On the Efficiency of Health Systems in West Africa: A Data Envelopment Analysis Approach
Keywords:
Technical Efficiency, Data Envelopment Analysis, Health System, Health performance, health indicatorsAbstract
Communication in Physical Sciences 2020, 6(2): 845-851
Author: Micheal Nnamdi Nwakobi
Received 24 July 2020/Accepted 29 December 2020
Data Envelopment Analysis was used to determine the efficiency of health systems of 16 countries in West Africa. We attempt to provide explanations on the inefficiencies of health systems in West Africa. This method allows us to evaluate the ability of each country to transform its sanitary “inputs” into health “outputs”. Our results show that, on average, the health systems of these countries have an efficiency score between 32% and 96% of their maximum level
Downloads
References
Alsan, M., Bloom, D. E., Canning, D. & Jamison, D. (2007). The Consequences of Population Health for Economic Performance. In: Mills, S., Gibson, L. and Mills, A., Eds., Health, Economic Development and Household Poverty, Routledge, Oxford, 21-39. http://dx.doi.org/10.4324/9780203023570.ch2
Banker, R. D., Conrad, R. & Strauss, R. (1986). A Comparative Application of Data Envelopment Analysis and Translog Methods: An Illustrative Study of Hospital Production. Management Science, 32, pp. 30-44. http://dx.doi.org/10.1287/mnsc.32.1.30
Bosman, N. & Fecher, F. (1992). Une Étude Comparative de l’Efficacité Technique du Secteur de la Santé au Seindes Pays de l’OCDE. Université de Liège, Liège, CIRIEC, Working Paper 92/08.
Brun, J. F. & Mathonat, J. (1997). Les Effets du Financement Extérieur sur le Niveau des Dépenses Publiques d’Education et de Santé dans les Pays en Voie de Développement. Une Analyse Econométrique sur Données de Panel. CERDI, Etudes et documents E.97.15.
Brun, J. F. & Mathonat, J. (1997.) Les Effets du Financement Extérieur sur le Niveau des Dépenses Publiques d’Education et de Santé dans les Pays en Voie de Développement. Une Analyse Econométrique sur Données de Panel. CERDI, Etudes et documents E.97.15.
Brunet-Jailly, J. (1990). La Pharmacie Populaire du Mali dans le Contexte de l’Initiative de Bamako. Institut national derecherche en santé publique, Bamako.
Brunet-Jailly, J. (1998). Innover dans les Systèmes de Santé: Expériences d’Afrique de l’Ouest. Edition Karthala, Paris, 435.
Charnes, A., Cooper, W. W. & Rhodes, E. (1978). Measuring the efficiency of decision-making units. European Journal of Operational Research, 2, pp. 429-444. http://dx.doi.org/10.1016/0377-2217(78)90138-8.
Chisholm, D. & Evans, D. B. (2010). Improving health system efficiency as a means of moving towards universal coverage. Geneva: World Health Organization.
Duret, E. (1999). Décentralisation, Dépenses Publiques et Mortalité Infantile. Revue d’Economie du Développement, 4, pp. 39-68.
Färe, R., Grosskopf, S. & Valdmanis, V. (1989). Capacity, Competition and Efficiency in Hospitals: A Nonparametric Approach. Journal of Productivity Analysis, 1, pp. 123-138. http://dx.doi.org/10.1007/BF00157792
Flegg, A.T. (1982). Inequality of Income, Illiteracy and Medical Care as Determinants of Infant Mortality in Underdeveloped Countries. Population Studies, 36, pp. 441-458. http://dx.doi.org/10.1080/00324728.1982.10405597
Flegg, A.T. (1983). On the Determinants of Infant Mortality in Underdeveloped Countries. International Journal of Social Economics, 10, pp. 38-51. http://dx.doi.org/10.1108/eb013943
Grosskopf, S. & Valdmanis, V. (1987). Measuring Hospital Performance: A Non-Parametric Approach. Journal of Health Economics, 6, pp. 89-107. http://dx.doi.org/10.1016/0167-6296(87)90001-4
Hoff, A. (2007). Second Stage DEA: Comparison of Approaches for Modelling the DEA Score. European Journal of Operational Research, 181, pp. 425-435. http://dx.doi.org/10.1016/j.ejor.2006.05.019
Kirigia, J. M, Sambo L. G, & Scheel H. (2001). Technical efficiency of public clinics in Kwazulu-Natal province of South Africa. East African Medical Journal, 78, 3, pp. S1-S13.
