Objectives: Vitamin A deficiency is the leading cause of childhood blindness worldwide, affecting mostly Sub-Saharan Africa. We aimed to predict the cost-effectiveness of home gardening (HG) of yellow cassava and orange maize to prevent nutritional blindness in children below 5 years and to assess the likely value of obtaining additional information in reducing uncertainty surrounding its cost-effectiveness.
Methods: We developed a Markov model and carried out probabilistic sensitivity analysis with a value of information analysis. We costed resources from a societal perspective and outcomes were measured in disability-adjusted life years (DALYs).
Results: HG was estimated to cost an additional Intl$395.00 per DALY averted, with a 72.27% likelihood of being cost-effective at a threshold of Intl$2800 per DALY. The expected value of information was estimated to be Intl$29 843.50 for 1 child or Intl$925 billion for 31 million Nigerian children affected by the decision. Further research is only worthwhile for 1 parameter (relative risk of low serum retinol; expected value of perfect parameter information Intl$29 854.53 per child and Intl$925 billion for 31 million children).
Conclusion: HG of yellow cassava and orange maize is expected to be highly cost-effective in preventing nutritional blindness in Nigerian children. Worthwhile further research includes a cost analysis of the intervention and a high-quality randomized trial to assess the effectiveness of HG on serum retinol levels in young children.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.vhri.2023.07.002 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Vitamin A stability during storage of fortified gari produced using different fortification strategies.
NPJ Sci Food
December 2024
KU Leuven, Department of Microbial and Molecular Systems (M²S), Laboratory of Food Chemistry and Biochemistry & Leuven Food Science and Nutrition Research Centre (LFoRCe), Kasteelpark Arenberg 20, B-3001, Heverlee, Belgium.
Food fortification is an effective strategy to combat vitamin A deficiency. Gari, a cassava-based West African food product, is an interesting product to fortify with vitamin A, but the low stability of vitamin A poses a challenge. We showed that toasted wheat bran can stabilise vitamin A as retinyl palmitate (RP) during storage of RP-fortified gari to a limited extent.
View Article and Find Full Text PDFEnhanced association of whitefly-begomovirus competence with plant-mediated mutualism.
Pest Manag Sci
December 2024
Ministry of Agriculture Key Lab of Molecular Biology of Crop Pathogens and Insects, Zhejiang Key Laboratory of Biology and Ecological Regulation of Crop Pathogens and Insects, Institute of Insect Sciences, Zhejiang University, Hangzhou, China.
Background: Vector-borne viruses often manipulate plant defenses against insect vectors, thereby impacting vector population dynamics and in turn virus spread. However, the factors regulating the outcome of insect vector-virus-plant tripartite interactions, such as the feature of virus-vector combinations, are understudied.
Results: Using eight whitefly (Bemisia tabaci)-begomovirus combinations exhibiting different degrees of competence, namely virus transmission efficiency, we examined the association between whitefly-begomovirus competence and plant-mediated mutualism.
AI-powered detection and quantification of post-harvest physiological deterioration (PPD) in cassava using YOLO foundation models and K-means clustering.
Plant Methods
November 2024
International Center for Tropical Agriculture (CIAT), Km 17, Recta Cali-Palmira, Colombia.
Background: Post-harvest physiological deterioration (PPD) poses a significant challenge to the cassava industry, leading to substantial economic losses. This study aims to address this issue by developing a comprehensive framework in collaboration with cassava breeders.
Results: Advanced deep learning (DL) techniques such as Segment Anything Model (SAM) and YOLO foundation models (YOLOv7, YOLOv8, YOLOv9, and YOLO-NAS), were used to accurately categorize PPD severity from RGB images captured by cameras or cell phones.
Effects of cassava root meal on the growth performance, apparent nutrient digestibility, organ and intestinal indices, and slaughter performance of yellow-feathered broiler chickens.
Trop Anim Health Prod
September 2024
College of Biological Science and Food Engineering, Southwest Forestry University, Kunming, 650224, People's Republic of China.
With the global population growth and shortage of food, the competition between humans and animal for food will become increasingly fierce. Therefore, the development of unconventional energy feed cassava feed is of great significance. The objective of this study was to investigate the effects of cassava root meal (CRM) on the growth performance, apparent digestibility, and organ and intestinal indices of broiler chickens.
View Article and Find Full Text PDFEffect of gamma ray dose on granular and molecular structures of gamma ray-irradiated cassava starch and its application in bioplastics.
Int J Biol Macromol
November 2024
Department of Packaging and Materials Technology, Faculty of Agro-Industry, Kasetsart University, Bangkok 10900, Thailand; Center for Advanced Studies for Agriculture and Food (CASAF), Kasetsart University Institute for Advanced Studies (KUIAS), Kasetsart University, Bangkok 10900, Thailand. Electronic address:
In this study, the effect of gamma ray irradiation on the granular and molecular structures of cassava starch was examined. Cassava starch was irradiated with various gamma ray doses of 25, 50, 75, and 100 kGy. After irradiation, the starch turned yellow, but its granular morphological characteristics remained intact.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!