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Tackling maternal mortality by improving technical efficiency in the production of primary health services: longitudinal evidence from the Mexican case

Author

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  • Edson Serván-Mori

    (National Institute of Public Health)

  • Carlos Chivardi

    (National Institute of Public Health)

  • Fato Fene

    (School of Public Health, National Institute of Public Health of Mexico)

  • Ileana Heredia-Pi

    (National Institute of Public Health)

  • Miguel Ángel Mendoza

    (National Autonomous University of Mexico)

  • Gustavo Nigenda

    (National Autonomous University of Mexico)

Abstract

Ensuring regular and timely access to efficient and quality health services reduces the risk of maternal mortality. Specifically, improving technical efficiency (TE) can result in improved health outcomes. To date, no studies in Mexico have explored the connection of TE with either the production of maternal health services at the primary-care level or the maternal-mortality ratio (MMR) in populations without social security coverage. The present study combined data envelopment analysis (DEA), longitudinal data and selection bias correction methods with the purpose of obtaining original evidence on the impact of TE on the MMR during the period 2008–2015. The results revealed that MMR fell 0.36% (P

Suggested Citation

  • Edson Serván-Mori & Carlos Chivardi & Fato Fene & Ileana Heredia-Pi & Miguel Ángel Mendoza & Gustavo Nigenda, 2020. "Tackling maternal mortality by improving technical efficiency in the production of primary health services: longitudinal evidence from the Mexican case," Health Care Management Science, Springer, vol. 23(4), pages 571-584, December.
    • Handle: RePEc:kap:hcarem:v:23:y:2020:i:4:d:10.1007_s10729-020-09503-7
    DOI: 10.1007/s10729-020-09503-7
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