A cost-effectiveness study of caesarean-section deliveries by clinical officers, general practitioners and obstetricians in Burkina Faso

Table 2 Annual training and deployment costs of providers of caesarean deliveries, Burkina Faso, 2006

Clinical officers	Costs (CFA)
Basic clinical officers training (discounted over 30 years) cost/resident¹	73 127
Clinical officers training costs (discounted over 20 years)	194 768
Total clinical officers training costs	267 895
Enhanced clinical officers training*
Discounted basic clinical officers training (discounted over 20 years) cost/resident¹	73 127
Clinical officers training costs (discounted over 20 years)	194 768
Refresher course** (discounted over 2 years) *	313 589
Total enhanced clinical officers training costs	581 484
Trained doctors in essential surgery
Basic training (discounted over 30 years) cost per doctor	135 171
Surgery training costs (discounted over 5 years)⁵	904 983
Total essential surgery training costs	1 040 153
Enhanced essential surgery training*
Basic training (discounted over 30 years) cost per doctor	135 171
Enhanced surgery training costs (discounted over 15 years)⁵	1 296 608
Total enhanced surgery training costs	1 431 779
Specialists (obstetricians and surgeons)
Basic training (discounted over 30 years) cost per doctor	135 171
Obstetricians' training costs (discounted over 20 years)⁷	1 354 650
Total obstetricians' training costs	1 489 821

¹From nursing school budget, 2005, numbers of students (all residents, all majors, % clinical officers), national contest for clinical officers, discounted over 30 years
² Source: Human resources division, health personal salaries.
³Discounted over 20 years
⁴From University of Ouagadougou budget, School of Health Sciences (% of medical students among all students), national contest, discounted over 30 years
⁵Source: Ministry of Health, discounted over five years (average duration of practice of essential surgery)
⁶ From University of Ouagadougou budget, School of Health Sciences (% of medical students among all students), national contest
⁷Discounted over 20 years (estimated duration of practice of obstetrician)
* See Table 4
** Estimated refresher course and supervision costs, discounted over two years (clinical officers to attend two month refresher course every two years)

ISSN: 1478-4491