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
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Creator |
Kozicka, Marta
Elsey, Julia Ekesa, Beatrice Ajambo, Susan Kikulwe, Enoch Mutebi Gotor, Elisabetta |
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Subject |
bananas
vitamin a deficiency human nutrition supply balance cost analysis carencia de vitamina a bananos oferta y demanda análisis de costos |
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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.
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Date |
2021-03-26
2021-03-30T06:51:33Z 2021-03-30T06:51:33Z |
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Type |
Journal Article
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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 |
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Language |
en
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Rights |
CC-BY-4.0
Open Access |
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Format |
application/pdf
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Publisher |
Frontiers Media SA
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Source |
Frontiers in Sustainable Food Systems
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