Potential impacts of iron biofortification in India
Iron deficiency is a widespread nutrition and health problem in developing countries, causing impairments in physical activity and cognitive development, as well as maternal mortality. Although food fortification and supplementation programmes have been effective in some countries, their overall success remains limited. Biofortification, that is, breeding food crops for higher micronutrient content, is a relatively new approach, which has been gaining international attention recently. We propose a methodology for ex ante impact assessment of iron biofortification, building on a disability-adjusted life years (DALYs) framework. This methodology is applied in an Indian context. Using a large and representative data set of household food consumption, the likely effects of iron-rich rice and wheat varieties are simulated for different target groups and regions. These varieties, which are being developed by an international public research consortium, based on conventional breeding techniques, might be ready for local distribution within the next couple of years. The results indicate sizeable potential health benefits. Depending on the underlying assumptions, the disease burden associated with iron deficiency could be reduced by 19-58%. Due to the relatively low institutional cost to reach the target population, the expected cost-effectiveness of iron biofortification compares favourably with other micronutrient interventions. Nonetheless, biofortification should not be seen as a substitute for other interventions. Each approach has its particular strengths, so they complement one another.
Volume (Year): 66 (2008)
Issue (Month): 8 (April)
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- Dawe, D. & Robertson, R. & Unnevehr, L., 2002. "Golden rice: what role could it play in alleviation of vitamin A deficiency?," Food Policy, Elsevier, vol. 27(5-6), pages 541-560.
- Strauss, J. & Thomas, D., 1995.
"Health, Nutrition and Economic development,"
95-23, RAND - Labor and Population Program.
- Anand, Sudhir & Hanson, Kara, 1998. "DALYs: efficiency versus equity," World Development, Elsevier, vol. 26(2), pages 307-310, February.
- Haddad, Lawrence James & Alderman, Harold & Appleton, Simon & Song, Lina & Yohannes, Yisehac, 2002.
"Reducing child undernutrition,"
137, International Food Policy Research Institute (IFPRI).
- Haddad, Lawrence James & Peña, Christine & Nishida, Chizuru & Quisumbing, Agnes R. & Slack, Alison T., 1996. "Food security and nutrition implications of intrahousehold bias," FCND discussion papers 19, International Food Policy Research Institute (IFPRI).
- George Van Houtven & John Powers & Amber Jessup & Jui-Chen Yang, 2006. "Valuing avoided morbidity using meta-regression analysis: what can health status measures and QALYs tell us about WTP?," Health Economics, John Wiley & Sons, Ltd., vol. 15(8), pages 775-795.
- Author-Name: Jeffrey D. Sachs & John W. McArthur & Guido Schmidt-Traub & Margaret Kruk & Chandrika Bahadur & Michael Faye & Gordon McCord, 2004. "Ending Africa's Poverty Trap," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 35(1), pages 117-240.
- Horton, S. & Ross, J., 2003. "The economics of iron deficiency," Food Policy, Elsevier, vol. 28(1), pages 51-75, February.
- Fogel, Robert W, 2004. "Health, Nutrition, and Economic Growth," Economic Development and Cultural Change, University of Chicago Press, vol. 52(3), pages 643-58, April.
- Martin Buxton, 2005. "How much are health-care systems prepared to pay to produce a QALY?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 6(4), pages 285-287, December.
- Levin, Henry M, 1986. "A Benefit-Cost Analysis of Nutritional Programs for Anemia Reduction," World Bank Research Observer, World Bank Group, vol. 1(2), pages 219-45, July.
- Carl Lyttkens, 2003. "Time to disable DALYs?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 4(3), pages 195-202, September.
- World Bank, 2006. "Repositioning Nutrition as Central to Development : A Strategy for Large Scale Action," World Bank Publications, The World Bank, number 7409, April.
- Alston, Julian M. & Wyatt, T. J. & Pardey, Philip G. & Marra, Michele C. & Chan-Kang, Connie, 2000. "A meta-analysis of rates of return to agricultural R & D: ex pede Herculem?," Research reports 113, International Food Policy Research Institute (IFPRI).
- Ruel, Marie T. & Bouis, Howarth E., 1997. "Plant breeding," FCND discussion papers 30, International Food Policy Research Institute (IFPRI).
- Dolan, Paul & Edlin, Richard, 2002. "Is it really possible to build a bridge between cost-benefit analysis and cost-effectiveness analysis?," Journal of Health Economics, Elsevier, vol. 21(5), pages 827-843, September.
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