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Cost-effectiveness of caesarean sections in a post-conflict environment

A case study of Bunia, Democratic Republic of the Congo

Bibliographic Data

ID3898235
AuthorsDanielle Deboutte, Tim O''Dempsey, Tim O’dempsey (0000-0002-9596-9687, Liverpool School of Tropical Medicine), Tim O'Dempsey, Gillian Mann (Liverpool School of Tropical Medicine), Brian Faragher (Liverpool School of Tropical Medicine)
Year2013
Volume37
Issues1
PagesS105-20
Publication date2013-07-01
Open AccessYes
TypeARTICLE
VenueDisasters (JOURNAL)
Journal identifiersISSN: 0361-3666 • E-ISSN: 1467-7717
PublisherWiley (PUBLISHER • GB)
DOI10.1111/disa.12015
PMID23905763
OpenAlexW2127539690
LanguageEN
Citations received4
References cited14

This paper demonstrates the feasibility of health services research in an unstable environment during the transition from crisis to development and its importance for future planning. Effectiveness and the cost of caesarean sections (CSs) were investigated in Bunia, a town affected by conflict and insecurity, in the Democratic Republic of the Congo (DRC) in 2008. The CS rate was 9.7 per cent of expected deliveries. All CSs in the study sample were emergency procedures. A humanitarian non-governmental organisation (NGO) hospital, offering free services, performed 75 per cent of all CSs. The estimated provider cost for CS in 2008 at this hospital was USD 103,514 (that is, USD 144 per CS). With a cost of between USD 3.8 and 9.2 per year of health adjusted life expectancy (HALE) gained, CSs at the NGO hospital were very cost-effective. The estimates give an indication of funding requirements to maintain adequate access to CS after the departure of the humanitarian organisation

Business · Democracy · Developing country · Economic growth · Economics · Environmental health · Family planning · Life expectancy · Medical emergency · Operations management · Political science · Research methodology · Socioeconomics · Global Health Workforce Issues · Global Maternal and Child Health · Healthcare Policy and Management · Medicine

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    Open Access•Mariella Munyuzangabo, Michelle F Gaffey et al.•BMJ Global Health•2021

  • The true costs of cesarean delivery for patients in rural Rwanda

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  • Health financing in fragile and post-conflict states

    Open Access•Sophie Witter•Social Science & Medicine•2012

Citations per year0.57
Citation span2019 - 2022 (4)
Highly citedNo

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