The Financial Costs of Mass Media Interventions Used for Improving Breastfeeding Practices in Bangladesh, Burkina Faso, Nigeria, and Vietnam.

Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE

Original Publication: Basel : MDPI, c2004-

Breast Feeding* ; Mass Media*; Infant ; Child ; Humans ; Female ; Pregnancy ; Burkina Faso ; Bangladesh ; Vietnam ; Nigeria ; Retrospective Studies

Breastfeeding is essential for child survival but globally less than fifty percent of infants receive adequate breastfeeding. Gaps in breastfeeding knowledge and misinformation are widespread. Mass media aims to motivate mothers and families, encourage care-seeking, improve social norms, and counteract misleading advertising. However, the costs and coverage of mass media are not well documented. Our study provides a cost-accounting of four large-scale mass media interventions and coverage obtained through mass media. We retrospectively calculated annual costs and costs per beneficiary of mass media interventions based on expenditure records in four countries. The interventions were a part of multi-component breastfeeding strategies in Bangladesh, Burkina Faso, Nigeria, and Vietnam. Annual costs ranged from 566,366 USD in Nigeria to 1,210,286 USD in Vietnam. The number of mothers of children under two years and pregnant women ranged from 685,257 to 5,566,882, and all designated recipients reached during the life of programs ranged from 1,439,040 to 11,690,453 in Burkina Faso and Bangladesh, respectively. The cost per mother varied from USD 0.13 USD in Bangladesh to 0.85 USD in Burkina Faso. Evaluations showed that mass media interventions reached high coverage and frequent exposure. This analysis documents the financial costs and budgetary needs for implementing mass media components of large-scale breastfeeding programs. It provides annual costs, cost structures, and coverage achieved through mass media interventions in four low- and middle-income countries.

Lancet Glob Health. 2016 Apr;4(4):e266-75. (PMID: 27013313)
Lancet. 2016 Jan 30;387(10017):491-504. (PMID: 26869576)
Matern Child Nutr. 2011 Apr;7 Suppl 1:35-62. (PMID: 21410889)
JMIR Public Health Surveill. 2020 Sep 15;6(3):e22060. (PMID: 32930670)
Food Nutr Bull. 2011 Sep;32(3):192-200. (PMID: 22073792)
Cureus. 2020 Sep 14;12(9):e10453. (PMID: 33072461)
Health Policy Plan. 2019 Jul 1;34(6):407-417. (PMID: 31236559)
JAMA Netw Open. 2019 Oct 2;2(10):e1913401. (PMID: 31617928)
Int Breastfeed J. 2010 Nov 30;5:21. (PMID: 21118488)
Adv Nutr. 2018 Sep 01;9(5):572-580. (PMID: 30060074)
Int Breastfeed J. 2015 Feb 23;10:8. (PMID: 25873985)
Curr Dev Nutr. 2019 Jul 10;3(8):nzz070. (PMID: 31346584)
PLoS One. 2008 Jun 18;3(6):e2454. (PMID: 18560596)
Am J Public Health. 2017 Feb;107(2):312-318. (PMID: 27997234)
J Nutr. 2018 Oct 1;148(10):1605-1614. (PMID: 30169665)
J Nutr. 2022 May 5;152(5):1316-1326. (PMID: 35015869)
J Perinatol. 2014 May;34(5):369-74. (PMID: 24526006)
Commun Methods Meas. 2019;13(1):60-68. (PMID: 31354897)
BMJ Glob Health. 2018 Jul 16;3(4):e000809. (PMID: 30057798)
Lancet. 2016 Jan 30;387(10017):475-90. (PMID: 26869575)
Cost Eff Resour Alloc. 2011 Jun 29;9(1):11. (PMID: 21714877)
Matern Child Nutr. 2016 May;12 Suppl 1:141-54. (PMID: 27187912)
J Health Commun. 2014;19 Suppl 1:190-215. (PMID: 25207453)
Matern Child Nutr. 2020 Jan;16(1):e12863. (PMID: 31232512)

OPP50838, INV-042392 and INV-006546 United States GATES Bill & Melinda Gates Foundation

Keywords: Bangladesh; Burkina Faso; Nigeria; Vietnam; breastfeeding program; financial cost; mass media

Date Created: 20221223 Date Completed: 20221226 Latest Revision: 20230120

20230120

PMC9779531

10.3390/ijerph192416923

36554803