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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-3686
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dc.contributor.authorWieser, Simon-
dc.contributor.authorBrunner, Beatrice-
dc.contributor.authorTzogiou, Christina-
dc.contributor.authorPlessow, Rafael-
dc.contributor.authorZimmermann, Michael-
dc.contributor.authorFarebrother, Jessica-
dc.contributor.authorSoofi, Sajid-
dc.contributor.authorBhatti, Zaid-
dc.contributor.authorAhmed, Imran-
dc.contributor.authorZulfiqar, Bhutta-
dc.date.accessioned2018-06-01T13:56:06Z-
dc.date.available2018-06-01T13:56:06Z-
dc.date.issued2017-
dc.identifier.issn1564-8265de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/6473-
dc.description.abstractBackground: In Pakistan, nearly half of children younger than 5 years are stunted, and 1 in 3 is underweight. Micronutrient deficiencies, a less visible form of undernutrition, are also endemic. They may lead to increased morbidity and mortality as well as to impaired cognitive and physical development. Objective: To estimate the lifetime costs of micronutrient deficiencies in Pakistani children aged between 6 and 59 months. Methods: We develop a health economic model of the lifetime health and cost consequences of iodine, iron, vitamin A, and zinc deficiencies. We assess medical costs, production losses in terms of future incomes lost, and disability-adjusted life-years (DALYs). The estimation is based on large population surveys, information on the health consequences of micronutrient deficiencies extracted from randomized trials, and a variety of other sources. Results: Total societal costs amount to US$46 million in medical costs, US$3,222 million in production losses, and 3.4 million DALYs. Costs are dominated by the impaired cognitive development induced by iron-deficiency anemia in 6- to 23-month-old children and the mortality caused by vitamin a deficiency. Costs are substantially higher in poorer households. Conclusions: Societal costs amounted to 1.44% of gross domestic product and 4.45% of DALYs in Pakistan in 2013. These costs hinder the country’s development. They could be eliminated by improved nutrition of 6- to 59-month-old children and public health measures. Our results may contribute to the design of cost-effective interventions aiming to reduce micronutrient deficiencies in early childhood and their lifetime consequences.de_CH
dc.language.isoende_CH
dc.publisherSagede_CH
dc.relation.ispartofFood and Nutrition Bulletinde_CH
dc.rightshttp://creativecommons.org/licenses/by-nc/4.0/de_CH
dc.subjectChild nutritionde_CH
dc.subjectCost analysisde_CH
dc.subjectDisability-adjusted life-yearde_CH
dc.subjectMicronutrient deficiencyde_CH
dc.subject.ddc330: Wirtschaftde_CH
dc.subject.ddc613.2: Diätetikde_CH
dc.titleSocietal costs of micronutrient deficiencies in 6- to 59-month-old children in Pakistande_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Management and Lawde_CH
dc.identifier.doi10.21256/zhaw-3686-
dc.identifier.doi10.1177/0379572117720012de_CH
zhaw.funding.euNode_CH
zhaw.issue4de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end500de_CH
zhaw.pages.start485de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume38de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.funding.zhawBurden of micronutrient deficiencies and cost-effectiveness of interventions with fortified foodsde_CH
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Wieser, S., Brunner, B., Tzogiou, C., Plessow, R., Zimmermann, M., Farebrother, J., Soofi, S., Bhatti, Z., Ahmed, I., & Zulfiqar, B. (2017). Societal costs of micronutrient deficiencies in 6- to 59-month-old children in Pakistan. Food and Nutrition Bulletin, 38(4), 485–500. https://doi.org/10.21256/zhaw-3686
Wieser, S. et al. (2017) ‘Societal costs of micronutrient deficiencies in 6- to 59-month-old children in Pakistan’, Food and Nutrition Bulletin, 38(4), pp. 485–500. Available at: https://doi.org/10.21256/zhaw-3686.
S. Wieser et al., “Societal costs of micronutrient deficiencies in 6- to 59-month-old children in Pakistan,” Food and Nutrition Bulletin, vol. 38, no. 4, pp. 485–500, 2017, doi: 10.21256/zhaw-3686.
WIESER, Simon, Beatrice BRUNNER, Christina TZOGIOU, Rafael PLESSOW, Michael ZIMMERMANN, Jessica FAREBROTHER, Sajid SOOFI, Zaid BHATTI, Imran AHMED und Bhutta ZULFIQAR, 2017. Societal costs of micronutrient deficiencies in 6- to 59-month-old children in Pakistan. Food and Nutrition Bulletin. 2017. Bd. 38, Nr. 4, S. 485–500. DOI 10.21256/zhaw-3686
Wieser, Simon, Beatrice Brunner, Christina Tzogiou, Rafael Plessow, Michael Zimmermann, Jessica Farebrother, Sajid Soofi, Zaid Bhatti, Imran Ahmed, and Bhutta Zulfiqar. 2017. “Societal Costs of Micronutrient Deficiencies in 6- to 59-Month-Old Children in Pakistan.” Food and Nutrition Bulletin 38 (4): 485–500. https://doi.org/10.21256/zhaw-3686.
Wieser, Simon, et al. “Societal Costs of Micronutrient Deficiencies in 6- to 59-Month-Old Children in Pakistan.” Food and Nutrition Bulletin, vol. 38, no. 4, 2017, pp. 485–500, https://doi.org/10.21256/zhaw-3686.


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