Watch Part 1 (May 4): Evidence base for efficacy and effectiveness of SQ-LNS: Who benefits most?
Watch Part 2 (May 6): Costs, cost-efficiency and cost-effectiveness of interventions that include SQ-LNS
Part 1 | Evidence base for efficacy and effectiveness of SQ-LNS: Who benefits most?
May 4, 9:30 - 11:00am ET
Small-quantity lipid-based nutrient supplements (SQ-LNS, ~20 g/day) were designed to provide multiple micronutrients embedded in a food base that also provides essential fatty acids and small amounts of energy and protein, targeted towards preventing malnutrition in vulnerable populations. This webinar will report results of recent meta-analyses examining the effects of SQ-LNS for children aged 6-24 months on child growth, anemia, iron status, development and mortality. Based on individual participant data (IPD) analyses of pooled data from 14 randomized controlled trials (n ~37,000), children who received SQ-LNS had a 12–14% lower prevalence of stunting, wasting, and underweight; were 16–19% less likely to score in the lowest decile for language, social-emotional, and motor development; had a 16% lower prevalence of anemia; and had a 64% lower prevalence of iron-deficiency anemia compared with control group children. In a separate meta-analysis, all-cause child mortality between 6 and 24 months was reduced by 27%. The webinar will include discussion of which subgroups may experience greater benefits from SQ-LNS, based on the IPD meta-analyses. This information may be useful in decision-making with regard to integration of this intervention within coordinated strategies to prevent child malnutrition, improve child survival, and promote healthy development.
Presentations:
Overview of meta-analyses of child SQ-LNS, and effects on growth outcomes
Speaker: Kathryn Dewey, Distinguished Professor Emerita, Institute for Global Nutrition, University of California, Davis
Effects of SQ-LNS on child anemia and iron status
Speaker: K. Ryan Wessells, Associate Project Scientist, Institute for Global Nutrition, University of California, Davis
Effects of SQ-LNS on child development
Speaker: Elizabeth Prado, Associate Professor, Institute for Global Nutrition, University of California, Davis
Effects of LNS on child mortality
Speaker: Christine Stewart, Director, Institute for Global Nutrition, Professor of Nutrition and Corinne L. Rustici Endowed Chair in Applied Human Nutrition, University of California, Davis
Discussion
Moderator: Deon Filmer, Director, Development Research Group, World Bank
Part 2 | Costs, cost-efficiency and cost-effectiveness of interventions that include SQ-LNS
May 6, 9:30 - 11:00am ET
Considerations of cost, cost-effectiveness, and financial feasibility should inform policy discussions about incorporating SQ-LNS into strategies to improve child nutrition, survival and development. This webinar will report results of 4 studies of cost-effectiveness or cost-efficiency of interventions that included SQ-LNS for young children. The first presentation will describe a modeling framework to estimate the cost and cost-effectiveness of SQ-LNS, and the results of that framework when applied in the context of SQ-LNS delivery via community health workers in rural Uganda. The second presentation will describe cost-effectiveness estimates for a pilot project implemented via the government community-based nutrition program in Madagascar. The third presentation will report cost-efficiency results from effectiveness trials implemented using a community-based platform in Mali and a facility-based platform in Burkina Faso. The fourth presentation will report findings from a model related to the potential for cost-effectiveness of SQ-LNS within an integrated package of maternal and pediatric preventive and curative interventions in rural Niger.
Presentations:
The cost-effectiveness of SQ-LNS for prevention of child death and malnutrition and promotion of healthy development: modeling results for Uganda
Speaker: Katherine (Katie) Adams, Associate Project Scientist, Institute for Global Nutrition, University of California, Davis
Cost-effectiveness estimates for the MAHAY project in Madagascar
Speaker: Emanuela Galasso, Senior Economist, Development Research Group, World Bank
Cost-efficiency analyses of the PROMIS interventions in Mali and Burkina Faso
Speaker: Lieven Huybregts, Senior Research Fellow, International Food Policy Research Institute
Potential for cost-effectiveness of SQ-LNS within the 1000 Days Program in Niger
Speakers: Kevin Phelan, Senior Nutrition Advisor, ALIMA and Marta Viola, Senior Analyst, Analysis Group
Discussion
Moderator: Alaka Holla, Senior Economist, Office of the Chief Economist for Human Development, World Bank