Centrael T Evans1, Phoebe D Lenhart2, Dan Lin3, Zhou Yang3, Trusha Daya4, Young-Min Kim4, Asiwome Seneadza5, Chileshe Mboni5, Gerald Msukwa6, Susan Lewallen7, Paul Courtright7. 1. Emory University School of Medicine, Atlanta, Georgia. 2. Department of Ophthalmology, Emory University School of Medicine, Atlanta. Electronic address: plenha2@emory.edu. 3. Rollins School of Public Health, Emory University, Atlanta. 4. Emory University, Atlanta. 5. Eye Department, Kitwe Central Hospital, Kitwe, Zambia. 6. Lions Sight First Eye Hospital, Queen Elizabeth Central Hospital, Blantyre, Malawi. 7. Department of Ophthalmology, Emory University School of Medicine, Atlanta; Kilimanjaro Centre for Community Ophthalmology International, Division of Ophthalmology, University of Cape Town, Cape Town, South Africa.
Abstract
PURPOSE: To determine the direct cost of pediatric cataract surgery at two child eye health tertiary facilities (CEHTFs) in Africa. METHODS: The direct cost of pediatric cataract surgery was determined by reviewing data collected from two CEHTFs in Zambia and Malawi. Inventory, cost, and usage data of all durable medical equipment, consumable equipment, personnel, and medications were collected and the direct cost per child calculated. RESULTS: For cataract surgery and related treatment during 2011, the total cost per child was calculated to be $202 for Malawi and $277 for Zambia using figures derived from estimating labor cost allocation proportional to employee time devoted to pediatric cataract management. The one-time equipment cost totaled $178,121 for Malawi and $179,832 for Zambia. CONCLUSIONS: These cost estimates may serve as a basis for economic decisions aimed at improving access to care, management, and follow-up for children with cataract and provide useful insights for programs dedicated to promoting organizational and financial sustainability for CEHTFs in Africa.
PURPOSE: To determine the direct cost of pediatric cataract surgery at two child eye health tertiary facilities (CEHTFs) in Africa. METHODS: The direct cost of pediatric cataract surgery was determined by reviewing data collected from two CEHTFs in Zambia and Malawi. Inventory, cost, and usage data of all durable medical equipment, consumable equipment, personnel, and medications were collected and the direct cost per child calculated. RESULTS: For cataract surgery and related treatment during 2011, the total cost per child was calculated to be $202 for Malawi and $277 for Zambia using figures derived from estimating labor cost allocation proportional to employee time devoted to pediatric cataract management. The one-time equipment cost totaled $178,121 for Malawi and $179,832 for Zambia. CONCLUSIONS: These cost estimates may serve as a basis for economic decisions aimed at improving access to care, management, and follow-up for children with cataract and provide useful insights for programs dedicated to promoting organizational and financial sustainability for CEHTFs in Africa.
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