The cost-effectiveness of orthopaedic clinical officers in Malawi

Background In Malawi the orthopaedic clinical officer (OCO) training programme trains non-physician clinicians in musculoskeletal care. We studied the cost-effectiveness of this program. Methods Hospital logbooks were reviewed for data pertaining to activity in seven district hospitals over a 6-mont...

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Bibliographic Details
Published in:Tropical doctor 2014-07, Vol.44 (3), p.128-134
Main Authors: Grimes, Caris E, Mkandawire, Nyengo C, Billingsley, Michael L, Ngulube, Christopher, Cobey, James C
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Allied Health Personnel - economics
Allied Health Personnel - education
Child
Child, Preschool
Cost-Benefit Analysis
Delivery of Health Care - economics
Education, Medical - economics
Female
Hospital Costs - statistics & numerical data
Humans
Infant
Malawi
Male
Middle Aged
Orthopedic Procedures - economics
Orthopedic Procedures - statistics & numerical data
Orthopedics - economics
Orthopedics - education
Orthopedics - statistics & numerical data
Quality-Adjusted Life Years
Young Adult
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Summary:Background In Malawi the orthopaedic clinical officer (OCO) training programme trains non-physician clinicians in musculoskeletal care. We studied the cost-effectiveness of this program. Methods Hospital logbooks were reviewed for data pertaining to activity in seven district hospitals over a 6-month period. The total costs were divided by the total effectiveness, calculated as disability adjusted life years (DALYs) averted. Results The total cost-effectiveness of providing orthopaedic care through the OCO training programme was US$92.06 per DALY averted. The mean per hospital was US$138.75 (95% CI: US$69.58–207.91) per DALY averted which is very cost-effective when compared with other health interventions. Of the 837 patients treated 63% were aged
ISSN:0049-4755
1758-1133
DOI:10.1177/0049475514535575