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Weekly Iron-Folic Acid Supplementation with Regular Deworming Is Cost-Effective in Preventing Anaemia in Women of Reproductive Age in Vietnam

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Listed:
  • Gerard J Casey
  • Davide Sartori
  • Susan E Horton
  • Tran Q Phuc
  • Luong B Phu
  • Dang T Thach
  • Tran C Dai
  • Giovanni Fattore
  • Antonio Montresor
  • Beverley-A Biggs

Abstract

Background: To estimate the cost and cost-effectiveness of a project administering de-worming and weekly iron-folic acid supplementation to control anaemia in women of reproductive age in Yen Bai province, Vietnam. Methods and Findings: Cost effectiveness was evaluated using data on programmatic costs based on two surveys in 2006 and 2009 and impact on anaemia and iron status collected in 2006, 2007, and 2008. Data on initial costs for training and educational materials were obtained from the records of the National Institute of Malariology, Parasitology and Entomology and the Yen Bai Malaria Control Program. Structured questionnaires for health workers at district, commune and village level were used to collect ongoing distribution and monitoring costs, and for participants to collect transport and loss of earnings costs. The cost per woman treated (defined as consuming at least 75% of the recommended intake) was USD0.76 per annum. This estimate includes financial costs (for supplies, training), and costs of health care workers' time. Prevalence of anaemia fell from 38% at baseline, to 20% after 12 months. Thus, the cost-effectiveness of the project is assessed at USD 4.24 per anaemia case prevented per year. Based on estimated productivity gains for adult women, the benefit:cost ratio is 6.7∶1. Cost of the supplements and anthelminthics was 47% of the total, while costs of training, monitoring, and health workers' time accounted for 53%. Conclusion: The study shows that weekly iron-folic acid supplementation and regular de-worming is a low-cost and cost-effective intervention and would be appropriate for population-based introduction in settings with a high prevalence of anaemia and iron deficiency and low malaria infection rates.

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  • Gerard J Casey & Davide Sartori & Susan E Horton & Tran Q Phuc & Luong B Phu & Dang T Thach & Tran C Dai & Giovanni Fattore & Antonio Montresor & Beverley-A Biggs, 2011. "Weekly Iron-Folic Acid Supplementation with Regular Deworming Is Cost-Effective in Preventing Anaemia in Women of Reproductive Age in Vietnam," PLOS ONE, Public Library of Science, vol. 6(9), pages 1-5, September.
    • Handle: RePEc:plo:pone00:0023723
    DOI: 10.1371/journal.pone.0023723
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    References listed on IDEAS

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    1. Horton, S. & Ross, J., 2003. "The economics of iron deficiency," Food Policy, Elsevier, vol. 28(1), pages 51-75, February.
    2. World Bank, 2010. "World Development Indicators 2010," World Bank Publications - Books, The World Bank Group, number 4373.
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    1. Edeltraud J Lenk & William K Redekop & Marianne Luyendijk & Adriana J Rijnsburger & Johan L Severens, 2016. "Productivity Loss Related to Neglected Tropical Diseases Eligible for Preventive Chemotherapy: A Systematic Literature Review," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 10(2), pages 1-19, February.
    2. Bach Xuan Tran & Vuong Minh Nong & Rachel Marie Maher & Phuong Khanh Nguyen & Hoat Ngoc Luu, 2014. "A Systematic Review of Scope and Quality of Health Economic Evaluation Studies in Vietnam," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-12, August.
    3. Ameye, H., 2018. "Secondary Towns The Nutritional Sweet Spot. A study of East Africa," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 277211, International Association of Agricultural Economists.

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