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Cost analysis as a vitamin A program design and evaluation tool: a case study of the Philippines

Author

Listed:
  • Fiedler, John L.
  • Dado, Dyezebel R.
  • Maglalang, Hector
  • Juban, Noel
  • Capistrano, Melgabal
  • Magpantay, Maria Vicenta

Abstract

Vitamin A deficiency (VAD) is a serious and widespread public health problem in the Philippines. Initiated in 1993, the Philippines National Vitamin A Supplementation Program (NVASP) is one of the oldest, most mature and comprehensive of its kind. This paper presents a cost-effectiveness and efficiency analysis of the NVASP and of a hypothetical program of vitamin A fortification of wheat flour that was conducted to inform policymakers as to how to modify the program. Employing a proxy effectiveness indicator of VAD -- the intake of

Suggested Citation

  • Fiedler, John L. & Dado, Dyezebel R. & Maglalang, Hector & Juban, Noel & Capistrano, Melgabal & Magpantay, Maria Vicenta, 2000. "Cost analysis as a vitamin A program design and evaluation tool: a case study of the Philippines," Social Science & Medicine, Elsevier, vol. 51(2), pages 223-242, July.
    • Handle: RePEc:eee:socmed:v:51:y:2000:i:2:p:223-242
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    Cited by:

    1. Matin Qaim & Alexander J. Stein & J. V. Meenakshi, 2007. "Economics of biofortification," Agricultural Economics, International Association of Agricultural Economists, vol. 37(s1), pages 119-133, December.
    2. Dawe, D. & Robertson, R. & Unnevehr, L., 2002. "Golden rice: what role could it play in alleviation of vitamin A deficiency?," Food Policy, Elsevier, vol. 27(5-6), pages 541-560.
    3. Benjamin Johns & Rob Baltussen, 2004. "Accounting for the cost of scaling‐up health interventions," Health Economics, John Wiley & Sons, Ltd., vol. 13(11), pages 1117-1124, November.
    4. Stein, Alexander J. & Sachdev, H.P.S. & Qaim, Matin, 2006. "Can genetic engineering for the poor pay off? An ex-ante evaluation of Golden Rice in India," Research in Development Economics and Policy (Discussion Paper Series) 8534, Universitaet Hohenheim, Department of Agricultural Economics and Social Sciences in the Tropics and Subtropics.
    5. Zimmermann, Roukayatou & Stein, Alexander J. & Qaim, Matin, 2004. "Mikronährstoffmangel? Ein gesundheitsökonomischer Bewertungsansatz," German Journal of Agricultural Economics, Humboldt-Universitaet zu Berlin, Department for Agricultural Economics, vol. 53(02), pages 1-10.
    6. Zimmermann, Roukayatou & Qaim, Matin, 2004. "Potential health benefits of Golden Rice: a Philippine case study," Food Policy, Elsevier, vol. 29(2), pages 147-168, April.
    7. Jeffrey Chow & Eili Y Klein & Ramanan Laxminarayan, 2010. "Cost-Effectiveness of “Golden Mustard” for Treating Vitamin A Deficiency in India," PLOS ONE, Public Library of Science, vol. 5(8), pages 1-9, August.

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