The relative efficiency of South African municipalities in providing public health care

Josue Mbonigaba and Saidou Baba Oumar

African Journal of Economic and Management Studies, 2016, vol. 7, issue 3, 346-365

Abstract: Purpose - The purpose of this paper is to assess whether the relative efficiency of South African municipalities in primary health care and hospital care is different and whether South African municipalities can learn from each other to improve on their efficiency. Design/methodology/approach - The paper employs efficiency scores, estimated with data envelopment analysis using data from the District Health Barometer of the Health Systems Trust to rank South African municipalities across primary health care and hospital health care. Findings - The finding is that the ranking of municipalities is not the same across both types of health care when efficiency scores and efficiency score growth are contemplated. These results imply that municipalities in South Africa are generally inefficient, but with the possibility of learning from each other’s practice in order to increase their technical efficiency. Practical implications - The health system authority should monitor service-specific best practices among municipalities so that they can use them as practice guidelines for other municipalities. Originality/value - Previous studies in South Africa have not dis-aggregated efficiency analysis across municipalities which are health system components of the broader national health system.

Keywords: South Africa; Public; Health care; DEA; Municipalities; Technical efficiency (search for similar items in EconPapers)
Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:eme:ajemsp:v:7:y:2016:i:3:p:346-365

DOI: 10.1108/AJEMS-04-2014-0028

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