Estimating the efficiency of healthcare facilities providing HIV/AIDS treatment in Zambia: a data envelopment approach

Felix Masiye*, Chrispin Mphuka, Ali Emrouznejad

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter (peer-reviewed)

Abstract

Zambia and many other countries in Sub-Saharan Africa face a key challenge of sustaining high levels of coverage of AIDS treatment under prospects of dwindling global resources for HIV/AIDS treatment. Policy debate in HIV/AIDS is increasingly paying more focus to efficiency in the use of available resources. In this chapter, we apply Data Envelopment Analysis (DEA) to estimate short term technical efficiency of 34 HIV/AIDS treatment facilities in Zambia. The data consists of input variables such as human resources, medical equipment, building space, drugs, medical supplies, and other materials used in providing HIV/AIDS treatment. Two main outputs namely, numbers of ART-years (Anti-Retroviral Therapy-years) and pre-ART-years are included in the model. Results show the mean technical efficiency score to be 83%, with great variability in efficiency scores across the facilities. Scale inefficiency is also shown to be significant. About half of the facilities were on the efficiency frontier. We also construct bootstrap confidence intervals around the efficiency scores.

Original languageEnglish
Title of host publicationManaging service productivity
Subtitle of host publicationusing frontier efficiency methodologies and multicriteria decision making for improving service performance
EditorsAli Emrouznejad, Emilyn Cabanda
Place of PublicationBerlin (DE)
PublisherSpringer
Pages55-65
Number of pages11
ISBN (Electronic)978-3-662-43437-6
ISBN (Print)978-3-662-43436-9
DOIs
Publication statusPublished - 31 Dec 2014

Publication series

NameInternational series in operations research and management science
PublisherSpringer
Volume215
ISSN (Print)0884-8289

Keywords

  • data envelopment Analysis
  • healthcare efficiency
  • HIV/AIDS treatment
  • managing Service Productivity
  • Zambia

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  • Research Output

    • 1 Anthology
    • 1 Chapter (peer-reviewed)

    Managing service productivity: using frontier efficiency methodologies and multicriteria decision making for improving service performance

    Emrouznejad, A. (ed.) & Cabanda, E. (ed.), 31 Dec 2014, Berlin (DE): Springer. (International series in operations research and management science; vol. 215)

    Research output: Book/ReportAnthology

    Managing service productivity using data envelopment analysis

    Emrouznejad, A. & Cabanda, E., 31 Dec 2014, Managing service productivity: using frontier efficiency methodologies and multicriteria decision making for improving service performance. Emrouznejad, A. & Cabanda, E. (eds.). Berlin (DE): Springer, p. 1-17 17 p. (International series in operations research and management science; vol. 215).

    Research output: Chapter in Book/Report/Conference proceedingChapter (peer-reviewed)

  • Cite this

    Masiye, F., Mphuka, C., & Emrouznejad, A. (2014). Estimating the efficiency of healthcare facilities providing HIV/AIDS treatment in Zambia: a data envelopment approach. In A. Emrouznejad, & E. Cabanda (Eds.), Managing service productivity: using frontier efficiency methodologies and multicriteria decision making for improving service performance (pp. 55-65). (International series in operations research and management science; Vol. 215). Springer. https://doi.org/10.1007/978-3-662-43437-6_4