In this Book

Efficiency of Health System Units in Africa
summary
Despite sending huge sums of money on health every year the African region�s burden of disease is persistently high. Most of the countries in the region are lagging behind in achieving the health-related United Nations Millennium Development Goals. The African region�s dismal health situation has largely been blamed on weakness pertaining to such factors as health leadership and governance; service delivery; health workforce; medicines, vaccines, and health technologies; health information; and health system financing that have undermined the capacity of health systems of countries in the region to improve population health without wastage of resources. Institutionalising health system efficiency monitoring, as a basis for the design and implementation of appropriate policy interventions, has been proposed as an effective way of curbing wastage of health system inputs. Efficiency of Health System Units in Africa: A Data Envelopment Analysis is the first book of its kind on application of the data envelopment analysis technique to examine the efficiency of health system decision-making units in Africa. The book interlaces lecture notes with research articles and case studies to equip students and practitioners of economics, operations research, management science, and public health with knowledge and skills for undertaking technical efficiency, cost efficiency, and total factor productivity analyses.

Table of Contents

  1. Cover
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  1. Title Page, Copyright
  2. pp. 2-5
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  1. Contents
  2. pp. 6-7
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  1. List of Figures
  2. pp. 8-9
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  1. List of Tables
  2. pp. 10-12
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  1. List of Appendices
  2. pp. 13-15
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  1. Preface
  2. pp. 16-18
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  1. Acknowledgements
  2. pp. 19-21
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  1. List of Contributors
  2. pp. 22-24
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  1. Abbreviations and Acronyms
  2. pp. 25-27
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  1. Part I - Health Systems and Economic Theory of Health Service Decision-Making Units
  2. pp. 28-29
  1. 1. Overview of Health Situation in Africa
  2. Joses Muthuri Kirigia
  3. pp. 30-63
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  1. 2. Health Challenges in Africa and the Way Forward
  2. Joses M. Kirigia and Saidou P. Barry
  3. pp. 64-69
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  1. 3. Lecture Notes on Efficiency Analysis of Health Systems
  2. Joses M. Kirigia
  3. pp. 70-95
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  1. 4. Introduction to Health Services Production and Cost Theory
  2. Joses M. Kirigia
  3. pp. 96-163
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  1. Part III - Application of Data Envelopment Analysis in Health Systems in Africa
  2. pp. 164-165
  1. 5. Technical Efficiency of Public Hospitals and Health Centres in Ghana
  2. Daniel Osei, Sellasie d'Almeida, Melvin O. George, Joses M. Kirigia, Ayayi O. Mensah and Lenity H. Kainyu
  3. pp. 166-187
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  1. 6. Measurement of Technical Efficiency of Public Hospitals in Kenya: Using Data Envelopment Analysis*
  2. Joses M. Kirigia, Ali Emrouznejad and Luis G. Sambo
  3. pp. 188-197
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  1. 7. Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Health Centres in Kenya
  2. Joses M. Kirigia, Ali Emrouznejad, Luis G. Sambo, Nzoya Munguti and William Liambila
  3. pp. 198-211
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  1. 8. Technical Efficiency of Peripheral Health Units in Pujehun District of Sierra Leone: A DEA Application
  2. Ade Renner, Joses M. Kirigia, Eyob Z. Asbu, Saidou P. Barry, Doris G. Kirigia, Clifford Kamara and Lenity Kainyu Muthuri
  3. pp. 212-229
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  1. 9. Are Public Hospitals in Kwazulu-Natal Province of South Africa Technically Efficient?*
  2. Joses M. Kirigia, Eitayo Lambo and Luis G. Sambo
  3. pp. 230-243
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  1. 10. Technical Efficiency of Public Clinics in Kwazulu-Natal Province of South Africa
  2. Joses M. Kirigia, Luis G. Sambo and Helga Scheel
  3. pp. 244-265
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  1. 11. Technical Efficiency of Primary Health Units in Kailahun and Kenema Districts of Sierra Leone
  2. Joses Muthuri Kirigia, Luis Gomes Sambo, Ade Renner, Wondi Alemu, Santigie Seasa, Yankuba Bah
  3. pp. 266-293
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  1. 12. Efficient Management of Health Centres Human Resources in Zambia
  2. Felix Masiye, Joses M. Kirigia, Ali Emrouznejad, Luis G. Sambo, Abdou B. Mounkaila, Davis Chimfwembe and David Okello
  3. pp. 294-317
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  1. 13. A Performance Assessment Method for Hospitals: The Case of Municipal Hospitals in Angola
  2. Joses M. Kirigia, Ali Emrouznejad, Basilio Cassoma, Eyob Z. Asbu and Saidou Barry
  3. pp. 318-338
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  1. 14. A Comparative Assessment of Performance and Productivity of Health Centres in Seychelles*
  2. Joses M Kirigia, Ali Emrouznejad, Rui G. Vaz, Henry Bastiene, Jude Padayachy
  3. pp. 339-363
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  1. 15. Productivity Changes in Benin Zone Hospitals: A nonparametric Malmquist approach
  2. Joses M. Kirigia, Luis G. Sambo, Omar Mensah, Chris Mwikisa Eyob Asbu, Patrick Makoudode and Athanase Hounnankan
  3. pp. 364-393
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  1. 16. Assessment of Productivity of Hospitals in Botswana: A DEA Application*
  2. Naomi Tlotlego, Justice Nonvignon, Luis G. Sambo, Eyob Z. Asbu, Joses M. Kirigia
  3. pp. 394-421
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  1. 17. Technical Efficiency, Efficiency Change, Technical Progress, and Productivity Growth Among National Health Systems in African Continent
  2. Joses Muthuri Kirigia; Eyob Zere Asbu; William Greene; Ali Emrouznejad
  3. pp. 422-443
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  1. Part III - Case Studies for Developing Skills in Economic Efficiency Analysis
  2. pp. 444-445
  1. 18. Technical Efficiency Analysis: A Case Study of Muthuleni Health Centres
  2. Joses M. Kirigia
  3. pp. 446-477
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  1. 19. Measurement of Total Cost Efficiency or Economic Efficiency: A Case Study of Health Centres in the Democratic Republic of Njuri-Ncheke
  2. Joses M. Kirigia and Eyob Zere Asbu
  3. pp. 478-505
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  1. 20. Measurement of Efficiency Change and Productivity Growth: A Case Study of National Health Systems in the African Union
  2. Joses Kirigia
  3. pp. 506-531
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  1. Part IV - Advancing Knowledge and Skills in Efficiency Analysis using Data Envelopment Analysis
  2. pp. 532-533
  1. 21. Advancing Knowledge and Skills in Data Envelopment Analysis
  2. Joses M. Kirigia
  3. pp. 534-542
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  1. Glossary
  2. pp. 543-545
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  1. Index
  2. pp. 546-548
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