Costs of surgeries in low- and middle-income countries: a systematic literature review.
BMJ Glob HealthSep 4, 2026 (epub)
Martilord Ifeanyichi, Phyllis Tenkorang, Esther Matey et al.
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In 30 seconds
This systematic review analyzed 74 studies on surgical costs in low- and middle-income countries (LMICs) from January 2000 to June 2023. It found significant cost variation, with procedures ranging from I$1.54 for a caesarean section in Tanzania to I$618,098 for paediatric cataract surgery in Zambia. The review emphasizes the need for standardized cost data to improve health system planning.
Key findings
- Costs of surgeries in LMICs varied widely, from I$1.54 to I$618,098.
- Full costing studies reported higher estimates than partial costing studies.
- 60% of studies originated from upper-middle-income countries.
- Only 10% of studies provided data from low-income settings.
Why it matters
Understanding the costs of surgical procedures in LMICs is crucial for developing equitable health systems and ensuring access to necessary surgical care. This information can guide policymakers in resource allocation and planning.