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

Felix Masiye; Chrispin Mphuka; Ali Emrouznejad

doi:10.1007/978-3-662-43437-6_4

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

Operations & Information Management

Research output: Chapter in Book/Published conference output › Chapter (peer-reviewed) › peer-review

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 language	English
Title of host publication	Managing service productivity
Subtitle of host publication	using frontier efficiency methodologies and multicriteria decision making for improving service performance
Editors	Ali Emrouznejad, Emilyn Cabanda
Place of Publication	Berlin (DE)
Publisher	Springer
Pages	55-65
Number of pages	11
ISBN (Electronic)	978-3-662-43437-6
ISBN (Print)	978-3-662-43436-9
DOIs	https://doi.org/10.1007/978-3-662-43437-6_4
Publication status	Published - 31 Dec 2014

Publication series

Name	International series in operations research and management science
Publisher	Springer
Volume	215
ISSN (Print)	0884-8289

Keywords

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

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10.1007/978-3-662-43437-6_4

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

Masiye, Felix ; Mphuka, Chrispin ; Emrouznejad, Ali. / Estimating the efficiency of healthcare facilities providing HIV/AIDS treatment in Zambia : a data envelopment approach. Managing service productivity: using frontier efficiency methodologies and multicriteria decision making for improving service performance. editor / Ali Emrouznejad ; Emilyn Cabanda. Berlin (DE) : Springer, 2014. pp. 55-65 (International series in operations research and management science).

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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.",

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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. International series in operations research and management science, vol. 215, Springer, Berlin (DE), pp. 55-65. https://doi.org/10.1007/978-3-662-43437-6_4

Estimating the efficiency of healthcare facilities providing HIV/AIDS treatment in Zambia: a data envelopment approach. / Masiye, Felix; Mphuka, Chrispin; Emrouznejad, Ali.
Managing service productivity: using frontier efficiency methodologies and multicriteria decision making for improving service performance. ed. / Ali Emrouznejad; Emilyn Cabanda. Berlin (DE): Springer, 2014. p. 55-65 (International series in operations research and management science; Vol. 215).

Research output: Chapter in Book/Published conference output › Chapter (peer-reviewed) › peer-review

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T2 - a data envelopment approach

AU - Masiye, Felix

AU - Mphuka, Chrispin

AU - Emrouznejad, Ali

PY - 2014/12/31

Y1 - 2014/12/31

N2 - 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.

AB - 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.

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

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

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

Managing service productivity using data envelopment analysis

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