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

Bibliographic Data

ID15090343
AuthorsZoe Katherine Mowl (ActionAid), Amnesty LeFevre (0000-0001-8437-7240, University of Cape Town), Mija Ververs (0000-0002-7182-2998, Centers for Disease Control and Prevention, corresponding author)
Year2023
Volume26
Issue12
Pages3162-3172
Publication date2023-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980023002434
PMID37921005
OpenAlexW4388295223
LanguageEN
References cited6

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

Biology · Breast feeding · Breast milk · Environmental health · Lactation · Pregnancy · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Medicine · Pediatrics

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    Open Access•Cesar G Victora, Roy Bahl et al.•The Lancet•2016

  • The cost of not breastfeeding

    Open Access•Dylan D Walters, Dylan Walters et al.•Health Policy and Planning•2019

Citation velocityhistorical
Highly citedNo

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