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Efficiency of primary care in rural Burkina Faso. A two-stage DEA analysis by Paul Marschall; Steffen Flessa is a Economics, Econometrics and Finance article available to read on EtoBox.

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## Background Providing health care services in Africa is hampered by severe scarcity of personnel, medical supplies and financial funds. Consequently, managers of health care institutions are called to measure and improve the efficiency of their facilities in order to provide the best possible services with their resources. However, very little is known about the efficiency of health care facilities in Africa and instruments of performance measurement are hardly applied in this context. ## Objective This study determines the relative efficiency of primary care facilities in Nouna, a rural health district in Burkina Faso. Furthermore, it analyses the factors influencing the efficiency of these institutions. ## Methodology We apply a two-stage Data Envelopment Analysis (DEA) based on data from a comprehensive provider and household information system. In the first stage, the relative efficiency of each institution is calculated by a traditional DEA model. In the second stage, we identify the reasons for being inefficient by regression technique. ## Results The DEA projections suggest that inefficiency is mainly a result of poor utilization of health care facilities as they were eith

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Author

Paul Marschall; Steffen Flessa

Publisher

Springer-Verlag; Springer (Biomed Central Ltd.); Springer Science and Business Media Deutschland GmbH; Heidelberg: Springer; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 2191-1991)

Published

2011

Language

EN

Field

Economics, Econometrics and Finance (Social Sciences)