A comparison of total cost estimates between exclusive breast-feeding and breast milk substitute usage in humanitarian contexts

Abstract Objective: Using a model-based analysis, we calculated the total costs associated with the exclusive breast-feeding (EBF) and breast milk substitute (BMS) usage for one infant for six months within select humanitarian contexts to (a) determine if there is a notable difference in costs and...

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Main Authors: Zoe Katherine Mowl, Amnesty LeFevre, Mija Ververs
Format: Article
Language:English
Published: Cambridge University Press 2023-12-01
Series:Public Health Nutrition
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S1368980023002434/type/journal_article
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author Zoe Katherine Mowl
Amnesty LeFevre
Mija Ververs
author_facet Zoe Katherine Mowl
Amnesty LeFevre
Mija Ververs
author_sort Zoe Katherine Mowl
collection DOAJ
description Abstract Objective: Using a model-based analysis, we calculated the total costs associated with the exclusive breast-feeding (EBF) and breast milk substitute (BMS) usage for one infant for six months within select humanitarian contexts to (a) determine if there is a notable difference in costs and (b) use these results to inform future creation of data-informed humanitarian response standard operating procedures. Design: The inputs and costing data were drawn from a mixture of local e-commerce vendors, peer-reviewed literature and personal communications with field-based humanitarian responders. To account for cost fluctuations, each input’s costs along with low and high parameters are presented. All costs are presented in 2021 United States Dollars. Setting: Humanitarian responses within Indonesia and Jordan. Participants: Not applicable. Results: There was a notable difference in the total cost of care in both selected locations across the study arms (Indonesia: $542; Jordan: $892). Conclusions: Given the reality of limited funding for comprehensive humanitarian response around the world and the necessity of prioritising certain interventions, humanitarian response organisations should consider the notable cost difference between EBF and BMS usage (along with the proven health benefits of EBF). This difference should play a role in informing the future creation of standard operating procedures while also ensuring that all infants within a humanitarian crisis receive appropriate feeding.
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spelling doaj.art-22005ab5d494443c9d89c7973982e36d2023-12-20T02:26:54ZengCambridge University PressPublic Health Nutrition1368-98001475-27272023-12-01263162317210.1017/S1368980023002434A comparison of total cost estimates between exclusive breast-feeding and breast milk substitute usage in humanitarian contextsZoe Katherine Mowl0Amnesty LeFevre1Mija Ververs2https://orcid.org/0000-0002-7182-2998Action Against Hunger USA, New York, NY, USAUniversity of Cape Town School of Public Health, Cape Town, South AfricaJohns Hopkins Center for Humanitarian Health, Baltimore, MD 21205, USA Abstract Objective: Using a model-based analysis, we calculated the total costs associated with the exclusive breast-feeding (EBF) and breast milk substitute (BMS) usage for one infant for six months within select humanitarian contexts to (a) determine if there is a notable difference in costs and (b) use these results to inform future creation of data-informed humanitarian response standard operating procedures. Design: The inputs and costing data were drawn from a mixture of local e-commerce vendors, peer-reviewed literature and personal communications with field-based humanitarian responders. To account for cost fluctuations, each input’s costs along with low and high parameters are presented. All costs are presented in 2021 United States Dollars. Setting: Humanitarian responses within Indonesia and Jordan. Participants: Not applicable. Results: There was a notable difference in the total cost of care in both selected locations across the study arms (Indonesia: $542; Jordan: $892). Conclusions: Given the reality of limited funding for comprehensive humanitarian response around the world and the necessity of prioritising certain interventions, humanitarian response organisations should consider the notable cost difference between EBF and BMS usage (along with the proven health benefits of EBF). This difference should play a role in informing the future creation of standard operating procedures while also ensuring that all infants within a humanitarian crisis receive appropriate feeding. https://www.cambridge.org/core/product/identifier/S1368980023002434/type/journal_articleExclusive breast-feedingBreast milk substitutesTotal costsHumanitarian responseInfant feeding
spellingShingle Zoe Katherine Mowl
Amnesty LeFevre
Mija Ververs
A comparison of total cost estimates between exclusive breast-feeding and breast milk substitute usage in humanitarian contexts
Public Health Nutrition
Exclusive breast-feeding
Breast milk substitutes
Total costs
Humanitarian response
Infant feeding
title A comparison of total cost estimates between exclusive breast-feeding and breast milk substitute usage in humanitarian contexts
title_full A comparison of total cost estimates between exclusive breast-feeding and breast milk substitute usage in humanitarian contexts
title_fullStr A comparison of total cost estimates between exclusive breast-feeding and breast milk substitute usage in humanitarian contexts
title_full_unstemmed A comparison of total cost estimates between exclusive breast-feeding and breast milk substitute usage in humanitarian contexts
title_short A comparison of total cost estimates between exclusive breast-feeding and breast milk substitute usage in humanitarian contexts
title_sort comparison of total cost estimates between exclusive breast feeding and breast milk substitute usage in humanitarian contexts
topic Exclusive breast-feeding
Breast milk substitutes
Total costs
Humanitarian response
Infant feeding
url https://www.cambridge.org/core/product/identifier/S1368980023002434/type/journal_article
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