ABCDEFGHIJKLMNOPQRSTUVWX
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3-year grant (2022-2025)Steady state
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Anemia morbidity averted
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Adjustment for decline in anemia and iron deficiency from 3-year grant period to steady state
1.000.90
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Annual YLDs per person attributed to dietary iron deficiency in India0.00540.0049
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Relative risk of iron deficiency with iron fortification from academic literature48%48%
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Implied discount factor for difference in effectiveness of FH's program compared to academic literature on fortification
115%115%
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Adjusted relative risk of iron deficiency with iron fortification in FH's program40%40%
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Internal validity adjustment for iron deficiency90%90%
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External validity adjustment for iron deficiency100%100%
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Annual iron deficiency YLDs per person averted by iron fortification0.00290.0026
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Value assigned to 1 YLD averted2.32.3
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Units of value per beneficiary0.00680.0061
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Cognitive benefits in children
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Percent of population that's 0-14 years old30.9%30.9%
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Proportion of children under 5 with dietary iron deficiency19.9%17.8%
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Proportion of children 5 to 14 with dietary iron deficiency 19.0%17.0%
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Proportion of children 0-14 with dietary iron deficiency19.3%17.3%
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Increase in IQ from iron supplementation in children with anemia (standard deviations)0.30.3
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Internal validity adjustment for IQ in children70%70%
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External validity adjustment for IQ in children70%70%
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Adjustment for lower effectiveness of iron fortification vs. supplementation75.9%75.9%
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IQ points per standard deviation1515
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Increase in IQ from iron fortification in children with iron deficiency (points)1.671.67
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Percentage increase in wages/consumption for every 1 point increase in IQ0.7%0.7%
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Adjustment to amortize benefits10.0%10.0%
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Percent of cognitive benefit that is retained into adulthood33%33%
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Multiplier for resource sharing22
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Percent increase in consumption from one year of iron fortification (cohort mean)0.004%0.004%
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Mean increase in annual ln(consumption)0.000040.00004
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Mean number of years between supplementation and initial consumption benefits1111
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Median duration of consumption benefits4040
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Discount rate4%4%
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Present value of lifetime benefits0.00060.0005
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Value assigned to increasing ln(consumption) by one unit for one person for one year1.441.44
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Units of value per beneficiary0.000820.00073
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Cognitive benefits in adults
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Proportion of cohort of income-earning age64%64%
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Proportion of working-age adults that have dietary iron deficiency 23.8%21.3%
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Increase in IQ from iron supplementation in adults with anemia (standard deviations)0.350.35
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Internal validity adjustment for IQ in adults85%85%
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External validity adjustment for IQ in adults60%60%
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Adjustment for lower effectiveness of iron fortification vs. supplementation75.9%75.9%
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IQ points per standard deviation1515
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Increase in IQ from iron fortification in average adult (points)0.310.28
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Percentage increase in wages/consumption for every 1 point increase in IQ0.7%0.7%
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Multiplier for resource sharing22
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Percentage increase in consumption from iron fortification in average adult0.41%0.37%
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Increase in annual ln(consumption) 0.00410.0037
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Value assigned to increasing ln(consumption) by one unit for one person for one year1.441.44
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Units of value per beneficiary0.0060.005
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Intervention cost
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Annual cost per person (nominal USD) $0.68$0.43
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Adjustment to account for Fortify Health growing slower than anticipated1.251.05
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Annual cost per person (nominal USD), with adjustment$0.86$0.45
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Results
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Units of value per dollar donated0.020.03
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Total units of value per $10,000 donated158.03270.63
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Cost-effectiveness, multiples of cash transfers from GiveDirectly4.67.9
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Contribution of each outcome to overall cost-effectiveness
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Percent of value coming from anemia morbidity averted50%50%
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Percent of value coming from cognitive benefits in children 6%6%
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Percent of value coming from cognitive benefits in adults 44%44%
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