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

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Title Reassessing the cost-effectiveness of high-provitamin A bananas to reduce vitamin A deficiency in Uganda
 
Creator Kozicka, Marta
Elsey, Julia
Ekesa, Beatrice
Ajambo, Susan
Kikulwe, Enoch Mutebi
Gotor, Elisabetta
 
Subject bananas
vitamin a deficiency
human nutrition
supply balance
cost analysis
carencia de vitamina a
bananos
oferta y demanda
análisis de costos
 
Description There 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.
 
Date 2021-03-26
2021-03-30T06:51:33Z
2021-03-30T06:51:33Z
 
Type Journal Article
 
Identifier Kozicka, 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
2571-581X
https://hdl.handle.net/10568/113153
https://doi.org/10.3389/fsufs.2021.649424
 
Language en
 
Rights CC-BY-4.0
Open Access
 
Format application/pdf
 
Publisher Frontiers Media SA
 
Source Frontiers in Sustainable Food Systems