Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Stafford says exiting down stock market worsened position of low-income households

Bailey's work cited on growing income disparities in college enrollment and graduation

Murphy says mobile sensor data will allow adaptive interventions for maximizing healthy outcomes

Highlights

PSC Fall 2014 Newsletter now available

Martha Bailey and Nicolas Duquette win Cole Prize for article on War on Poverty

Michigan's graduate sociology program tied for 4th with Stanford in USN&WR rankings

Jeff Morenoff makes Reuters' Highly Cited Researchers list for 2014

Next Brown Bag

Monday, Nov 3
Melvin Stephens, Estimating Program Benefits

Economic evaluation of surgically trained assistant medical officers in performing major obstetric surgery in Mozambique

Archived Abstract of Former PSC Researcher

Kruk, M.E., C. Pereira, F. Vaz, S. Bergstrom, and Sandro Galea. 2007. "Economic evaluation of surgically trained assistant medical officers in performing major obstetric surgery in Mozambique." Bjog-an International Journal of Obstetrics and Gynaecology, 114(10): 1253-1259.

Objective To compare the training and deployment costs and surgical productivity of surgically trained assistant medical officers (técnicos de cirurgia) and specialist physicians (surgeons and obstetrician/gynaecologists) in Mozambique in order to inform health human resource planning in a developing country with low availability of obstetric care and severe physician shortages. Técnicos de cirurgia have been previously shown to have quality of care outcomes comparable to physicians.

Design Economic evaluation of costs and productivity of surgically trained assistant medical officers and specialist physicians.

Setting Hospitals and health science training institutions in Mozambique.

Population Surgically trained assistants, medical officers, surgeons and obstetrician/gynaecologists in Mozambique.

Methods The costs of training and deploying the two cadres of health workers were derived from a review of budgets, annual expenditure reports, enrolment registers, and accounting statements from training institutions and interviews with directors and administrators. Productivity estimates were based on a hospital survey of physicians and técnicos de cirurgia.

Main outcome measures Cost per major obstetric surgical procedure over 30 years in 2006 US dollars.

Results The 30-year cost per major obstetric surgery was $38.9 for técnicos de cirurgia and $144.1 for surgeons and obstetrician/gynaecologists. Doubling the salaries of técnicos de cirurgia resulted in a smaller but still substantial difference in cost per surgery between the groups ($60.3 versus $144.1 per procedure). One-way sensitivity analysis to test the impact of varying other inputs did not substantially change the magnitude of the cost advantage of técnicos de cirurgia.

Conclusion Training more mid-level health workers in surgery can be part of the response to the health worker shortage, which today threatens the achievement of the health Millennium Development Goals in developing countries.

DOI:10.1111/j.1471-0528.2007.01443.x (Full Text)

Browse | Search : All Pubs | Next