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Palliation of Functionally Single Ventricle Patients in Sub-Saharan Africa-Is It Justifiable?

Frank Edwin1,2

  • 11 Department of Surgery, University of Health and Allied Sciences, Ho, Ghana.

World Journal for Pediatric & Congenital Heart Surgery
|March 8, 2019
PubMed

Insights

Limited resources in sub-Saharan Africa impact pediatric cardiac care. Cost-effectiveness analysis alone is insufficient for prioritizing treatment for children with single ventricle heart defects, as it overlooks public values.

Area of Science:

  • Public Health
  • Pediatric Cardiology
  • Health Economics

Background:

  • Sub-Saharan African nations face significant resource limitations affecting comprehensive pediatric cardiac care.
  • Children with functionally single ventricle often receive low priority in healthcare policy due to cost-effectiveness considerations.

Purpose of the Study:

  • To examine the criteria used by policymakers and the public in prioritizing healthcare, specifically for single ventricle palliation in sub-Saharan Africa.
  • To critique the sole reliance on cost-effectiveness analysis for health-care priority setting in resource-limited settings.

Main Methods:

  • This is a commentary, not an empirical study.
  • It analyzes the ethical and societal implications of using cost-effectiveness as the primary decision-making tool.

Main Results:

  • Cost-effectiveness analysis may exclude treatments for conditions with high treatment costs, such as single ventricle palliation.
  • Decisions based solely on cost-effectiveness may not align with public values and ethical considerations.

Conclusions:

  • Healthcare priority setting in sub-Saharan Africa requires a broader set of criteria beyond cost-effectiveness.
  • Public acceptability and ethical considerations are crucial when making decisions about pediatric cardiac interventions for single ventricle patients.

Keywords:
CHDcongenital heart disease (CHD)cost analysisfunctionally univentricular hearthealth policy (includes government regulation)univentricular heart

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