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EFNEP: a nutrition education program that demonstrates cost-benefit.

Janie Burney¹, Betsy Haughton

¹Tennessee Agricultural Extension Service, The University of Tennessee, Knoxville, USA. jburney@utk.edu

Journal of the American Dietetic Association

|January 17, 2002

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The Expanded Food and Nutrition Education Program (EFNEP) is cost-beneficial, with participants saving money on food. This nutrition education program demonstrates a positive return on investment for public health initiatives.

Area of Science:

Public Health Nutrition
Health Economics

Background:

Nutrition education programs aim to improve dietary behaviors and health outcomes.
Evaluating the economic value of such programs is crucial for resource allocation and policy decisions.

Purpose of the Study:

To conduct a cost-benefit analysis of the Expanded Food and Nutrition Education Program (EFNEP).
To determine if participant savings in food expenditures justify program costs.

Main Methods:

Collected program costs and prospective data on food expenditures from 371 women over 6 months.
Calculated Net Present Value (NPV) using cost per participant and projected 5-year savings at various discount rates.
Compared food expenditures, intakes, and behaviors between nutrition education participants and a control group.

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Main Results:

Average EFNEP cost per participant was $388.
Participants' monthly food expenditures decreased by $10-$20, equating to $124-$234 annually.
Projected 5-year NPV ranged from $147 to $696, indicating cost-benefit.
Participants increased intake of key nutrients and adopted healthier food practices.

Conclusions:

EFNEP is a cost-beneficial program.
The financial benefits are sensitive to reporting methods and long-term behavior change retention.
The program yields positive economic value and improves nutritional intake.