Weekly iron-folic acid supplementation with regular deworming is cost-effective in preventing anaemia in women of reproductive age in Vietnam.

<h4>Background</h4>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.<h4>Methods and findings</h4>Cost effectiveness was eva...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: 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
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2011
Materias:
R
Q
Acceso en línea:https://doaj.org/article/26003eb969e449da80364fc92164c392
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:26003eb969e449da80364fc92164c392
record_format dspace
spelling oai:doaj.org-article:26003eb969e449da80364fc92164c3922021-12-02T20:11:44ZWeekly iron-folic acid supplementation with regular deworming is cost-effective in preventing anaemia in women of reproductive age in Vietnam.1932-620310.1371/journal.pone.0023723https://doaj.org/article/26003eb969e449da80364fc92164c3922011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21931611/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Methods and findings</h4>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%.<h4>Conclusion</h4>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.Gerard J CaseyDavide SartoriSusan E HortonTran Q PhucLuong B PhuDang T ThachTran C DaiGiovanni FattoreAntonio MontresorBeverley-A BiggsPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 9, p e23723 (2011)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
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
Weekly iron-folic acid supplementation with regular deworming is cost-effective in preventing anaemia in women of reproductive age in Vietnam.
description <h4>Background</h4>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.<h4>Methods and findings</h4>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%.<h4>Conclusion</h4>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.
format article
author 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
author_facet 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
author_sort Gerard J Casey
title Weekly iron-folic acid supplementation with regular deworming is cost-effective in preventing anaemia in women of reproductive age in Vietnam.
title_short Weekly iron-folic acid supplementation with regular deworming is cost-effective in preventing anaemia in women of reproductive age in Vietnam.
title_full Weekly iron-folic acid supplementation with regular deworming is cost-effective in preventing anaemia in women of reproductive age in Vietnam.
title_fullStr Weekly iron-folic acid supplementation with regular deworming is cost-effective in preventing anaemia in women of reproductive age in Vietnam.
title_full_unstemmed Weekly iron-folic acid supplementation with regular deworming is cost-effective in preventing anaemia in women of reproductive age in Vietnam.
title_sort weekly iron-folic acid supplementation with regular deworming is cost-effective in preventing anaemia in women of reproductive age in vietnam.
publisher Public Library of Science (PLoS)
publishDate 2011
url https://doaj.org/article/26003eb969e449da80364fc92164c392
work_keys_str_mv AT gerardjcasey weeklyironfolicacidsupplementationwithregulardewormingiscosteffectiveinpreventinganaemiainwomenofreproductiveageinvietnam
AT davidesartori weeklyironfolicacidsupplementationwithregulardewormingiscosteffectiveinpreventinganaemiainwomenofreproductiveageinvietnam
AT susanehorton weeklyironfolicacidsupplementationwithregulardewormingiscosteffectiveinpreventinganaemiainwomenofreproductiveageinvietnam
AT tranqphuc weeklyironfolicacidsupplementationwithregulardewormingiscosteffectiveinpreventinganaemiainwomenofreproductiveageinvietnam
AT luongbphu weeklyironfolicacidsupplementationwithregulardewormingiscosteffectiveinpreventinganaemiainwomenofreproductiveageinvietnam
AT dangtthach weeklyironfolicacidsupplementationwithregulardewormingiscosteffectiveinpreventinganaemiainwomenofreproductiveageinvietnam
AT trancdai weeklyironfolicacidsupplementationwithregulardewormingiscosteffectiveinpreventinganaemiainwomenofreproductiveageinvietnam
AT giovannifattore weeklyironfolicacidsupplementationwithregulardewormingiscosteffectiveinpreventinganaemiainwomenofreproductiveageinvietnam
AT antoniomontresor weeklyironfolicacidsupplementationwithregulardewormingiscosteffectiveinpreventinganaemiainwomenofreproductiveageinvietnam
AT beverleyabiggs weeklyironfolicacidsupplementationwithregulardewormingiscosteffectiveinpreventinganaemiainwomenofreproductiveageinvietnam
_version_ 1718374872616271872