Skip to main content

Table 10 Health burden: disability adjusted life years (DALYs) before and after iron fortification of wheat flour and condiments by age-group using lower share of anemia attributed to iron deficiency

From: Reducing the burden of iron deficiency anemia in Cote D’Ivoire through fortification

  Pre-school children School-aged children Adults Total
Discounted health burden
‘000 DALYs
After condiment and flour fortification (mean (95% CI)) 47.8 [36.9: 60.5] 29.2 [16.3: 45.7] 46.8 [27.9: 70.4] 123.8 [86: 170.3]
After flour and before condiment fortification (mean (95% CI)) 50.3 [39: 63.6] 31.5 [17.7: 49.3] 50.1 [30: 75.3] 131.9 [91.8: 181.5]
Before flour fortification (mean (95% CI)) 52.6 [40.9: 66.5] 34.2 [19.2: 53.4] 54 [32.4: 81.1] 140.9 [98: 193.8]
Absolute change attributable to flour fortification (mean) 2.3 2.7 3.9 9
Absolute change attributable to condiment fortification (mean) 2.5 2.3 3.3 8.1
% change
Reduction attributable to flour fortification 4.37% 7.89% 7.22% 6.39%
Reduction attributable to condiment fortification 4.97% 7.30% 6.59% 6.14%
  1. DALYs disability adjusted life years, CI confidence interval. This refers to constructed 95% confidence intervals as calculated in the probabilistic sensitivity analysis. Pre-school children from 0.5 to 4 years old; school age children from 5 to 14 years old; adults men and women from 15 to 64 years old
  2. Using the attribution of anemia to iron deficiency of 25% for pre-school age children and 30% for school age children, 37% for women and 18% for men by Petry et al. [5]