Comparative cost-effectiveness analysis of two MSF surgical trauma centers.
BACKGROUND
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.


CONCLUSIONS
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.
Gosselin
Richard A
RA
School of Public Health, University of California Berkeley, Berkeley, CA, USA. froggydoc@comcast.net
Maldonado
Andreu
A
Elder
Greg
G
D003362:Cost-Benefit Analysis; D009939:Organizations, Nonprofit / Q000191:economics*; D013514:Surgical Procedures, Operative / Q000191:economics*; D014193:Trauma Centers / Q000191:economics*