Kirigia, J. M. & Emrouznejad A., Sambo LG, Munguti N and Liambila W. (2004). Using Data Envelopment Analysis to measure the technical efficiency of public health centres in Kenya. Journal of Medical Systems, 28, 2, pp. 155-166.
Kirigia, J. M., Asbu, E. Z., Greene, W. & Emrouznejad A. (2007). Technical efficiency, efficiency change, technical progress and productivity growth in the national health systems of continental African countries. Eastern Africa Social Science Research Review, XXIII, 2, pp. 19-40.
Kirigia, J. M., Emrouznejad A. and Sambo L, G (2002). Measurement of technical efficiency of public hospitals in Kenya: using data envelopment analysis. Journal of Medical Systems, 26, 1, pp. 39-45.
Kirigia, J. M., Preker, A., Carrin G., Mwikisa, C. & Diarra-Nama A. J. (2006). An overview of health financing patterns and the way forward in the WHO Africa Region. East Africa Medical Journal, 83, 9, pp. S1-S28.
Masiye, F. (2007). Investigating health system performance: an application of data envelopment analysis to Zambia hospitals. BMC Health services research, 7,58, doi.org/10.1186/1472-6963-7-58
Medeiros, J. & Schwierz, C. (2015). Efficiency estimates of health care systems in the EU. 3187.
New Partnership for Africa's Development (NEPAD) (2001). Human Development Programme. NEPAD Health Strategy Pretoria.
Osei, D., D'Almeida, S., Melvill, O. G., Kirigia, J. M., Ayayi, O. M. & Kainyu, L. H. (2005). Technical efficiency of public district hospitals and health centres in Ghana: a pilot study. Cost Effectiveness and Resource Allocation 2005, 3:9
Renner, A., Kirigia, J. M., Zere, E. A., Barry, S. P., Kirgia, D. G., Kamara, C. & Muthuri, L. H. K. (2005). Technical efficiency of peripheral health units in Pujehun district of Sierra Leone: a DEA application. BMC Health Services Research, 5, 77, doi.org/10.1186/1472-6963-5-77.
Sedzro, K. & Keita, M. (2009). Assessing the Efficiency of Microfinance Institutions Using Data Envelopment Analysis. Journal of International Finance & Economics, 9, pp. 54-67.
Smith, P. C. (2002). Measuring health system performance. European Journal of Health Economics. 3, pp. 145–8.
Sueyoshi, T., Goto, M. & Omi, Y. (2010). Corporate Governance and Firm Performance: Evidence from Japanese Manufacturing Industries after the Lost Decade. European Journal of Operational Research, 203, pp. 724-736. http://dx.doi.org/10.1016/j.ejor.2009..021
WHO (2000). The World Health Report: Health System: Improving Performance. Genève.
World Bank (1993). World Development Report: Investing in Health. The World Bank, Washington DC.
World Bank (2004). The millennium development goals for health: rising to the Challenges. Washington DC, World Bank.
World Health Organization (2000). The World Health Report. Improving performance of health systems. Geneva.
Zere, E., Mbeeli, T., Shangula, K., Mandlhate, C., Mutirua, K., Tjivambi, B. & Kapenambili, W (2006). Technical efficiency of district hospitals: Evidence from Namibia using Data 09Envelopment Analysis. Cost Effectiveness and Resource Allocation, 4:5.
Downloads
Published
Issue
Section
License
Copyright (c) 2010 The Journal and the author
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
