Can it be more cost-effective to prevent than to treat obstetric fistulas?

Abstract

Obstetric fistula treatment, while effective, incurs significant costs. This analysis explores the potential cost-effectiveness of preventative measures compared to treatment. Assuming a fistula treatment cost of $700, the author proposes two preventative approaches. The first involves widespread health education promoting preventative healthcare behaviors, estimated at $1 per person reached. Given a 0.3% fistula prevalence and 50% effectiveness, this equates to $670 per prevented case. The second approach targets midwives and doctors with training on early detection and intervention, costing $3.3 per patient reached. Additional costs include $12.5 per at-risk patient for doctor training and equipment, and $4 per patient for travel stipends. This targeted approach totals $20 per prevented fistula, significantly lower than the treatment cost. The author concludes by questioning the existing efforts in fistula prevention and suggesting that charities should prioritize such initiatives. – AI-generated abstract.