Economic burden and cost-effectiveness of treatments for open tibia fractures in Malawi: Economic analysis of a multicentre prospective cohort study
The main finding was that open tibia fractures result in significant costs to patients, the healthcare system and society in Malawi. Although the funding of orthopaedic treatment can be difficult in countries with very limited healthcare budgets, the costs to society of ignoring this issue are very high. A re-balancing of health budgets (including from government and donors) is needed to prioritise trauma care to reduce the growing societal economic burden from injury.
Authors
- Ewan Tomeny (ORCID: https://orcid.org/0000-0003-4547-2389)
- Kaweme Mwafulirwa (ORCID: https://orcid.org/0009-0001-1205-5573)
- Alexander Schade (ORCID: https://orcid.org/0000-0001-5957-3071)
- Jason Madan (ORCID: https://orcid.org/0000-0003-4316-1480)
- Peter MacPherson (ORCID: https://orcid.org/0000-0002-0329-9613)
- Maureen Sabawo (ORCID: https://orcid.org/0009-0008-7286-4314)
- Andrew Metcalfe (ORCID: https://orcid.org/0000-0002-4515-8202)
- David G. Lalloo (ORCID: https://orcid.org/0000-0001-7680-2200)
- William J. Harrison (ORCID: https://orcid.org/0000-0001-7229-0041)
- Leonard Banza (ORCID: https://orcid.org/0000-0002-2107-2615)
- Linda Alinafe Sande (ORCID: https://orcid.org/0000-0002-4246-5338)
- Nyamulani Nohakhelha
Institutions
- University of Liverpool (GB)
- Liverpool School of Tropical Medicine (GB)
- AO Foundation (CH)
- Malawi-Liverpool-Wellcome Trust Clinical Research Programme (MW)
- Kamuzu Central Hospital (MW)
- University of Warwick (GB)
- Countess of Chester Hospital NHS Foundation Trust (GB)
- London School of Hygiene & Tropical Medicine (GB)
- Queen Elizabeth Central Hospital (MW)
- Kamuzu University of Health Sciences (MW)
- University of Glasgow (GB)
Publication Details
- Journal
- PLoS ONE
- Published
- 2025-09-05
- DOI
- https://doi.org/10.1371/journal.pone.0331569
- Primary Topic
- Global Health and Surgery
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Wellcome Trust