrition community management costs gross national product malnutrition cost analysis Treatment outcomes for acute malnutrition can be improved by integrating treatment into community case management (iCCM). However, little is known about the cost-effectiveness of this integrated nutrition intervention. The present study investigates the cost-effectiveness of treating moderate acute malnutrition (MAM) through community health volunteer (CHV) and integrating it with routine iCCM. A cost-effectiveness model compared the costs and effects of CHV sites plus health facility-based treatment (intervention) with the routine health facility-based treatment strategy alone (control). The costing assessments combined both provider and patient costs. The cost per DALY averted was the primary metric for the comparison, on which sensitivity analysis was performed. Additionally, the integrated strategy's relative value for money was evaluated using the most recent country-specific gross domestic product threshold metrics. The intervention dominated the health facility-based strategy alone on all computed cost-effectiveness outcomes. MAM treatment by CHVs plus health facilities was estimated to yield a cost per death and DALY averted of US$ 8743 and US$ 397, respectively, as opposed to US$ 13,846 and US$ 637 in the control group. The findings also showed that the intervention group spent less per child treated and recovered than the control group: US$ 214 versus US$ 270 and US$ 306 versus US$ 485, respectively. Compared with facility-based treatment, treating MAM by CHVs and health facilities was a cost-effective intervention. Additional gains could be achieved if more children with MAM are enrolled and treated. 2024-10 2024-07-17T20:09:55Z 2024-07-17T20:09:55Z Journal Article https://hdl.handle.net/10568/149143 en https://doi.org/10.1093/heapol/czae036 https://doi.org/10.1371/journal.pgph.0002564 Open Access Wiley Ilboudo, Patrick G.; Donfouet, Hermann Pythagore Pierre; Wilunda, Calistus; Cichon, Bernardette; Tewoldeberhan, Daniel; Njiru, James; et al. 2024. Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting. Maternal and Child Nutrition 20(4): e13695. https://doi.org/10.1111/mcn.13695 |
| spellingShingle | child nutrition community management costs gross national product malnutrition cost analysis Ilboudo, Patrick G. Donfouet, Hermann Pythagore Pierre Wilunda, Calistus Cichon, Bernardette Tewoldeberhan, Daniel Njiru, James Keane, Emily Mwangi, Bonventure Mwaniki, Elizabeth Zerfu, Taddese Alemu Schofield, Lilly Maina, Lucy Kutondo, Edward Agutu, Olivia Okoth, Peter Raburu, Judith Kavoo, Daniel Karimurio, Lydia Matanda, Charles Mutua, Alex Gichohi, Grace Kimani-Murage, Elizabeth Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting |
| title | Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting |
| title_full | Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting |
| title_fullStr | Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting |
| title_full_unstemmed | Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting |
| title_short | Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting |
| title_sort | treatment of moderate acute malnutrition through community health volunteers is a cost effective intervention evidence from a resource limited setting |
| topic | child nutrition community management costs gross national product malnutrition cost analysis |
| url | https://hdl.handle.net/10568/149143 |
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