{"ok":true,"nota":{"id":"4e51940dbd8bd91e","slug":"un-tratamiento-de-fertilidad-en-tanzania-cuesta-mucho-mas-de-lo-que-se-4e5194","titulo":"Un tratamiento de fertilidad en Tanzania cuesta mucho más de lo que se pagaría en un sistema público","resumen":"Un equipo midió, durante 2025, cuánto cuesta cada paso de la fertilización in vitro en un hospital público de Dar es Salaam, desglosando insumos, personal y equipamiento. El objetivo fue tener cifras reales para decidir qué cubre el seguro nacional.","fuente":"medrxiv","fuenteNombre":"medRxiv · preprints","color":"#1f7a4d","autor":"Sanga, G. E., Alimohamed, M. Z., Kagaigai, A. Z., Mujinja, P. G.","url":"https://www.medrxiv.org/content/10.64898/2026.10.20.26365987v1?rss=1","imagen":"/hoy/portada/4e51940dbd8bd91e","tema":"salud","subtemas":["fertilización in vitro","costos sanitarios","cobertura universal","seguro de salud","infertilidad"],"entidades":["Hospital Nacional Muhimbili","Tanzania","Dar es Salaam"],"formato":"dato","entretenimiento":false,"pubTs":"2026-10-22T00:00:00.000Z","indexTs":"2026-10-23T06:48:38.804Z","hash":"2622c280231bb9c8e2852c85a39dcf88400ca58fd4a21f5316aa103b16bf8588","tsa":{"time":"Oct 23 06:49:13 2026 GMT","provider":"freetsa.org","sobre":"sello"},"stats":{"views":0,"likes":0,"clicks":0,"dwell":0},"tipo":"normal","registro":"hallazgo","porQueImporta":"Sin saber cuánto cuesta realmente cada etapa del tratamiento, ningún seguro puede decidir si lo cubre ni a qué precio. En Tanzania, como en Argentina, la pregunta de quién paga la reproducción asistida depende de números que casi nunca se publican. Los costos concentrados en pocos insumos muestran dónde podría bajar el gasto sin resignar calidad.","quienFirma":"Hospital Nacional Muhimbili, Tanzania","confianza":"preprint","consulta":null},"sello":{"hash":"2622c280231bb9c8e2852c85a39dcf88400ca58fd4a21f5316aa103b16bf8588","sello":"08fd1ff76f0551cfb5196cb992084350490ba8385be662068b9e75899f863894","beacon":{"drand":{"cadena":"8990e7a9aaed2ffed73dbd7092123d6f289930540d7651336225dc172e51b2ce","ronda":6576904,"aleatorio":"de1eb2202a8740188a6d548b82b02c9bf5670ff757e153d72f50c165d7d681b3","tiempo":"2026-10-23T06:49:00.000Z"},"nist":{"cadena":2,"pulso":1995651,"salida":"AA82134D649B7B25F10D77FD67053808011261EF94B49E048C931DF7D357E824C95C66604E50CE6E37F934A39EE493177DEA66983586EA3E4667145C3C8919D6","tiempo":"2026-10-23T06:48:00.000Z"},"noAntes":"2026-10-23T06:49:00.000Z"},"verificacion":{"drand":true,"nist":true},"tsa":{"time":"Oct 23 06:49:13 2026 GMT","provider":"freetsa.org","sobre":"sello"},"original":{"titulo":"Provider unit costs and cost drivers of in vitro fertilization (IVF) services in a public tertiary hospital in Tanzania: A micro-costing study","descripcion":"Background Infertility affects up to 32.0% of couples in sub-Saharan Africa, while access to assisted reproductive technologies (ART), including In Vitro Fertilization (IVF), remains limited by high treatment costs. As Tanzania advances Universal Health Coverage (UHC) through the National Health Insurance Act of 2023, empirical provider cost estimates are needed to inform reimbursement and strategic purchasing. This study estimated the provider unit cost, cost structure, and cost drivers of IVF services at Muhimbili National Hospital (MNH), Tanzania. Methods A provider-perspective cross-sectional micro-costing study was conducted at MNH between January and December 2025. Bottom-up micro-cost","pubDate":"2026-10-22","url":"https://www.medrxiv.org/content/10.64898/2026.10.20.26365987v1?rss=1"},"indexado":"2026-10-23T06:48:38.804Z"}}