Skip to main content
. 2019 Jun 24;34(6):407–417. doi: 10.1093/heapol/czz050

Table 4.

Global and regional economic losses due to mortality, cognitive losses and total attributable to not breastfeeding by region and by country income group

Economic losses attributable to not breastfeeding
  Due to child mortality (US$ b) Due to maternal mortality (US$ b) Due to cognitive losses (US$ b) Total cost (health, mortality and cognitive) (US$ b) Total cost as % of GNI
East Asia and Pacific 10.39 (2.71, 49.67) 0.66 (0.55, 0.80) 74.76 (19.46, 357.66) 86.12 (23.04, 408.45) 0.59 (0.16, 2.78)
Europe and Central Asia 1.35 (0.35, 6.38) 0.25 (0.21, 0.29) 14.76 (3.86, 70.15) 16.27 (4.37, 76.71) 0.42 (0.11, 1.97)
Middle East and North Africa 3.76 (0.98, 17.99) 0.03 (0.03, 0.04) 18.65 (4.85, 89.38) 22.57 (5.98, 107.54) 0.91 (0.24, 4.32)
Latin America and Caribbean 4.08 (1.07, 19.35) 0.28 (0.23, 0.34) 32.25 (8.41, 154.02) 36.85 (9.94, 173.95) 0.70 (0.19, 3.32)
North America 0.00 (0.00, 0.00) 0.00 (0.00, 0.00) 114.94 (29.87, 551.37) 114.97 (29.90, 551.40) 0.63 (0.16, 3.04)
South Asia 10.58 (2.75, 50.59) 0.02 (0.02, 0.02) 11.73 (3.05, 56.12) 22.49 (5.99, 106.90) 0.84 (0.22, 3.99)
Sub-Saharan Africa 23.56 (6.59, 101.00) 0.02 (0.01, 0.02) 18.31 (5.05, 80.05) 42.06 (11.82, 181.25) 2.58 (0.72, 11.11)
Low and middle income 53.57 (14.41, 244.27) 1.08 (0.90, 1.30) 162.55 (42.62, 769.48) 218.27 (59.01, 1, 016.13) 0.83 (0.22, 3.86)
High income 0.15 (0.04, 0.71) 0.18 (0.15, 0.22) 122.84 (31.92, 589.28) 123.06 (32.03, 590.06) 0.25 (0.06, 1.20)
Upper-middle income 14.44 (3.81, 67.79) 0.95 (0.80, 1.16) 114.07 (29.74, 544.54) 130.07 (34.95, 614.10) 0.65 (0.17, 3.07)
Lower-middle income 35.19 (9.53, 158.64) 0.12 (0.10, 0.14) 44.73 (11.88, 207.87) 80.47 (21.94, 367.09) 1.36 (0.37, 6.20)
Low income 3.95 (1.07, 17.83) 0.01 (0.00, 0.01) 3.74 (1.01, 17.07) 7.73 (2.12, 34.95) 1.99 (0.54, 8.98)
Total 53.72 (14.45, 244.99) 1.26 (1.06, 1.52) 285.39 (74.55, 1, 358.75) 341.33 (91.04, 1, 606.19) 0.70 (0.19, 3.29)

(1) Default scenario (not in parentheses) based on discount rate on benefits of 3% and long-term GDP growth rate assumption of 3%. Figures in parentheses are lower and higher bound estimates based on assumptions of 1.5% discount rate on benefits and 5% long-term GDP growth rate for the figure on the left and 5% discount rate on benefits and 1.5% long-term GDP growth rate for the figure on the right.