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Measuring the Efficiency of Health Services in Lower-income Countries: The Case of Papua New Guinea


  • Nicole Au
  • Bruce Hollingsworth
  • Jean Spinks


type="main"> Papua New Guinea (PNG) faces enormous health challenges and information concerning how to allocate limited health resources efficiently is lacking. This article finds that geographical location is important in achieving higher efficiency scores. In addition, it compares efficiency scores against a range of quality indicators. The results demonstrate that different conclusions are reached when efficiency scores are assessed in the context of broader health system objectives. Analyses of this kind can provide valuable information to policy-makers in lower-income countries.

Suggested Citation

  • Nicole Au & Bruce Hollingsworth & Jean Spinks, 2014. "Measuring the Efficiency of Health Services in Lower-income Countries: The Case of Papua New Guinea," Development Policy Review, Overseas Development Institute, vol. 32(2), pages 259-272, March.
  • Handle: RePEc:bla:devpol:v:32:y:2014:i:2:p:259-272

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    References listed on IDEAS

    1. Bruce Hollingsworth, 2008. "The measurement of efficiency and productivity of health care delivery," Health Economics, John Wiley & Sons, Ltd., vol. 17(10), pages 1107-1128.
    2. Kara Hanson & M. Kent Ranson & Valeria Oliveira-Cruz & Anne Mills, 2003. "Expanding access to priority health interventions: a framework for understanding the constraints to scaling-up," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 1-14.
    3. E Zere & Diane Mcintyre & T Addison, 2001. "Technical Efficiency And Productivity Of Public Sector Hospitals In Three South African Provinces," South African Journal of Economics, Economic Society of South Africa, vol. 69(2), pages 336-358, June.
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    Cited by:

    1. Nurhafiza Md Hamzah & Kok Fong See, 2019. "Technical efficiency and its influencing factors in Malaysian hospital pharmacy services," Health Care Management Science, Springer, vol. 22(3), pages 462-474, September.
    2. Obure, Carol Dayo & Jacobs, Rowena & Guinness, Lorna & Mayhew, Susannah & Vassall, Anna, 2016. "Does integration of HIV and sexual and reproductive health services improve technical efficiency in Kenya and Swaziland? An application of a two-stage semi parametric approach incorporating quality me," Social Science & Medicine, Elsevier, vol. 151(C), pages 147-156.
    3. Jaehee Hwang & Jonghoon Park & Seongwoo Lee, 2018. "The Impact of the Comprehensive Rural Village Development Program on Rural Sustainability in Korea," Sustainability, MDPI, Open Access Journal, vol. 10(7), pages 1-21, July.

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