Abstract
Low-cost, Speculum-free, Automated Cervical Cancer Screening: Bringing Expert Colposcopy Assessment to Community Health
Highlights
Background: cervical cancer is on the decline in high income countries, the WHO estimates that 88% of worldwide invasive cervical cancer mortalities occur in LMICs and is expected to increase to 98% by 2030
This study evaluates the program’s cost effectiveness. Costs included those incurred by Kybele, the Ghana Health Service (GHS), and the value of time of volunteer medical workers traveling to Ghana, reported in 2015 $US dollars (USD) adjusted for purchasing power parity (PPP)
The WHO defines a project as highly cost-effective if the CER is less than the country-specific GDP per capita, which, for 2007-2011, is $2,917 in Ghana adjusted for PPP
Summary
Few studies have examined the cost effectiveness of facility based interventions in low-resource settings aimed at improving obstetric care. From 2007-2011, Kybele, an international NGO, partnered with the Ghana Health Service (GHS) to improve obstetric care through an integrated program addressing systems, skills, and leadership at a large tertiary hospital in Ghana. Despite doubling of patient volume and quadrupling of high-risk patients during this period, maternal mortality and still births were reduced. This study evaluates the program’s cost effectiveness
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