Table 3.
Comparing hypothetical folic acid fortification in Zambia against alternative investments as averted DALYs per dollar spent
| Study | Intervention | Cost per DALY averted (USD) |
|---|---|---|
| Hypothetical folic acid fortification in Zambia | $14.90 | |
| Alternative fortification investments | ||
| Fiedler and Lividini21 | Food fortification, vitamin A, vegetable oil: Zambia | $8.00 |
| Fiedler and Lividini21 | Food fortification, vitamin A, sugar: Zambia | $20.00 |
| Fiedler and Lividini21 | Food fortification, vitamin A, wheat flour: Zambia | $40.00 |
| Horton22 | Food fortification, iron: East Africa | $25.00 |
| Horton22 | Food fortification, vitamin A: East Africa | $35.00 |
| Horton22 | Food fortification, zinc: East Africa | $60.00 |
| Alternative health‐related investments | ||
| Pulkki‐Brannstrom et al.23 | Long‐life insecticide‐treated bed nets | $16.80 |
| Shekar et al.24 | Treatment for severe acute malnutrition (SAM) (calculated from table 6.2 in Ref. 24, assuming life expectancy of 60) | $175.00 |