Discussion

Aliu, Oluseyi; Chung, Kevin C.

doi:10.1097/prs.0b013e318254b2fd

Cited by 4 publications

(1 citation statement)

References 24 publications

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“…Present models of improving equitable access to surgical care in low-and middle-income countries (LMICs) frequently include speciality-based medical missions by surgical teams from higher-income countries [12]. A wide range of such specialty care models in LMICs have reported encouraging successes, including delivery of ophthalmology procedures by Orbis and Sightsavers, cleft lip and palate repairs by Operation Smile and Smile Train, and obstetric fistula repairs via partnerships such as Fistula Fortnight [13][14][15][16][17][18][19][20]. Centers such as the Albert Schweitzer hospitals in Gabon and Haiti, and the newly established Ho ˆpital Universitaire de Mirebalais in Haiti's Central Plateau, do offer more comprehensive surgical care, but these are primarily reliant upon a non-indigenous donor and expertise base [7].…”

Section: Introductionmentioning

confidence: 99%

Equitable Access to Comprehensive Surgical Care: The Potential of Indigenous Private Philanthropy in Low‐Income Settings

et al. 2014

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Section: Introductionmentioning

confidence: 99%

Equitable Access to Comprehensive Surgical Care: The Potential of Indigenous Private Philanthropy in Low‐Income Settings

et al. 2014

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Cleft lip–cleft palate in Zimbabwe: Estimating the distribution of the surgical burden of disease using geographic information systems

et al. 2014

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Economic Evaluation of a Global Reconstructive Surgery Visiting Educator Program

Luan

Meyers²,

Thua

et al. 2022

Annals of Surgery Open

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Objective: The objective of this study was to quantify the cost-effectiveness and economic value of a reconstructive surgery visiting educator trip program in a resource-constrained setting. Background: Reconstructive surgical capacity remains inadequate in low- and middle-income countries, resulting in chronic disability and a significant economic toll. Education and training of the local surgical workforce to sustainably expand capacity have been increasingly encouraged, but economic analyses of these interventions are lacking. Methods: Data were analyzed from 12 visiting educator trips and independently-performed surgical procedures at 3 Vietnamese hospitals between 2014 and 2019. A cost-effectiveness analysis was performed using standardized methodology and thresholds to determine cost-effectiveness. Sensitivity analyses were performed with disability weights, discounting, and costs from different perspectives. Economic benefit was estimated using both the human capital method and the value of a statistical life method, and a benefit-cost ratio was computed. Results: In the base case analysis, the visiting educator program was very cost-effective at $581 per disability-adjusted life year (DALY) averted. Economic benefit was between $21·6 million and $29·3 million, corresponding to a 12- to 16-fold return on investment. Furthermore, when considering only costs to the organization, the cost decreased to $61 per DALY averted, with a 113- to 153-fold return on investment for the organization. Conclusions: Visiting educator programs, which build local reconstructive surgical capacity in limited-resource environments, can be very cost-effective with significant economic benefit and return on investment. These findings may help guide organizations, donors, and policymakers in resource allocation in global surgery.

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Discussion

Cited by 4 publications

References 24 publications

Equitable Access to Comprehensive Surgical Care: The Potential of Indigenous Private Philanthropy in Low‐Income Settings

Equitable Access to Comprehensive Surgical Care: The Potential of Indigenous Private Philanthropy in Low‐Income Settings

Cleft lip–cleft palate in Zimbabwe: Estimating the distribution of the surgical burden of disease using geographic information systems

Economic Evaluation of a Global Reconstructive Surgery Visiting Educator Program

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