Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting

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dc.creatorIlboudo, Patrick G.
dc.creatorDonfouet, Hermann Pythagore Pierre
dc.creatorWilunda, Calistus
dc.creatorCichon, Bernardette
dc.creatorTewoldeberhan, Daniel
dc.creatorNjiru, James
dc.creatorKeane, Emily
dc.creatorMwangi, Bonventure
dc.creatorMwaniki, Elizabeth
dc.creatorZerfu, Taddese Alemu
dc.creatorSchofield, Lilly
dc.creatorMaina, Lucy
dc.creatorKutondo, Edward
dc.creatorAgutu, Olivia
dc.creatorOkoth, Peter
dc.creatorRaburu, Judith
dc.creatorKavoo, Daniel
dc.creatorKarimurio, Lydia
dc.creatorMatanda, Charles
dc.creatorMutua, Alex
dc.creatorGichohi, Grace
dc.creatorKimani-Murage, Elizabeth
dc.date2024-10
dc.date2024-07-17T20:09:55Z
dc.date2024-07-17T20:09:55Z
dc.date.accessioned2026-06-27T15:07:10Z
dc.descriptionTreatment outcomes for acute malnutrition can be improved by integrating treatment into community case management (iCCM). However, little is known about the cost-effectiveness of this integrated nutrition intervention. The present study investigates the cost-effectiveness of treating moderate acute malnutrition (MAM) through community health volunteer (CHV) and integrating it with routine iCCM. A cost-effectiveness model compared the costs and effects of CHV sites plus health facility-based treatment (intervention) with the routine health facility-based treatment strategy alone (control). The costing assessments combined both provider and patient costs. The cost per DALY averted was the primary metric for the comparison, on which sensitivity analysis was performed. Additionally, the integrated strategy's relative value for money was evaluated using the most recent country-specific gross domestic product threshold metrics. The intervention dominated the health facility-based strategy alone on all computed cost-effectiveness outcomes. MAM treatment by CHVs plus health facilities was estimated to yield a cost per death and DALY averted of US$ 8743 and US$ 397, respectively, as opposed to US$ 13,846 and US$ 637 in the control group. The findings also showed that the intervention group spent less per child treated and recovered than the control group: US$ 214 versus US$ 270 and US$ 306 versus US$ 485, respectively. Compared with facility-based treatment, treating MAM by CHVs and health facilities was a cost-effective intervention. Additional gains could be achieved if more children with MAM are enrolled and treated.
dc.identifierhttps://hdl.handle.net/10568/149143
dc.identifier.urihttp://hdl.handle.net/123456789/95105
dc.languageen
dc.publisherWiley
dc.relationhttps://doi.org/10.1093/heapol/czae036
dc.relationhttps://doi.org/10.1371/journal.pgph.0002564
dc.rightsOpen Access
dc.sourceIlboudo, Patrick G.; Donfouet, Hermann Pythagore Pierre; Wilunda, Calistus; Cichon, Bernardette; Tewoldeberhan, Daniel; Njiru, James; et al. 2024. Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting. Maternal and Child Nutrition 20(4): e13695. https://doi.org/10.1111/mcn.13695
dc.subjectchild nutrition
dc.subjectcommunity management
dc.subjectcosts
dc.subjectgross national product
dc.subjectmalnutrition
dc.subjectcost analysis
dc.titleTreatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting
dc.typeJournal Article

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