Cost (US$ per patient) | Assumptions* | |
---|---|---|
Staff | ||
Casting, unilateral | 22 | 30 min per foot for cast removal, assessment, recast; seven visits; two health workers each time† |
Brace evaluation | 15 | 20 min per visit (same for unilateral and bilateral patients); 14 brace reviews per patient; one health worker35† |
Tenotomy (staff), unilateral | 10 | Average cost at CURE partner hospitals |
Total staff cost, unilateral | 46 | |
Total staff cost, bilateral | 78 | Double costs for casting and tenotomy |
Supplies | ||
Casting, unilateral | 25 | Two rolls of cast and under-cast padding per leg, at US$3.50 total; seven castings |
Tenotomy (equipment), unilateral | 5 | Average cost at CURE partner hospitals |
Brace | 60 | Four braces at US$15 each (not accounting for reuse) |
Total cost of supplies, unilateral | 72 | |
Total cost of supplies, bilateral | 90 | Double costs for casting and tenotomy |
Total cost, unilateral | 136 | |
Total cost, bilateral | 197 | |
Average total cost | 167 |
*Data from CURE Clubfoot.
†Health worker salary estimated at US$500 per month, with a 40 hour working week, equal to roughly US$3 per hour.