Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-3953
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dc.contributor.authorWieser, Simon-
dc.contributor.authorPlessow, Rafael-
dc.contributor.authorEichler, Klaus-
dc.contributor.authorMalek, Olivia-
dc.contributor.authorCapanzana, Mario V.-
dc.contributor.authorAgdeppa, Imelda-
dc.contributor.authorBrügger, Urs-
dc.date.accessioned2018-08-29T08:44:00Z-
dc.date.available2018-08-29T08:44:00Z-
dc.date.issued2013-
dc.identifier.issn1471-2458de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/9866-
dc.description.abstractBackground: Micronutrient deficiencies (MNDs) are a chronic lack of vitamins and minerals and constitute a huge public health problem. MNDs have severe health consequences and are particularly harmful during early childhood due to their impact on the physical and cognitive development. We estimate the costs of illness due to iron deficiency (IDA), vitamin A deficiency (VAD) and zinc deficiency (ZnD) in 2 age groups (6-23 and 24-59 months) of Filipino children by socio-economic strata in 2008. Methods: We build a health economic model simulating the consequences of MNDs in childhood over the entire lifetime. The model is based on a health survey and a nutrition survey carried out in 2008. The sample populations are first structured into 10 socio-economic strata (SES) and 2 age groups. Health consequences of MNDs are modelled based on information extracted from literature. Direct medical costs, production losses and intangible costs are computed and long term costs are discounted to present value. Results: Total lifetime costs of IDA, VAD and ZnD amounted to direct medical costs of 30 million dollars, production losses of 618 million dollars and intangible costs of 122,138 disability adjusted life years (DALYs). These costs can be interpreted as the lifetime costs of a 1-year cohort affected by MNDs between the age of 6–59 months. Direct medical costs are dominated by costs due to ZnD (89% of total), production losses by losses in future lifetime (90% of total) and intangible costs by premature death (47% of total DALY losses) and losses in future lifetime (43%). Costs of MNDs differ considerably between SES as costs in the poorest third of the households are 5 times higher than in the wealthiest third. Conclusions: MNDs lead to substantial costs in 6-59-month-old children in the Philippines. Costs are highly concentrated in the lower SES and in children 6-23 months old. These results may have important implications for the design, evaluation and choice of the most effective and cost-effective policies aimed at the reduction of MNDs.de_CH
dc.language.isoende_CH
dc.publisherBioMed Centralde_CH
dc.relation.ispartofBMC Public Healthde_CH
dc.rightshttp://creativecommons.org/licenses/by/2.0/de_CH
dc.subjectAge factorde_CH
dc.subjectChildde_CH
dc.subjectCost of illnessde_CH
dc.subjectHealth care costde_CH
dc.subjectHumande_CH
dc.subjectInfantde_CH
dc.subjectIronde_CH
dc.subjectMicronutrientde_CH
dc.subjectPhilippinesde_CH
dc.subjectPrevalencede_CH
dc.subjectQuality-adjusted life yearde_CH
dc.subjectSocioeconomic factorde_CH
dc.subjectVitamin A deficiencyde_CH
dc.subjectZincde_CH
dc.subjectNutritionde_CH
dc.subjectHealth economicsde_CH
dc.subjectMicronutrient deficiencyde_CH
dc.subjectPreschoolde_CH
dc.subject.ddc616: Innere Medizin und Krankheitende_CH
dc.subject.ddc618.92: Pädiatriede_CH
dc.titleBurden of micronutrient deficiencies by socio-economic strata in children aged 6 months to 5 years in the Philippinesde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Management and Lawde_CH
zhaw.organisationalunitWinterthurer Institut für Gesundheitsökonomie (WIG)de_CH
dc.identifier.doi10.21256/zhaw-3953-
dc.identifier.doi10.1186/1471-2458-13-1167de_CH
dc.identifier.pmid24330481de_CH
zhaw.funding.euNode_CH
zhaw.issue13de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end1181de_CH
zhaw.pages.start1167de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume2013de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.funding.zhawBurden of micronutrient deficiencies and cost-effectiveness of interventions with fortified foodsde_CH
Appears in Collections:Publikationen School of Management and Law



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