World Journal of Surgery

, Volume 34, Issue 3, pp 415-419

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

Comparative Cost-Effectiveness Analysis of Two MSF Surgical Trauma Centers

  • Richard A. GosselinAffiliated withSchool of Public Health, University of California Berkeley Email author 
  • , Andreu MaldonadoAffiliated withMédecins Sans Frontières
  • , Greg ElderAffiliated withMédecins Sans Frontières



There is a dearth of data on cost-effectiveness of surgical care in resource-poor countries. Doctors Without Borders (Médecins Sans Frontières; MSF) is a nongovernmental organization (NGO) involved in the many facets of health care for underserved populations, including surgical care.


A cost-effectiveness analysis (CEA) was attempted at two of their surgical trauma hospitals: Teme Hospital in Nigeria and La Trinité Hospital in Haiti.


At $172 and $223 per Disability-Adjusted Life-Year (DALY) averted, respectively, they are in line with other reported CEAs for surgical and nonsurgical activities in similar contexts.