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dc.contributor.authorMasters, William Aen_US
dc.contributor.authorRosettie, Katherine Len_US
dc.contributor.authorKranz, Sarahen_US
dc.contributor.authorDanaei, Goodarzen_US
dc.contributor.authorWebb, Patricken_US
dc.contributor.authorMozaffarian, Dariushen_US
dc.contributor.authorBhattacharjee, Lalitaen_US
dc.contributor.authorChandrasekhar, Sen_US
dc.contributor.authorChristensen, Cherylen_US
dc.contributor.authorDesai, Sonaldeen_US
dc.contributor.authorKazi-Hutchins, Nabeehaen_US
dc.contributor.authorLevin, Carolen_US
dc.contributor.authorPaarlberg, Roberten_US
dc.contributor.authorVosti, Stevenen_US
dc.contributor.authorAdekugbe, Olayinkaen_US
dc.contributor.authorAtomsa, Gudina Egataen_US
dc.contributor.authorBadham, Janeen_US
dc.contributor.authorBaye, Kaleaben_US
dc.contributor.authorBeyero, Mesfinen_US
dc.contributor.authorCovic, Namukoloen_US
dc.contributor.authorDalton, Babukiikaen_US
dc.contributor.authorDufour, Charlotteen_US
dc.contributor.authorFracassi, Patriziaen_US
dc.contributor.authorGetahun, Zewdituen_US
dc.contributor.authorHaidar, Jemalen_US
dc.contributor.authorHailu, Tesfayeen_US
dc.contributor.authorKebede, Awekeen_US
dc.contributor.authorKinabo, Joyceen_US
dc.contributor.authorKussaga, Jamal Bakarien_US
dc.contributor.authorMavrotas, Georgeen_US
dc.contributor.authorMwanja, Wilson Waiswaen_US
dc.contributor.authorOguntona, Babatundeen_US
dc.contributor.authorOladipo, Abiodunen_US
dc.contributor.authorOniang’o, Ruthen_US
dc.contributor.authorSibanda, Simbarasheen_US
dc.contributor.authorSodjinou, Rogeren_US
dc.contributor.authorTom, Carolen_US
dc.contributor.authorWamani, Henryen_US
dc.contributor.authorWendelin, Akwilinaen_US
dc.contributor.authorAdhikari, Ramesh Kanten_US
dc.contributor.authorAmatya, Archanaen_US
dc.contributor.authorBhattarai, Manaven_US
dc.contributor.authorBrahmbhatt, Viralen_US
dc.contributor.authorChandyo, Ram Krishnaen_US
dc.contributor.authorGulati, Seemaen_US
dc.contributor.authorKapil, Umeshen_US
dc.contributor.authorMehta, Ranjuen_US
dc.contributor.authorMohan, Saileshen_US
dc.contributor.authorPrabhakaran, Den_US
dc.contributor.authorPrakash, Ven_US
dc.contributor.authorPuri, Seemaen_US
dc.contributor.authorRoy, S Ken_US
dc.contributor.authorSharma, Rekhaen_US
dc.contributor.authorShivakoti, Sabnamen_US
dc.contributor.authorThorne-Lyman, Andrewen_US
dc.contributor.authorRana, Pooja Pandeyen_US
dc.contributor.authorTrilok-Kumar, Geetaen_US
dc.date.accessioned2018-05-30T17:04:29Z
dc.date.issued2018en_US
dc.identifier.citationMasters, W. A., K. L. Rosettie, S. Kranz, G. Danaei, P. Webb, D. Mozaffarian, L. Bhattacharjee, et al. 2018. “Designing programs to improve diets for maternal and child health: estimating costs and potential dietary impacts of nutrition-sensitive programs in Ethiopia, Nigeria, and India.” Health Policy and Planning 33 (4): 564-573. doi:10.1093/heapol/czy013. http://dx.doi.org/10.1093/heapol/czy013.en
dc.identifier.issnen
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:37068201
dc.description.abstractAbstract Improving maternal and child nutrition in resource-poor settings requires effective use of limited resources, but priority-setting is constrained by limited information about program costs and impacts, especially for interventions designed to improve diet quality. This study utilized a mixed methods approach to identify, describe and estimate the potential costs and impacts on child dietary intake of 12 nutrition-sensitive programs in Ethiopia, Nigeria and India. These potential interventions included conditional livestock and cash transfers, media and education, complementary food processing and sales, household production and food pricing programs. Components and costs of each program were identified through a novel participatory process of expert regional consultation followed by validation and calibration from literature searches and comparison with actual budgets. Impacts on child diets were determined by estimating of the magnitude of economic mechanisms for dietary change, comprehensive reviews of evaluations and effectiveness for similar programs, and demographic data on each country. Across the 12 programs, total cost per child reached (net present value, purchasing power parity adjusted) ranged very widely: from 0.58 to 2650 USD/year among five programs in Ethiopia; 2.62 to 1919 USD/year among four programs in Nigeria; and 27 to 586 USD/year among three programs in India. When impacts were assessed, the largest dietary improvements were for iron and zinc intakes from a complementary food production program in Ethiopia (increases of 17.7 mg iron/child/day and 7.4 mg zinc/child/day), vitamin A intake from a household animal and horticulture production program in Nigeria (335 RAE/child/day), and animal protein intake from a complementary food processing program in Nigeria (20.0 g/child/day). These results add substantial value to the limited literature on the costs and dietary impacts of nutrition-sensitive interventions targeting children in resource-limited settings, informing policy discussions and serving as critical inputs to future cost-effectiveness analyses focusing on disease outcomes.en
dc.language.isoen_USen
dc.publisherOxford University Pressen
dc.relation.isversionofdoi:10.1093/heapol/czy013en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894071/pdf/en
dash.licenseLAAen_US
dc.subjectFooden
dc.subjectnutritionen
dc.subjectagricultureen
dc.subjectpolicy evaluationen
dc.subjectchild healthen
dc.titleDesigning programs to improve diets for maternal and child health: estimating costs and potential dietary impacts of nutrition-sensitive programs in Ethiopia, Nigeria, and Indiaen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalHealth Policy and Planningen
dash.depositing.authorDanaei, Goodarzen_US
dc.date.available2018-05-30T17:04:29Z
dc.identifier.doi10.1093/heapol/czy013*
dash.authorsorderedfalse
dash.contributor.affiliatedDanaei, Goodarz


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