The purpose of the study presented in this paper was to estimate, using secondary sources of data, the cost and effectiveness of three programs to combat vitamin A deficiency in Guatemala-the national sugar fortification program, a targeted capsules distribution program and the promotion of home food production combined with nutrition education-and to draw conclusions concerning priorities for Guatemala.
Data on the costs and coverage were collected from implementing agencies in Guatemala.
Coverage data were converted into a common set of impact indicators.
Sensitivity analyses were conducted on variables whose precise value was uncertain.
Potential impacts of improvements in program performance operations were also explored.
The analysis found the cost per high-risk person achieving adequate vitamin A to be USS 0.98 for fortification, USS 1.68-1.86 for capsule distribution and USS 3.10-4.16 for food production/education.
Fortification is the most efficient option if vitamin A levels in sugar are maintained at reasonable levels.
Where fortified sugar is not consumed and vitamin A deficiency is highly prevalent, small-scale, targeted, complementary interventions such as capsules and food production/education may be appropriate for sustained/broader impacts.
Mots-clés Pascal : Rétinol, Vitamine, Déficit, Programme sanitaire, Prévention, Chimiothérapie, Traitement, Nutrition, Complémentation, Education nutritionnelle, Etude comparative, Analyse coût efficacité, Economie santé, Guatemala, Amérique Centrale, Amérique
Mots-clés Pascal anglais : Retinol, Vitamin, Deficiency, Sanitary program, Prevention, Chemotherapy, Treatment, Nutrition, Complementation, Nutrition education, Comparative study, Cost efficiency analysis, Health economy, Guatemala, Central America, America
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0285261
Code Inist : 002B30A03A. Création : 199608.