Fortification of staple foods with calcium: a novel costing tool to inform decision making.

calcium cost analysis evidence-based policy fortification nutrition

Journal

Annals of the New York Academy of Sciences
ISSN: 1749-6632
Titre abrégé: Ann N Y Acad Sci
Pays: United States
ID NLM: 7506858

Informations de publication

Date de publication:
07 2022
Historique:
received: 08 11 2021
accepted: 04 03 2022
pubmed: 1 4 2022
medline: 16 7 2022
entrez: 31 3 2022
Statut: ppublish

Résumé

Low calcium intake and its impact on maternal and child health are a major concern in low- and middle-income countries. Given the low calcium in diet, as well as the low adherence and acceptability of calcium pills in those settings, the discussion about policies to increase calcium intake has moved toward staple food fortification strategies. Nevertheless, there is scarce information on the economic feasibility of implementing these strategies. We aimed to design and propose a novel costing tool to estimate the cost of the flour fortification with calcium by carrying out a literature review about costing studies for staple food fortification programs and costing tools previously developed. A deliberative meeting with stakeholders was held to discuss and face-validate the conceptual framework proposed. We showed the costing tool application for the case of Costa Rica (a country with a population with low calcium intake), including the absolute cost of the staple food fortification production process, the incremental cost of fortification according to the public/private sector, and the incremental cost by target population. This open-source and publicly available costing tool can be useful to inform policymaking in countries considering the implementation of staple food fortification programs.

Identifiants

pubmed: 35357714
doi: 10.1111/nyas.14775
doi:

Substances chimiques

Calcium, Dietary 0
Calcium SY7Q814VUP

Types de publication

Journal Article Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

79-88

Informations de copyright

© 2022 New York Academy of Sciences.

Références

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Auteurs

Alfredo Palacios (A)

Health Technology Assessment and Health Economics Department, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina.

Carlos Rojas-Roque (C)

Health Technology Assessment and Health Economics Department, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina.

Dario Balan (D)

Health Technology Assessment and Health Economics Department, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina.

Isabela Sosa Estani (I)

Health Technology Assessment and Health Economics Department, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina.

José M Belizán (JM)

Department of Mother and Child Health Research, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina.
Center for Research in Epidemiology and Public Health (CIESP), National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina.

Gabriela Cormick (G)

Department of Mother and Child Health Research, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina.
Center for Research in Epidemiology and Public Health (CIESP), National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina.
Departamento de Salud, Universidad Nacional de La Matanza, San Justo, Argentina.

Federico Augustovski (F)

Health Technology Assessment and Health Economics Department, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina.
Center for Research in Epidemiology and Public Health (CIESP), National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina.
University of Buenos Aires School of Medicine, Buenos Aires, Argentina.

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