Ndiaye P, Amoul Kini G, Adama F, Idrissa A, Tal-Dia A
Service de médecine préventive/santé publique, UCAD-Dakar, BP 16390, Dakar Fann, Sénégal.
Rev Epidemiol Sante Publique. 2009 Oct;57(5):374-9. doi: 10.1016/j.respe.2009.04.010. Epub 2009 Aug 4.
A program to eliminate obstetric urogenital fistula (OUGF) was set up on February 19, 2004 in Niger. Though the consultations were free of charge, there was a cost involved, which constitutes the objective of this study.
The data were obtained from a documentary study completed by discussions with the principal management participants and interviews targeting the women suffering from OUGF attending the national hospital of Niamey during the surgery sessions of April and November 2006. Cost assessment included all resources devoted to activities involved in the program: hospital stay, hygiene education, medical and surgical treatment, social rehabilitation interventions (preparation for revenue generating activities and return to residence). Data analysis was performed with Excel and Epi2000 software. Average cost per item and patient was determined.
The cost of the stay at the National hospital of Niamey was 96,445 francs CFA divided between transportation (4,688), room and board (21,572), assistance bonus (3,708) and indirect costs (66,477). The hygiene education cost 194,140 francs CFA: 30,150 for human resources, 143,965 for material resources and 20,025 for operational costs. The medical and surgery treatment had a cost of 144,009 francs CFA divided between consultations (15,000), complementary explorations (44,900), surgical operation (50,000) and consumables (34,109). The preparation for revenue generating activities had a cost of 118,244 francs CFA including training for clothes dying (22,084), soap manufacture (46,160) and the financial supportive grant (50,000). The return to the community cost 295,000 francs CFA, included room and board (2,500), human resources (65,000) and material resources (227,500). Altogether, the cost of the OUGF program came up to 742,018 francs CFA for our sample (76% of women with revenue generating activity), and was assessed at a maximum of 781,362 francs CFA if none of the woman had a revenue generating activity, and a minimum of 729,594 francs CFA if all of them did.
Without the free consultations, the high cost of the OUGF program at the national hospital of Niamey would be inaccessible to Nigerian women owing to poverty and ignorance. Because of this observation, a long-term program is warranted for the treatment of overt cases and the reduction of prevalence, to enable Nigerian women to contribute to the development activities of their country.
2004年2月19日，尼日尔启动了一项消除产科泌尿生殖道瘘（OUGF）的项目。尽管咨询是免费的，但仍存在成本，这构成了本研究的目标。
数据来自一项文献研究，该研究通过与主要管理参与者进行讨论以及对2006年4月和11月在尼亚美国家医院接受手术治疗的OUGF女性患者进行访谈而完成。成本评估包括投入到该项目相关活动的所有资源：住院、卫生教育、医疗和手术治疗、社会康复干预（创收活动准备和返乡）。使用Excel和Epi2000软件进行数据分析。确定了每项和每位患者的平均成本。
在尼亚美国家医院的住院成本为96,445非洲法郎，包括交通费用（4,688法郎）、食宿费用（21,572法郎）、援助奖金（3,708法郎）和间接成本（66,477法郎）。卫生教育成本为194,140非洲法郎：人力资源成本30,150法郎、物资资源成本143,965法郎、运营成本20,025法郎。医疗和手术治疗成本为144,009非洲法郎，包括会诊费用（15,000法郎）、辅助检查费用（44,900法郎）、手术费用（50,000法郎）和耗材费用（34,109法郎）。创收活动准备成本为118,244非洲法郎，包括服装染色培训费用（22,084法郎）、肥皂制造培训费用（46,1
