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Measuring Efficiency of Macro Systems: An Application to Millennium Development Goal Attainment

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At least part of the effort toward attainment of health and education Millennium Development Goals (MDGs) could come from improvements in efficiency of delivery mechanisms. Hence, it is important to know which countries—or which regions within countries—are able to attain higher MDG outcomes even after controlling for resource inputs. This information can be useful for policymakers and can enable a second-stage analysis of why is it that some regions or countries are doing better than others. This paper reviews the methodology for measuring efficiency of macro systems using the health and education sectors as examples. A simpler characterization of efficiency that is less dependent on econometric specifications is introduced. As an example, this method of measuring efficiency is applied to assess the efficiency of health system outcomes at the district (kabupaten) level in Indonesia.

Suggested Citation

  • Tandon, Ajay, 2005. "Measuring Efficiency of Macro Systems: An Application to Millennium Development Goal Attainment," Asian Development Review, Asian Development Bank, vol. 22(2), pages 108-125.
    • Handle: RePEc:ris:adbadr:2224
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    Cited by:

    1. Adler, Nicole & Yazhemsky, Ekaterina & Tarverdyan, Ruzanana, 2010. "A framework to measure the relative socio-economic performance of developing countries," Socio-Economic Planning Sciences, Elsevier, vol. 44(2), pages 73-88, June.
    2. Rahab Mbau & Anita Musiega & Lizah Nyawira & Benjamin Tsofa & Andrew Mulwa & Sassy Molyneux & Isabel Maina & Julie Jemutai & Charles Normand & Kara Hanson & Edwine Barasa, 2023. "Analysing the Efficiency of Health Systems: A Systematic Review of the Literature," Applied Health Economics and Health Policy, Springer, vol. 21(2), pages 205-224, March.
    3. World Bank, 2009. "Indonesia - Investing in Indonesia's Education at the District Level : An Analysis of Regional Public Expenditure and Financial Management," World Bank Publications - Reports 3020, The World Bank Group.
    4. Bienvenido Ortega & Jesús Sanjuán & Antonio Casquero, 2017. "Determinants of efficiency in reducing child mortality in developing countries. The role of inequality and government effectiveness," Health Care Management Science, Springer, vol. 20(4), pages 500-516, December.

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