多种微量营养素补充的成本效益计算工具,用于为孕产妇营养政策和投资决策提供信息
Allison M J Verney1, Jennifer F Busch-Hallen1, Dylan D Walters1
1Nutrition International, Ottawa, Ontario, Canada.
Maternal & child nutrition
|June 28, 2023
概括
产前多重微量营养素补充剂 (MMS) 提供比铁和叶酸补充剂 (IFAS) 更好的价值. 这种干预措施具有成本效益,避免了低收入和中等收入国家的孕妇的显著发病率和死亡率.
科学领域:
- 公共卫生 公共卫生
- 孕产妇的营养 孕产妇的营养
- 卫生经济学 卫生经济学
背景情况:
- 产前多重微量营养素补充 (MMS) 对于实现全球营养目标至关重要,包括减少低出生体重,衰老和贫血.
- 目前的做法往往涉及在怀孕期间补充铁和叶酸 (IFAS).
- 需要基于证据的决策工具来指导对孕产妇营养的投资.
研究的目的:
- 引入MMS成本效益工具,这是一个新的建模资源.
- 与IFAS相比,评估产前MMS的成本效益和经济价值.
- 支持全球指导方针制定和国家对母婴营养的投资决策.
主要方法:
- 由营养国际开发的MMS成本效益工具.
- 使用来自33个低收入和中等收入国家 (LMIC) 的数据.
- 产生对健康影响,预算影响,经济价值,成本效益和成本效益比率的估计.
主要成果:
- 预计过渡到MMS将带来大量的健康益处,包括避免发病率和死亡率.
- 在研究的国家,MMS在多种场景中表现出高的成本效益.
- 每DALY的平均成本为23.61美元,利成本比率从41: 1到1304: 1.
结论:
- 与IFAS相比,产前MMS是一个非常具有成本效益的投资.
- 该MMS成本效益工具为决策者和营养合作伙伴提供了有价值的,数据驱动的见解.
- 该工具促进基于证据的决策,以扩大全球孕妇的MMS.
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