A performance assessment method for hospitals: the case of municipal hospitals in Angola

Joses M. Kirigia, Ali Emrouznejad*, Basilio Cassona, Eyob Z. Asbu, Saidou Barry

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Over 60% of the recurrent budget of the Ministry of Health (MoH) in Angola is spent on the operations of the fixed health care facilities (health centres plus hospitals). However, to date, no study has been attempted to investigate how efficiently those resources are used to produce health services. Therefore the objectives of this study were to assess the technical efficiency of public municipal hospitals in Angola; assess changes in productivity over time with a view to analyzing changes in efficiency and technology; and demonstrate how the results can be used in the pursuit of the public health objective of promoting efficiency in the use of health resources. The analysis was based on a 3-year panel data from all the 28 public municipal hospitals in Angola. Data Envelopment Analysis (DEA), a non-parametric linear programming approach, was employed to assess the technical and scale efficiency and productivity change over time using Malmquist index.The results show that on average, productivity of municipal hospitals in Angola increased by 4.5% over the period 2000-2002; that growth was due to improvements in efficiency rather than innovation. © 2008 Springer Science+Business Media, LLC.

Original languageEnglish
Pages (from-to)509-519
Number of pages11
JournalJournal of Medical Systems
Issue number6
Publication statusPublished - 2008


  • Angola/Africa
  • data envelopment analysis
  • efficiency and productivity
  • hospital performance comparison
  • Malmquist indices


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