Cost of Acute Malnutrition Treatment Using a Simplified or Standard Protocol in Diffa, Niger

Evidence on the cost of acute malnutrition treatment, particularly with regards to simplified approaches, is limited. The objective of this study was to determine the cost of acute malnutrition treatment and how it is influenced by treatment protocol and programme size. We conducted a costing study...

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Detalles Bibliográficos
Autores: Cichon, Bernardette, López Ejeda, Noemí, Charle Cuellar, Pilar, Ango Hamissou, Issa, Abdoul Karim, Ali Amadou, Aton, Cornelia, Sanoussi, Atté, Ousmane, Nassirou, Hamidou Lazoumar, Ramatoulaye, Ousmane Gado, Abdoul Aziz, Yassi Harouna, Zakou, Guerrero Oteyza, Saul
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/103656
Acceso en línea:https://hdl.handle.net/20.500.14352/103656
Access Level:acceso abierto
Palabra clave:613.24
Acute malnutrition
RUTF
Cost
Cost-efficiency
Treatment
Dietética y nutrición (Medicina)
3206 Ciencias de la Nutrición
Descripción
Sumario:Evidence on the cost of acute malnutrition treatment, particularly with regards to simplified approaches, is limited. The objective of this study was to determine the cost of acute malnutrition treatment and how it is influenced by treatment protocol and programme size. We conducted a costing study in Kabléwa and N’Guigmi, Diffa region, where children with acute malnutrition aged 6–59 months were treated either with a standard or simplified protocol, respectively. Cost data were collected from accountancy records and through key informant interviews. Programme data were extracted from health centre records. In Kabléwa, where 355 children were treated, the cost per child treated was USD 187.3 (95% CI: USD 171.4; USD 203.2). In N’Guigmi, where 889 children were treated, the cost per child treated was USD 110.2 (95% CI: USD 100.0; USD 120.3). Treatment of moderate acute malnutrition was cheaper than treatment of severe acute malnutrition. In a modelled scenario sensitivity analysis with an equal number of children in both areas, the difference in costs between the two locations was reduced from USD 77 to USD 11. Our study highlighted the significant impact of programme size and coverage on treatment costs, that cost can differ significantly between neighbouring locations, and that it can be reduced by using a simplified protocol.

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