Cover

pdf iconDownload PDF
 

Title Page, Copyright

pdf iconDownload PDF

pp. 2-5

Contents

pdf iconDownload PDF

pp. 6-7

List of Figures

pdf iconDownload PDF

pp. 8-9

List of Tables

pdf iconDownload PDF

pp. 10-12

List of Appendices

pdf iconDownload PDF

pp. 13-15

read more

Preface

pdf iconDownload PDF

pp. 16-18

In May 2006, the African Union (AU) Ministers of Health adopted a decision calling upon all governments in the African continent to institutionalise national health systems (NHS) efficiency monitoring. In 2006, the fifty-sixth session of the World Health Organization (WHO) Regional Committee for...

read more

Acknowledgements

pdf iconDownload PDF

pp. 19-21

I am grateful to my mentor Professor Germano Mwabu for introducing me to econometrics and the interesting sub-discipline of health economics and for continuing to inspire many with his economics articles and...

List of Contributors

pdf iconDownload PDF

pp. 22-24

Abbreviations and Acronyms

pdf iconDownload PDF

pp. 25-27

Part I - Health Systems and Economic Theory of Health Service Decision-Making Units

read more

1. Overview of Health Situation in Africa

Joses Muthuri Kirigia

pdf iconDownload PDF

pp. 30-63

This chapter gives an overview of Africa’s performance in health-related indicators of the Millennium Development Goals (MDGs) and other indicators of global health including...

read more

2. Health Challenges in Africa and the Way Forward

Joses M. Kirigia and Saidou P. Barry

pdf iconDownload PDF

pp. 64-69

Africa is confronted by a heavy double burden of communicable and non-communicable diseases. Cost-effective interventions that can prevent the disease burden exist but coverage is too low due to health systems weaknesses. This editorial reviews the challenges...

read more

3. Lecture Notes on Efficiency Analysis of Health Systems

Joses M. Kirigia

pdf iconDownload PDF

pp. 70-95

A health system includes all activities whose primary purpose is to promote, restore, or maintain an individual’s physical, mental, and social well-being [1]. Thus, the activities of a health system include health promotion, disease prevention...

read more

4. Introduction to Health Services Production and Cost Theory

Joses M. Kirigia

pdf iconDownload PDF

pp. 96-163

The ultimate objective of health decision-making units (DMUs) is to equitably promote, restore, and maintain the individual’s physical, mental, and social well-being [1]. This objective must be pursued in a responsive and financially...

Part III - Application of Data Envelopment Analysis in Health Systems in Africa

read more

5. Technical Efficiency of Public Hospitals and Health Centres in Ghana

Daniel Osei, Sellasie d'Almeida, Melvin O. George, Joses M. Kirigia, Ayayi O. Mensah and Lenity H. Kainyu

pdf iconDownload PDF

pp. 166-187

The Government of Ghana has been implementing various health sector reforms (e.g., user fees in public health facilities, decentralisation, and sector-wide approaches to donor coordination) in a bid to improve efficiency in...

read more

6. Measurement of Technical Efficiency of Public Hospitals in Kenya: Using Data Envelopment Analysis*

Joses M. Kirigia, Ali Emrouznejad and Luis G. Sambo

pdf iconDownload PDF

pp. 188-197

Without a wider use of economics in healthcare inefficiencies will abound and decisions will be made less explicitly and hence less rationally than is desirable: we will go on spending large sums to save life in one way when similar...

read more

7. Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Health Centres in Kenya

Joses M. Kirigia, Ali Emrouznejad, Luis G. Sambo, Nzoya Munguti and William Liambila

pdf iconDownload PDF

pp. 198-211

The Kenyan government, over time, has undertaken six types of reforms to eliminate inefficiencies and inequities, namely, harmonisation and decentralisation of healthcare delivery system; expansion of preventive health services including family...

read more

8. Technical Efficiency of Peripheral Health Units in Pujehun District of Sierra Leone: A DEA Application

Ade Renner, Joses M. Kirigia, Eyob Z. Asbu, Saidou P. Barry, Doris G. Kirigia, Clifford Kamara and Lenity Kainyu Muthuri

pdf iconDownload PDF

pp. 212-229

The data envelopment analysis (DEA) method has been fruitfully used in many countries in Asia, Europe, and North America to shed light on the efficiency of health facilities and programmes. There is, however, a dearth of such studies in countries...

read more

9. Are Public Hospitals in Kwazulu-Natal Province of South Africa Technically Efficient?*

Joses M. Kirigia, Eitayo Lambo and Luis G. Sambo

pdf iconDownload PDF

pp. 230-243

Generally, policy makers and researchers in South Africa acknowledge that hospitals absorb a disproportionate share of health sector resources. The latter, to a certain extent, have failed to provide the evidence needed to...

read more

10. Technical Efficiency of Public Clinics in Kwazulu-Natal Province of South Africa

Joses M. Kirigia, Luis G. Sambo and Helga Scheel

pdf iconDownload PDF

pp. 244-265

In every developing country decisive steps are needed to correct the pervasive inefficiency of clinical health programmes and facilities and especially of government...

