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    Jan 17, 2021
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    Cost analysis of the treatment of severe acute malnutrition in West Africa

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    Authors
    Isanaka, S
    Menzies, NA
    Sayyad, J
    Ayoola, M
    Grais, RF
    Doyon, S
    Issue Date
    2016-12-05
    Submitted date
    2018-02-01
    
    Metadata
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    Journal
    Maternal & Child Nutrition
    Abstract
    We present an updated cost analysis to provide new estimates of the cost of providing community-based treatment for severe acute malnutrition, including expenditure shares for major cost categories. We calculated total and per child costs from a provider perspective. We categorized costs into three main activities (outpatient treatment, inpatient treatment, and management/administration) and four cost categories within each activity (personnel; therapeutic food; medical supplies; and infrastructure and logistical support). For each category, total costs were calculated by multiplying input quantities expended in the Médecins Sans Frontières nutrition program in Niger during a 12-month study period by 2015 input prices. All children received outpatient treatment, with 43% also receiving inpatient treatment. In this large, well-established program, the average cost per child treated was €148.86, with outpatient and inpatient treatment costs of €75.50 and €134.57 per child, respectively. Therapeutic food (44%, €32.98 per child) and personnel (35%, €26.70 per child) dominated outpatient costs, while personnel (56%, €75.47 per child) dominated in the cost of inpatient care. Sensitivity analyses suggested lowering prices of medical treatments, and therapeutic food had limited effect on total costs per child, while increasing program size and decreasing use of expatriate staff support reduced total costs per child substantially. Updated estimates of severe acute malnutrition treatment cost are substantially lower than previously published values, and important cost savings may be possible with increases in coverage/program size and integration into national health programs. These updated estimates can be used to suggest approaches to improve efficiency and inform national-level resource allocation.
    Publisher
    Wiley-Blackwell
    URI
    http://hdl.handle.net/10144/619067
    DOI
    10.1111/mcn.12398
    PubMed ID
    27921381
    Language
    en
    Description
    We regret that this article is behind a paywall.
    ISSN
    1740-8709
    ae974a485f413a2113503eed53cd6c53
    10.1111/mcn.12398
    Scopus Count
    Collections
    Nutrition

    entitlement

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