UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Highlighting the evidence gap: how cost-effective are interventions to improve early childhood nutrition and development?

Batura, N; Hill, Z; Haghparast-Bidgoli, H; Lingam, R; Colbourn, T; Kim, S; Sikander, S; ... Skordis-Worrall, J; + view all (2014) Highlighting the evidence gap: how cost-effective are interventions to improve early childhood nutrition and development? Health Policy Plan 10.1093/heapol/czu055. Green open access

[img]
Preview
PDF
Health_Policy_Plan.-2014-Batura-heapol_czu055.pdf

Download (187kB)

Abstract

There is growing evidence of the effectiveness of early childhood interventions to improve the growth and development of children. Although, historically, nutrition and stimulation interventions may have been delivered separately, they are increasingly being tested as a package of early childhood interventions that synergistically improve outcomes over the life course. However, implementation at scale is seldom possible without first considering the relative cost and cost-effectiveness of these interventions. An evidence gap in this area may deter large-scale implementation, particularly in low- and middle-income countries. We conduct a literature review to establish what is known about the cost-effectiveness of early childhood nutrition and development interventions. A set of predefined search terms and exclusion criteria standardized the search across five databases. The search identified 15 relevant articles. Of these, nine were from studies set in high-income countries and six in low- and middle-income countries. The articles either calculated the cost-effectiveness of nutrition-specific interventions (n = 8) aimed at improving child growth, or parenting interventions (stimulation) to improve early childhood development (n = 7). No articles estimated the cost-effectiveness of combined interventions. Comparing results within nutrition or stimulation interventions, or between nutrition and stimulation interventions was largely prevented by the variety of outcome measures used in these analyses. This article highlights the need for further evidence relevant to low- and middle-income countries. To facilitate comparison of cost-effectiveness between studies, and between contexts where appropriate, a move towards a common outcome measure such as the cost per disability-adjusted life years averted is advocated. Finally, given the increasing number of combined nutrition and stimulation interventions being tested, there is a significant need for evidence of cost-effectiveness for combined programmes. This too would be facilitated by the use of a common outcome measure able to pool the impact of both nutrition and stimulation activities.

Type: Article
Title: Highlighting the evidence gap: how cost-effective are interventions to improve early childhood nutrition and development?
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/heapol/czu055
Publisher version: http://dx.doi.org/10.1093/heapol/czu055
Language: English
Additional information: Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Cost-effectiveness analysis, early childhood development, nutrition, review
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Applied Health Research
URI: https://discovery.ucl.ac.uk/id/eprint/1433343
Downloads since deposit
182Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item