read more

11. Technical Efficiency of Primary Health Units in Kailahun and Kenema Districts of Sierra Leone

Joses Muthuri Kirigia, Luis Gomes Sambo, Ade Renner, Wondi Alemu, Santigie Seasa, Yankuba Bah

pdf iconDownload PDF

pp. 266-293

The objectives of the study reported in this paper were to (a) estimate the technical efficiency of samples of community health centres (CHCs), community health posts (CHPs), and maternal and child health...

read more

12. Efficient Management of Health Centres Human Resources in Zambia

Felix Masiye, Joses M. Kirigia, Ali Emrouznejad, Luis G. Sambo, Abdou B. Mounkaila, Davis Chimfwembe and David Okello

pdf iconDownload PDF

pp. 294-317

This study uses data envelopment analysis (DEA) to estimate the degree of technical, allocative, and cost efficiency in individual public and private health centres and to identify the relative inefficiencies in the use of various...

read more

13. A Performance Assessment Method for Hospitals: The Case of Municipal Hospitals in Angola

Joses M. Kirigia, Ali Emrouznejad, Basilio Cassoma, Eyob Z. Asbu and Saidou Barry

pdf iconDownload PDF

pp. 318-338

Over 60% of the recurrent budget of the Ministry of health in Angola is spent on the operations of the fixed healthcare facilities (health centres and hospitals). However, to date, no study has been attempted to investigate how efficiently those...

read more

14. A Comparative Assessment of Performance and Productivity of Health Centres in Seychelles*

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

pdf iconDownload PDF

pp. 339-363

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...

read more

15. Productivity Changes in Benin Zone Hospitals: A nonparametric Malmquist approach

Joses M. Kirigia, Luis G. Sambo, Omar Mensah, Chris Mwikisa Eyob Asbu, Patrick Makoudode and Athanase Hounnankan

pdf iconDownload PDF

pp. 364-393

The Republic of Benin has a surface area of 112,622 km2 and is situated on the west coast of Africa. It has a population of 8,439,000 people; 46% of whom live in urban areas [1]. The human development index for Benin...

read more

16. Assessment of Productivity of Hospitals in Botswana: A DEA Application*

Naomi Tlotlego, Justice Nonvignon, Luis G. Sambo, Eyob Z. Asbu, Joses M. Kirigia

pdf iconDownload PDF

pp. 394-421

Botswana is situated in Southern Africa and has a population of 1.921 million people – 61.1 per cent of whom live in urban areas [1]. In 2008, the country generated total gross national income...

read more

17. Technical Efficiency, Efficiency Change, Technical Progress, and Productivity Growth Among National Health Systems in African Continent

Joses Muthuri Kirigia; Eyob Zere Asbu; William Greene; Ali Emrouznejad

pdf iconDownload PDF

pp. 422-443

In May 2006, the Ministers of Health of allt he countries in the African continent, at a special session of the African Union, undertook to institutionalise efficiency monitoring within their respective...

Part III - Case Studies for Developing Skills in Economic Efficiency Analysis

read more

18. Technical Efficiency Analysis: A Case Study of Muthuleni Health Centres

Joses M. Kirigia

pdf iconDownload PDF

pp. 446-477

The Government of Muthuleni, through the Ministry of Health, finances 85 per cent of the annual total health expenditure of M$300 million and provides 75 per cent of the country’s health services. The fixed public health facilities (i.e., hospitals, health centres, and

read more

19. Measurement of Total Cost Efficiency or Economic Efficiency: A Case Study of Health Centres in the Democratic Republic of Njuri-Ncheke

Joses M. Kirigia and Eyob Zere Asbu

pdf iconDownload PDF

pp. 478-505

Njuri-Ncheke is a landlocked, low income, and highly indebted country located in southern Afromiola and has a population of 4 million. The country’s economy is largely based on petroleum and timber. The last traditional ruler of Njuri-Ncheke gave...

read more

20. Measurement of Efficiency Change and Productivity Growth: A Case Study of National Health Systems in the African Union

Joses Kirigia

pdf iconDownload PDF

pp. 506-531

A national health system (NHS) has been described as a body encompassing all the activities whose primary purpose is to promote, restore, or maintain health (i.e., quantity and health-related quality of life). A national health system performs the...

Part IV - Advancing Knowledge and Skills in Efficiency Analysis using Data Envelopment Analysis

read more

21. Advancing Knowledge and Skills in Data Envelopment Analysis

Joses M. Kirigia

pdf iconDownload PDF

pp. 534-542

I hope that this book has stimulated in you the enthusiasm for the application of DEA in performance measurement for all types of DMUs. Although the book has focused on health-related circumstances, DEA is a very versatile tool and can be used...

Glossary

pdf iconDownload PDF

pp. 543-545

Index

pdf iconDownload PDF

pp. 546-548