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. 2021 Dec 30;12(2):198-207.
doi: 10.1080/20476965.2021.2015251. eCollection 2023.

Efficiency of malaria service delivery in selected district-level hospitals in Ghana

Jacob Novignon  1 , Genevieve Aryeetey  2 , Justice Nonvignon  2 , Keziah Malm  3 , Nana Yaw Peprah  3 , Samuel Agyei Agyemang  2 , Samuel Amon  2 , Moses Aikins  2
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Efficiency of malaria service delivery in selected district-level hospitals in Ghana

Jacob Novignon et al. Health Syst (Basingstoke). .

Abstract

Malaria remains an important public health concern. Sub-Saharan African countries carry over 95% of the global burden. Unfortunately, there are also major resource constraints that have limited efforts to reduce the burden. Our study sought to estimate efficiency in the use of malaria resources and to identify potential determinants. We used primary data collected from district-level health facilities in three administrative regions in Ghana from 2014 to 2016. The Data Envelopment Analysis technique was used to estimate efficiency. The Malmquist productivity index was estimated and disaggregated to reflect the sources of productivity change. The findings show an average technical efficiency score of 0.61 with private facilities being more efficient. Productivity changes were driven by changes in technology/innovation advancements. Facility revenue mix and ownership type were important determinants of efficiency. The findings highlight the need to improve resource use in the delivery of specific services such as malaria.

Keywords: Efficiency; Ghana; data envelopment analysis; malaria.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

Figures

Figure 1.
Figure 1.
Technical efficiency by facility type.
Figure 2.
Figure 2.
VRS efficiency scores by facility location.
See this image and copyright information in PMC

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References

    1. Akazili, J., Adjuik, M., Jehu-Appiah, C., & Zere, E. (2008). Using data envelopment analysis to measure the extent of technical efficiency of public health centres in Ghana. BMC International Health and Human Rights, 8(1), 1–12. https://bmcinthealthhumrights.biomedcentral.com/articles/10.1186/1472-69.... - DOI - PMC - PubMed
    1. Alexander, C. A., Busch, G., & Stringer, K. (2003). Implementing and interpreting a data envelopment analysis model to assess the efficiency of health systems in developing countries. IMA Journal of Management Mathematics. OUP, 14(1), 49–63. https://academic.oup.com/imaman/article/14/1/49/895713.
    1. Awine, T., Malm, K., Bart-Plange, C., & Silal, S. P. (2017). Towards malaria control and elimination in Ghana: Challenges and decision making tools to guide planning. Global Health Action, 10(1), 1381471. https://pubmed.ncbi.nlm.nih.gov/29035160/. - PMC - PubMed
    1. Babalola, T. K., & Moodley, I. (2020). Assessing the efficiency of health-care facilities in Sub-Saharan Africa: A systematic review. Health Services Research and Managerial Epidemiology, 7(p), 2333392820919604. https://journals.sagepub.com/doi/full/10.1177/2333392820919604. - DOI - PMC - PubMed
    1. Bowlin, W. F. (1998). Measuring performance: An introduction to data envelopment analysis (DEA). The Journal of Cost Analysis, 15(2), 3–27. https://www.tandfonline.com/doi/abs/10.1080/08823871.1998.10462318. - DOI

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