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/Published conference outputChapter (peer-reviewed)peer-review


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)
Number of pages11
ISBN (Electronic)978-3-662-43437-6
ISBN (Print)978-3-662-43436-9
Publication statusPublished - 31 Dec 2014

Publication series

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


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


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