 Based at Radboud University Medical Centre in Nijmegen, the Netherlands, I have carried responsibility for the health economics arm of SURG-Africa, and of its predecessor COST-Africa. A large chunk of our research was dedicated to establishing the cost of providing and scaling up district-level surgery in Malawi, Zambia and Tanzania. In our studies we looked at the financial costs of all types of resources used in providing surgery, irrespective of whether or not patients pay a fee.
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