Technical efficiency of public health centers in three districts in Ethiopia: two-stage data envelopment analysis
Abstract Objective 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, in...
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doaj-08535fbffe4540e498ef3ce93617d4d72020-11-25T01:41:44ZengBMCBMC Research Notes1756-05002018-07-011111510.1186/s13104-018-3580-6Technical efficiency of public health centers in three districts in Ethiopia: two-stage data envelopment analysisFirew Tekle Bobo0Mirkuzie Woldie1Muluemebet Abera Wordofa2Gebeyehu Tsega3Tesfamichael Alaro Agago4Kifle Wolde-Michael5Nuraddis Ibrahim6Elias Ali Yesuf7Department of Public Health, Wollega UniversityDepartment of Health Policy and Management, Jimma UniversityDepartment of Population and Family Health, Jimma UniversityDepartment of Health Policy and Management, Jimma UniversityDepartment of Health Policy and Management, Jimma UniversityDepartment of Epidemiology, Jimma UniversityDepartment of Biomedical Science, Jimma UniversityDepartment of Health Policy and Management, Jimma UniversityAbstract Objective 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. Results 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.http://link.springer.com/article/10.1186/s13104-018-3580-6Technical efficiencyScale efficiencyHealth centersInputsOutputData envelopment analysis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Firew Tekle Bobo Mirkuzie Woldie Muluemebet Abera Wordofa Gebeyehu Tsega Tesfamichael Alaro Agago Kifle Wolde-Michael Nuraddis Ibrahim Elias Ali Yesuf |
spellingShingle |
Firew Tekle Bobo Mirkuzie Woldie Muluemebet Abera Wordofa Gebeyehu Tsega Tesfamichael Alaro Agago Kifle Wolde-Michael Nuraddis Ibrahim Elias Ali Yesuf Technical efficiency of public health centers in three districts in Ethiopia: two-stage data envelopment analysis BMC Research Notes Technical efficiency Scale efficiency Health centers Inputs Output Data envelopment analysis |
author_facet |
Firew Tekle Bobo Mirkuzie Woldie Muluemebet Abera Wordofa Gebeyehu Tsega Tesfamichael Alaro Agago Kifle Wolde-Michael Nuraddis Ibrahim Elias Ali Yesuf |
author_sort |
Firew Tekle Bobo |
title |
Technical efficiency of public health centers in three districts in Ethiopia: two-stage data envelopment analysis |
title_short |
Technical efficiency of public health centers in three districts in Ethiopia: two-stage data envelopment analysis |
title_full |
Technical efficiency of public health centers in three districts in Ethiopia: two-stage data envelopment analysis |
title_fullStr |
Technical efficiency of public health centers in three districts in Ethiopia: two-stage data envelopment analysis |
title_full_unstemmed |
Technical efficiency of public health centers in three districts in Ethiopia: two-stage data envelopment analysis |
title_sort |
technical efficiency of public health centers in three districts in ethiopia: two-stage data envelopment analysis |
publisher |
BMC |
series |
BMC Research Notes |
issn |
1756-0500 |
publishDate |
2018-07-01 |
description |
Abstract Objective 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. Results 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. |
topic |
Technical efficiency Scale efficiency Health centers Inputs Output Data envelopment analysis |
url |
http://link.springer.com/article/10.1186/s13104-018-3580-6 |
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