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Cost-benefit Analysis of Nutrition Management Program for Children Aged Under 5 Years in DR Congo
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Tae Ho Lee, Chae Eun Lee, Eun Woo Nam
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Korean J Community Nutr 2018;23(5):385-396. Published online October 31, 2018
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DOI: https://doi.org/10.5720/kjcn.2018.23.5.385
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 Abstract
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- OBJECTIVES
This study aims to evaluate the economic efficiency of a nutrition management program for children under 5 years of age in Kenge, Kwango District, Democratic Republic of the Congo (DR Congo) from 2014 to 2016.
METHODS
The economic efficiency of a nutrition management program for children under 5 years of age who have recovered from malnutrition status was evaluated using a cost-benefit analysis. The costs were analyzed according to the executed budget incurred during the project period. The benefits were estimated as the monetary value of the saved lives of children under 5 years of age. The economic efficiency of the program was determined by the Benefit-Cost Ratio (BCR). The BCR was calculated by dividing the total discounted benefit by the total discounted costs. The project is economically efficient when the BCR is greater than 1.
RESULTS
The costs of the nutrition management program were calculated as 1,677,609,648 Korean Won (KRW). A total of 2,466 children survived with improved malnutrition status through this program. The benefit for the reduction of mortality for children under 5 years of age was estimated to be 6,814,354,467 KRW, the estimated value of life for 2,466 children. The BCR was 4.06.
CONCLUSIONS
The nutrition management program for children under 5 years of age in DR Congo was found to be a cost-effective project. Successful and efficient Official Development Assistance (ODA) for a health project requires integrated and comprehensive strategies and specialized international development consulting to improve efficiency. Future nutrition management programs should take into account the national health program to maintain the sustainability of the project.
- [English]
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Differences in Dietary Life and Health related Factors According to Obesity in Poor Urban Peruvian Adolescents
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Hye Kyung Chung, Hae Young Lee, Jin Ri Kim, Eun Woo Nam
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Korean J Community Nutr 2018;23(4):302-318. Published online August 31, 2018
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DOI: https://doi.org/10.5720/kjcn.2018.23.4.302
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Abstract
PDFPubReader
- OBJECTIVES
This study examined the differences in dietary life and health related factors, such as drinking behavior, exercise and leisure activities, mental health, and subjective perception for oneself according to obesity in poor urban Peruvian adolescents.
METHODS
A total of 1,532 Peruvian adolescents were selected from six schools in poor regions using stratified random sampling. The subjects were classified into two groups based on their BMI: ‘normal weight group (NW group=980)’ or ‘overweight and obese group (OWOB group=293)’. The differences in the general characteristics, dietary life, drinking behavior, physical activity and leisure, mental health and subjective perception of oneself in the two groups were compared. χ2 analysis and independent sample t-test were performed using the SPSS program ver. 24.
RESULTS
For the total and male students, the frequency of breakfast and dinner were significantly lower in the OWOB group than in the NW group (all p < 0.001). For total and female students, the percentage of subjects who received nutrition education was significantly higher in the OWOB group than in the NW group (all p < 0.05). For total students, the percentage of subject who exercised more than five days/week was lower in the OWOB group than in the NW group (p < 0.05). For the total and female students, the subjective health status was worse in the OWOB group than in the NW group (all p < 0.05). The subjective body image was significantly different between the OWOB group and NW group in the total, male and female subjects (all p < 0.001).
CONCLUSIONS
The frequency of meals and exercise, and the subjective perceptions of the health status and body image differed according to obesity in poor urban Peruvian adolescents. Therefore, a school-based intervention program focused on regular meal and exercise, and adequate subjective perceptions for health status and body image need to be developed to prevent adolescent obesity.
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Citations
Citations to this article as recorded by  - Influence of perceived stress on obesity in South Korean adolescents using data from the 13th 2017 Korea Youth Risk Behavior Web-Based Survey
Hye Ja Gu
Korean Journal of Health Education and Promotion.2019; 36(1): 29. CrossRef
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