Comparative cost-effectiveness analysis of two MSF surgical trauma centers

Richard A Gosselin, Andreu Maldonado, Greg Elder, Richard A Gosselin, Andreu Maldonado, Greg Elder

Abstract

Introduction: There is a dearth of data on cost-effectiveness of surgical care in resource-poor countries. Doctors Without Borders (Médecins Sans Frontières; MSF) is a nongovernmental organization (NGO) involved in the many facets of health care for underserved populations, including surgical care.

Methods: A cost-effectiveness analysis (CEA) was attempted at two of their surgical trauma hospitals: Teme Hospital in Nigeria and La Trinité Hospital in Haiti.

Conclusion: At $172 and $223 per Disability-Adjusted Life-Year (DALY) averted, respectively, they are in line with other reported CEAs for surgical and nonsurgical activities in similar contexts.

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