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Measuring Technical Efficiency of Primary Health Care Providers: An Analysis from Ethiopia

In: Tracking Resources for Primary Health Care A Framework and Practices in Low- and Middle-Income Countries

Author

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  • Carlyn Mann
  • Peter Berman

Abstract

The following sections are included:The chapter reviews how a researcher might assess technical efficiency using descriptive analysis and data envelopment analysis of a defined set of health care providers with examples from an efficiency analysis conducted for Ethiopia’s primary health care (PHC) providers.The analysis demonstrated areas where possible inefficiencies are occurring within Ethiopia’s PHC system, but it does not address why such inefficiencies are happening or if the technically efficient health facilities are well functioning or if there are systematic breakdowns.Measuring technical efficiency is the first step in unpacking whether PHC facilities are operating at an acceptable level of efficiency and if not, why such inefficiencies are occurring and how to remedy them to improve performance.Efficiency of service delivery is influenced by both supply (influence of the production of health care) and demand (the use of health care by the population) factors, and the interaction between the two.In the case of Ethiopia, providers may need to pay more attention to individual preferences to care, perceptions of quality, and accessibility to increase utilization or demand for services. This might imply some shifts in effort by health providers towards outreach services and health promotion activities.

Suggested Citation

  • Carlyn Mann & Peter Berman, 2020. "Measuring Technical Efficiency of Primary Health Care Providers: An Analysis from Ethiopia," World Scientific Book Chapters, in: Hong Wang & Peter Berman (ed.), Tracking Resources for Primary Health Care A Framework and Practices in Low- and Middle-Income Countries, chapter 9, pages 233-253, World Scientific Publishing Co. Pte. Ltd..
    • Handle: RePEc:wsi:wschap:9789811212413_0009
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    More about this item

    Keywords

    Health Financing; Public Financial Management; Resource Tracking; Health Economics; Health Policy;
    All these keywords.

    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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