A cost analysis of pediatric cataract surgery at two child eye health tertiary facilities in Africa

• Published in: Journal of AAPOS Vol. 18; no. 6; pp. 559 - 562
• Main Authors: Evans, Centrael T., MD, Lenhart, Phoebe D., MD, Lin, Dan, MPH, Yang, Zhou, MPH, PhD, Daya, Trusha, BA, Kim, Young-Min, MS, Seneadza, Asiwome, MD, MMed Ophth, Mboni, Chileshe, MBChB, MMed Ophth, Msukwa, Gerald, MMed Ophth, Lewallen, Susan, MD, Courtright, Paul, DrPH
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2014
• Subjects: Cataract - congenital; Cataract - economics; Cataract Extraction - economics; Child; Child, Preschool; Economics, Medical; Fee Schedules; Health Care Costs; Humans; Malawi; Male; Ophthalmology; Ophthalmology - economics; Tertiary Care Centers - economics; Zambia; Malawi; Zambia
• ISSN: 1091-8531; 1528-3933
• DOI: 10.1016/j.jaapos.2014.08.005

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.