Cost analysis of community-based daily and weekly programs for treatment of moderate and mild wasting among children on Nias Island, Indonesia
| Autor: | Nia Novita Wirawan, Dyah Ayu Inayati, Rosnani Verba Pangaribuan, Ratna Chrismiari Purwestri, Volker Hoffmann, Julia Suryantan, Veronika Scherbaum, Matin Qaim, Hans Konrad Biesalski, Maurice Alexander Bloem, Anne C. Bellows |
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| Rok vydání: | 2012 |
| Předmět: |
Male
Rural Population Time Factors Urban Population 030309 nutrition & dietetics medicine.medical_treatment Geography Planning and Development Weight Gain 03 medical and health sciences 0302 clinical medicine medicine Humans Operations management 030212 general & internal medicine Wasting 2. Zero hunger Community based 0303 health sciences Nutrition and Dietetics Rehabilitation business.industry Wasting Syndrome Malnutrition 1. No poverty Infant Indonesia Child Preschool Dietary Supplements Cost analysis Costs and Cost Analysis Fast Foods Female medicine.symptom business Weight gain Delivery of Health Care Food Science Demography |
| Zdroj: | ResearcherID |
| ISSN: | 0379-5721 |
| Popis: | Background Ready-to-use food in the form of biscuits (RUF-Nias biscuit) was locally produced for rehabilitation of moderately and mildly wasted (weight-for-height z-score ≥ −3 to < −1.5 SD) children on Nias Island, Indonesia. Daily programs were performed in semiurban settings, and weekly programs took place in rural areas. Objective To analyze the cost of daily and weekly distribution and supervision of RUF-Nias biscuit programs. Methods The costs of the daily and weekly programs were derived from the financial report and interviews with program implementers and participating households. Costs were calculated on the basis of total rehabilitation costs per child per day required to achieve a target weight-for-height z-score ≥ −1.5 SD in daily and weekly programs. Results Institutional costs to the implementing organization were similar for both programs (approximately US$4 per child per day). The daily programs resulted in a significantly higher proportion of recovered children (78.6% vs. 65.4%) and higher weight gain (3.7 vs. 2.2 g/kg/day) than the weekly programs. About 6% to 7% of the total cost of the programs was accounted for by locally produced RUF-Nias biscuits. The social cost borne by the community for the weekly programs was about half that for the daily programs. Conclusions The daily programs achieved better results for the implementing organization than the weekly programs; however, the weekly programs were preferred by the community because of the lower time constraints and the lower opportunity cost of time. The willingness of community and household members to invest their time in more intensive activities in the daily programs led to better program outcomes. |
| Databáze: | OpenAIRE |
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