Table 6 Health burden: disability adjusted life years (DALYs) before and after iron fortification of wheat flour and condiments by age-group
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)) | 121.9 [92.4: 157.8] | 43.8 [25.3: 66.5] | 49.1 [29.2: 74] | 214.7 [156.7: 286.2] |
After flour and before condiment fortification (mean (95% CI)) | 128.3 [97.5: 165.8] | 47.3 [27.4: 71.7] | 52.6 [31.4: 79.2] | 228.1 [166.7: 304] |
Before flour fortification (mean [95%CI]) | 134.2 [102.4: 173.2] | 51.3 [29.9: 77.8] | 56.6 [34: 85.1) | 242.1 [177.1: 322.8] |
Absolute change attributable to flour fortification (mean) | 5.9 | 4.1 | 4.1 | 14 |
Absolute change attributable to condiment fortification (mean) | 6.4 | 3.5 | 3.5 | 13.4 |
% change | ||||
Reduction attributable to flour fortification | 4.4% | 7.9% | 7.2% | 5.8% |
Reduction attributable to condiment fortification | 4.9% | 7.3% | 6.7% | 5.9% |
Undiscounted health burden | ||||
‘000 DALYs | ||||
After condiment and flour fortification (mean (95% CI)) | 205.4 [153.3: 267.4] | 43.8 [25.3: 66.5] | 49.1 [29.2: 74] | 298.2 [224: 384.7] |
After flour and before condiment fortification [mean (95% CI)) | 216.4 [161.9: 281.6] | 47.3 [27.4: 71.7] | 52.6 [31.4: 79.2] | 316.3 [237.9: 407.1] |
Before flour fortification (mean (95% CI)) | 226.5 [169.7: 294.1] | 51.3 [29.9: 77.8] | 56.6 [34: 85.1] | 334.4 [251.7: 430.7] |
Absolute change attributable to flour fortification (mean) | 10 | 4.1 | 4.1 | 18.2 |
Absolute change attributable to condiment fortification (mean) | 11.1 | 3.5 | 3.5 | 18 |
% change | ||||
Reduction attributable to flour fortification | 4.4% | 7.9% | 7.2% | 5.4% |
Reduction attributable to condiment fortification | 5.1% | 7.3% | 6.7% | 5.7% |