Cost of Acute Malnutrition Treatment Using a Simplified or Standard Protocol in Diffa, Niger
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Published:2023-09-01
Issue:17
Volume:15
Page:3833
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ISSN:2072-6643
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Container-title:Nutrients
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language:en
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Short-container-title:Nutrients
Author:
Cichon Bernardette1ORCID, Lopez Ejeda Noemi2ORCID, Charle Cuellar Pilar3ORCID, Hamissou Issa Ango4, Karim Ali Amadou Abdoul4, Aton Cornelia1, Sanoussi Atté5, Ousmane Nassirou5, Lazoumar Ramatoulaye Hamidou6, Gado Abdoul Aziz Ousmane7, Harouna Zakou Yassi7, Oteyza Saul Guerrero8
Affiliation:
1. Action Against Hunger UK, London SE10 0ER, UK 2. EPINUT Research Group (Ref. 920325), Unit of Physical Anthropology, Department of Biodiversity, Ecology and Evolution, Faculty of Biological Sciences, Complutense University of Madrid, 28040 Madrid, Spain 3. Action Against Hunger Spain, C/Duque de Sevilla no. 3, 28002 Madrid, Spain 4. Independent Consultant, Niamey, Niger 5. Nutrition Direction, Ministry of Health, Niamey BP 623, Niger 6. Centre de Recherche Médicale et Sanitaire (CERMES), Niamey BP 10887, Niger 7. Action Against Hunger, Niamey BP 11491, Niger 8. UNICEF, 3 United Nations Plaza, New York, NY 10017, USA
Abstract
Evidence on the cost of acute malnutrition treatment, particularly with regards to simplified approaches, is limited. The objective of this study was to determine the cost of acute malnutrition treatment and how it is influenced by treatment protocol and programme size. We conducted a costing study in Kabléwa and N’Guigmi, Diffa region, where children with acute malnutrition aged 6–59 months were treated either with a standard or simplified protocol, respectively. Cost data were collected from accountancy records and through key informant interviews. Programme data were extracted from health centre records. In Kabléwa, where 355 children were treated, the cost per child treated was USD 187.3 (95% CI: USD 171.4; USD 203.2). In N’Guigmi, where 889 children were treated, the cost per child treated was USD 110.2 (95% CI: USD 100.0; USD 120.3). Treatment of moderate acute malnutrition was cheaper than treatment of severe acute malnutrition. In a modelled scenario sensitivity analysis with an equal number of children in both areas, the difference in costs between the two locations was reduced from USD 77 to USD 11. Our study highlighted the significant impact of programme size and coverage on treatment costs, that cost can differ significantly between neighbouring locations, and that it can be reduced by using a simplified protocol.
Funder
ELRHA United States Agency for International Development
Subject
Food Science,Nutrition and Dietetics
Reference33 articles.
1. United Nations Children’s Fund (UNICEF), World Health Organization, and International Bank for Reconstruction and Development/The World Bank (2023, August 27). Levels and Trends in Child Malnutrition: Key Findings of the 2021 Edition of the Joint Child Malnutrition Estimates. Available online: https://www.who.int/publications/i/item/9789240025257. 2. Olofin, I., McDonald, C., Ezzati, M., Flaxman, S., Black, R., Fawzi, W., Caulfield, L., and Danaei, G. (2013). Associations of Suboptimal Growth with All-Cause and Cause-Specific Mortality in Children under Five Years: A Pooled Analysis of Ten Prospective Studies. PLoS ONE, 8. 3. WHO, FAO, UNHCR, and UNICEF (2023, August 27). WFP Global Action Plan on Child Wasting. A Framework to Accelerate Progress in Preventing and Managing Child Wasting and the Achievement of the Sustainable Development Goals. Available online: https://www.who.int/publications/m/item/global-action-plan-on-child-wasting-a-framework-for-action. 4. Bailey, J., Opondo, C., Lelijveld, N., Marron, B., Onyo, P., Musyoki, E.N., Adongo, S.W., Manary, M., Briend, A., and Kerac, M. (2020). A Simplified, Combined Protocol versus Standard Treatment for Acute Malnutrition in Children 6–59 Months (ComPAS Trial): A Cluster-Randomized Controlled Non-Inferiority Trial in Kenya and South Sudan. PLoS Med., 17. 5. Optimising the Dosage of Ready-to-Use Therapeutic Food in Children with Uncomplicated Severe Acute Malnutrition in the Democratic Republic of the Congo: A Non-Inferiority, Randomised Controlled Trial;Cazes;eClinicalMedicine,2023
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