Technical efficiency of public health centers in three districts in Ethiopia: two-stage data envelopment analysis

BMC Research Notes
Firew Tekle BoboElias Ali Yesuf

Abstract

The aim of the study was to measure technical and scale efficiency of public health centers in three districts of Jimma zone, Ethiopia. A two-stage data envelopment analysis was used. First, we estimated technical and scale efficiency of the health centers. In the second stage, institutional and environmental factors were against technical efficiency of the health centers to identify factors associated to efficiency of the health centers. Eight out of the 16 health centers in the study were found to be technically efficient, with an average score of 90% (standard deviation = 17%). This indicates that on average they could have reduce their utilization of all inputs by about 10% without reducing output. On the other hand, 8 out of 16 health centers were found to be scale efficient, with an average scale efficiency score of 94% (standard deviation = 9%). The inefficient health centers had an average scale score of 89%; implying there is potential for increasing total outputs by about 11% using the existing capacity/size. Catchment population and number of clinical staff were found to be directly associated with efficiency, while the number of nonclinical staff was found to be inversely associated with efficiency.

References

Jun 16, 2004·Journal of Medical Systems·Joses M KirigiaWilson Liambila
Dec 16, 2005·BMC Health Services Research·Ade RennerLenity H K Muthuri
Nov 22, 2008·BMC International Health and Human Rights·James AkaziliEyob Zere
May 17, 2011·International Archives of Medicine·Joses M KirigiaYankuba Bah
Jan 1, 2011·Health Economics Review·Paul Marschall, Steffen Flessa

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