Browsing by Author "Kranz, Sarah"

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    Modelling the potential cost-effectiveness of food-based programs to reduce malnutrition
    (Elsevier/ ScienceDirect, 2021) Webb, Patrick; Wendelin, Akwilina; Masters, William A.; Rosettie, Katherine L.; Leech, Ashley A.; Cohen, Joshua; Blakstad, Mia; Kranz, Sarah; Mozaffarian, Dariush
    Poor quality diets contribute to malnutrition globally, but evidence is weak on the cost-effectiveness of food- based interventions that shift diets. This study assessed 11 candidate interventions developed through Delphi techniques to improve diets in India, Nigeria, and Ethiopia. A Markov simulation model incorporated time, individual-level, nutrition, and policy parameters to estimate health impacts and cost-effectiveness for reducing stunting, anaemia, diarrhea, and mortality in preschool children. At an assumed 80% coverage, interventions considered would potentially save between 0⋅16 and 3⋅20 years of life per child. The average cost-effectiveness ratio ranged from US$9 to US$2000 per life year saved. This approach, linking expert knowledge, known costs, and modelling, offers potential for estimating cost-effective investments for better informed policy choice where empirical evidence is limited.