A comparative assessment of performance and productivity of health centres in Seychelles

Joses M. Kirigia, Ali Emrouznejad*, Rui G. Vaz, Henry Bastiene, Jude Padayachy

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Purpose - The purpose of this paper is to measure the technical and scale efficiency of health centres; to evaluate changes in productivity; and to highlight possible policy implications of the results for policy makers. Design/methodology/approach - Data envelopment analysis (DEA) is employed to assess the technical and scale efficiency, and productivity change over a four-year period among 17 public health centres. Findings - During the period of study, the results suggest that the public health centres in Seychelles have exhibited mean overall or technical efficiency of above 93 per cent. It was also found that the overall productivity increased by 2.4 per cent over 2001-2004. Research limitations/implications - Further research can be undertaken to gather data on the prices of the various inputs to facilitate an estimation of the allocative efficiency of clinics. If such an exercise were to be undertaken, researchers may also consider collecting data on quantities and prices of paramedical, administrative and support staff to ensure that the analysis is more comprehensive than the study reported in this paper. Institutionalization of efficiency monitoring would help to enhance further the already good health sector stewardship and governance. Originality/value - This paper provides new empirical evidence on a four-year trend in the efficiency and productivity of health centres in Seychelles. © Emerald Group Publishing Limited.

Original languageEnglish
Pages (from-to)72-92
Number of pages21
JournalInternational Journal of Productivity and Performance Management
Volume57
Issue number1
DOIs
Publication statusPublished - 10 Jan 2008

Fingerprint

Productivity
Health
Public health
Technical and scale efficiency
Governance
Technical efficiency
Monitoring
Empirical evidence
Efficiency change
Stewardship
Data envelopment analysis
Allocative efficiency
Politicians
Productivity change
Policy implications
Institutionalization
Staff
Design methodology
Health sector
Exercise

Keywords

  • community health centres
  • performance measures
  • productivity rates
  • Seychelles

Cite this

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A comparative assessment of performance and productivity of health centres in Seychelles. / Kirigia, Joses M.; Emrouznejad, Ali; Vaz, Rui G.; Bastiene, Henry; Padayachy, Jude.

In: International Journal of Productivity and Performance Management, Vol. 57, No. 1, 10.01.2008, p. 72-92.

Research output: Contribution to journalArticle

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