Measuring Technical Efficiency of Primary Health Care Providers: An Analysis from Ethiopia

Carlyn Mann and Peter Berman

Chapter 9 in Tracking Resources for Primary Health Care:A Framework and Practices in Low- and Middle-Income Countries, 2020, pp 233-253 from World Scientific Publishing Co. Pte. Ltd.

Abstract: The following sections are included:The chapter reviews how a researcher might assess technical efficiency using descriptive analysis and data envelopment analysis of a defined set of health care providers with examples from an efficiency analysis conducted for Ethiopia’s primary health care (PHC) providers.The analysis demonstrated areas where possible inefficiencies are occurring within Ethiopia’s PHC system, but it does not address why such inefficiencies are happening or if the technically efficient health facilities are well functioning or if there are systematic breakdowns.Measuring technical efficiency is the first step in unpacking whether PHC facilities are operating at an acceptable level of efficiency and if not, why such inefficiencies are occurring and how to remedy them to improve performance.Efficiency of service delivery is influenced by both supply (influence of the production of health care) and demand (the use of health care by the population) factors, and the interaction between the two.In the case of Ethiopia, providers may need to pay more attention to individual preferences to care, perceptions of quality, and accessibility to increase utilization or demand for services. This might imply some shifts in effort by health providers towards outreach services and health promotion activities.

Keywords: Health Financing; Public Financial Management; Resource Tracking; Health Economics; Health Policy (search for similar items in EconPapers)
JEL-codes: I14 I15 I18 (search for similar items in EconPapers)
Date: 2020
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