"The town has had no functioning health services since ICRC activities were suspended," OCHA said.
Because village-level health subcenters serve only a fraction of the population in each state, we included supplementation costs for all areas currently served by health subcenters [40] as well as the additional costs of supplementing children in areas currently lacking subcenter coverage, which would require additional resources for delivery [22].
The pilot, not-for-profit project is currently running seven facilities, which, Mr. Mor said, "could act as model primary health subcenters".
Village-level health subcenters, each serving a population of 5,000 3,0000 in tribal, hilly, or inaccessible areas), conduct vitamin A supplementation.
The internal rate of return for supplementation in areas where health subcenters are located (142 195 percent) is greater than the IRR in areas without subcenters (59 93 percent), again because of greater delivery costs in those areas.
Given the difficulties in expanding supplementation to areas without health subcenters, GM fortification of mustard seed is an attractive alternative, and further exploration of this technology is warranted.
In areas where health subcenters exist, the cost per DALY averted can be as low as $5 to $11 (or $200 to $1,300 per death averted), whereas additional delivery costs necessary in areas without subcenters result in an incremental cost-effectiveness ratio of $42 to $90 per DALY averted (or $1,900 to $11,100 per death averted).
The cost-effectiveness of supplementation varies depending on health subcenter coverage.
Expanding vitamin A supplementation to all areas was the least costly intervention, at $23 $50 per DALY averted and $1,000 $6,100 per death averted, though cost-effectiveness varied with prevailing health subcenter coverage.
There is no functioning village health station.
