Please use this identifier to cite or link to this item: https://hdl.handle.net/10321/1289
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dc.contributor.authorThompson, Stephenen_US
dc.contributor.authorNaidoo, Kovinen_US
dc.contributor.authorHarris, Geoffrey Thomasen_US
dc.contributor.authorBilotto, Luigien_US
dc.contributor.authorFerrão, Jorgeen_US
dc.contributor.authorLoughman, Jamesen_US
dc.date.accessioned2015-06-25T06:00:20Z
dc.date.available2015-06-25T06:00:20Z
dc.date.issued2014-
dc.identifier.citationThompson, S.; Naidoo, K.; Harris, G.; Bilotto, L.; Ferrao, J.and Loughman, J. 2014. The development of a public optometry system in Mozambique: a Cost Benefit Analysis. BMC Health Services Research. 14:422en_US
dc.identifier.issn1472-6963-
dc.identifier.urihttp://hdl.handle.net/10321/1289-
dc.description.abstractBackground: The economic burden of uncorrected refractive error (URE) is thought to be high in Mozambique, largely as a consequence of the lack of resources and systems to tackle this largely avoidable problem. The Mozambique Eyecare Project (MEP) has established the first optometry training and human resource deployment initiative to address the burden of URE in Lusophone Africa. The nature of the MEP programme provides the opportunity to determine, using Cost Benefit Analysis (CBA), whether investing in the establishment and delivery of a comprehensive system for optometry human resource development and public sector deployment is economically justifiable for Lusophone Africa. Methods: A CBA methodology was applied across the period 2009–2049. Costs associated with establishing and operating a school of optometry, and a programme to address uncorrected refractive error, were included. Benefits were calculated using a human capital approach to valuing sight. Disability weightings from the Global Burden of Disease study were applied. Costs were subtracted from benefits to provide the net societal benefit, which was discounted to provide the net present value using a 3% discount rate. Results: Using the most recently published disability weightings, the potential exists, through the correction of URE in 24.3 million potentially economically productive persons, to achieve a net present value societal benefit of up to $1.1 billion by 2049, at a Benefit-Cost ratio of 14:1. When CBA assumptions are varied as part of the sensitivity analysis, the results suggest the societal benefit could lie in the range of $649 million to $9.6 billion by 2049. Conclusion: This study demonstrates that a programme designed to address the burden of refractive error in Mozambique is economically justifiable in terms of the increased productivity that would result due to its implementation.en_US
dc.format.extent8 pen_US
dc.language.isoenen_US
dc.publisherBioMed Centralen_US
dc.relation.ispartofBMC health services research (Online)en_US
dc.subjectOptometryen_US
dc.subjectCost benefit analysisen_US
dc.subjectHealth economicsen_US
dc.subjectMozambiqueen_US
dc.subjectUncorrected refractive erroren_US
dc.subjectEye healthen_US
dc.subjectHuman resource developemnten_US
dc.subjectBlindnessen_US
dc.subjectVisual impairmenten_US
dc.subjectHigher educationen_US
dc.titleThe development of a public optometry system in Mozambique: a cost benefit analysisen_US
dc.typeArticleen_US
dc.publisher.urihttp://www.biomedcentral.com/1472-6963/14/422en_US
dc.dut-rims.pubnumDUT-004386en_US
dc.identifier.doi10.1186/1472-6963-14-422-
local.sdgSDG08-
item.fulltextWith Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.languageiso639-1en-
item.openairetypeArticle-
item.grantfulltextopen-
item.cerifentitytypePublications-
Appears in Collections:Research Publications (Management Sciences)
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