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Multiple micronutrient supplements are more cost-effective than iron and folic acid: Modeling results from 3 high-burden Asian countries

The Journal of Nutrition Jun 02, 2019

Kashi B, et al. - Researchers assessed the incremental cost-effectiveness of transitioning from iron and folic acid supplementation (IFA) to multiple micronutrient supplementation (MMS) during pregnancy in three Asian countries in order to inform and facilitate national decision-making measures. They analyzed two meta-analyses wherein 8 health outcomes were assessed to compare the efficacy of IFA with MMS during pregnancy. Findings revealed the cost-effectiveness of MMS, in addition to its positive health impacts on both infants and pregnant women, although differences in the overall impact of MMS were evident depending on the meta-analysis used. The investigators noted that the effectiveness of MMS is sensitive to the prevalence of certain health outcomes under a conservative scenario; however, MMS averted more disability-adjusted life years vs IFA with high certainty. Thus, the authors recommended the re-entry of MMS in public health discussion in Pakistan, India, and Bangladesh.

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