Reassessing the cost-effectiveness of high-provitamin A bananas to reduce vitamin A deficiency in Uganda

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dc.creatorKozicka, Marta
dc.creatorElsey, Julia
dc.creatorEkesa, Beatrice
dc.creatorAjambo, Susan
dc.creatorKikulwe, Enoch Mutebi
dc.creatorGotor, Elisabetta
dc.date2021-03-26
dc.date2021-03-30T06:51:33Z
dc.date2021-03-30T06:51:33Z
dc.date.accessioned2026-06-27T13:36:28Z
dc.descriptionThere are two high-provitamin A (pVA) banana-based interventions potentially available in Uganda—biofortified genetically modified (GM) banana and fast-tracked banana landraces from outside Uganda that are naturally high in provitamin A (nHpVA). Based on the newest country statistics and using adoption scenarios obtained through focus group discussions and expert interviews, we assess obstacles and opportunities for adoption as well as cost-effectiveness of these interventions. In two alternative scenarios for the GM banana (M9 matooke), we assume 40% and 64% adoption rates, which would result in US$29,374,151 and US$63,259,415 in income saved, respectively. As an alternative, for the symmetrical scenarios, we calculate that if the nHpVA banana (Apantu plantain, native of Ghana) were to be adopted, US$46,100,148 and US$76,364,988 in income would be saved. Taking into account the full cost of R&D, we estimate that the M9 matooke could save one disability-adjusted life year (DALY) at a cost of US$67.37 at best and US$145.09 at worst. We estimate that the Apantu plantain could save one DALY at a cost of US$50.54 at best and US$83.72 at worst. Our DALY analysis estimates that all assessed HpVA banana interventions are extremely cost-effective in all scenarios, following both the World Bank's and the WHO criteria. Nevertheless, successful interventions would require extensive promotion campaigns and shifts in agricultural value chains.
dc.formatapplication/pdf
dc.identifierhttps://hdl.handle.net/10568/113153
dc.identifier.urihttp://hdl.handle.net/123456789/64711
dc.languageen
dc.publisherFrontiers Media
dc.rightsOpen Access
dc.sourceKozicka, M.; Elsey, J.; Ekesa, B.; Ajambo, S.; Kikulwe, E.; Gotor, E. (2021) Reassessing the cost-effectiveness of high-provitamin A bananas to reduce vitamin A deficiency in Uganda. Frontiers in Sustainable Food Systems 5:649424. ISSN: 2571-581X
dc.subjectbananas
dc.subjectvitamin a deficiency
dc.subjecthuman nutrition
dc.subjectsupply balance
dc.subjectcost analysis
dc.subjectcarencia de vitamina a
dc.subjectbananos
dc.subjectoferta y demanda
dc.subjectanálisis de costos
dc.titleReassessing the cost-effectiveness of high-provitamin A bananas to reduce vitamin A deficiency in Uganda
dc.typeJournal Article

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