01Jul 2019

MOBILISING A MOBILE SURGICAL TEAM AT THE DISTRICT LEVEL: A COST EFFECTIVE STRATEGY FOR CATARACT SURGERY IN MALII. VISUAL ACUITY OUTCOMES AND COST STUDY.

  • Institute of African Tropical Ophthalmology, Bamako, Mali.
  • University Bordeaux 2 (EA 3677 et Centre Ren? Labusqui?re) Bordeaux, France.
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Objectives:To compare, in the region of Mopti in Mali, the cost and effectiveness of a proximity surgery strategy (advanced surgery close to the patients? residence) with surgery practised in a traditional ophthalmology centre (fixed surgery in a hospital environment). Methods:Two samples of 199 and 100 people operated on for cataract in the advanced and fixed strategies respectively, were included in this study. Results:The functional results were excellent since, after correction, 92.5% of the advanced, and 98% of the fixed, surgery patients had a vision higher than or equal to 6/19. The rate of patients? satisfaction was 96% for advanced surgery and 89% for fixed surgery. From a societal point of view, the advanced strategy was slightly less costly with a unit cost of 96.2 US$ compared to 96.9 US $ in the fixed strategy. On the other hand, advanced surgery was much cheaper (26.6 US$ vs. 36.5 US$) for the patient and their family because of reduced transportation costs and patient and attendant opportunity cost in terms of time. Conclusion:Operating patients using a proximity surgery strategy, whereby a regional ophthalmic team is mobilised at the district level, appears to be as cost effective as a classical fixed strategy. This innovative strategy should allow, if extended to all Malian regions, most patients needing surgery to be operated on.


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[Seydou Bakayoko, Rodrigue R.Elien g.y., Jeremy Koita and Jean Francois Schemann. (2019); MOBILISING A MOBILE SURGICAL TEAM AT THE DISTRICT LEVEL: A COST EFFECTIVE STRATEGY FOR CATARACT SURGERY IN MALII. VISUAL ACUITY OUTCOMES AND COST STUDY. Int. J. of Adv. Res. 7 (7). 42-51] (ISSN 2320-5407). www.journalijar.com


ELIEN G Y R Rodrigue
CHU-IOTA

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Article DOI: 10.21474/IJAR01/9323       DOI URL: http://dx.doi.org/10.21474/IJAR01/9323


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