Journal of Medical Systems

, Volume 28, Issue 2, pp 155–166 | Cite as

Using Data Envelopment Analysis to Measure the Technical Efficiency of Public Health Centers in Kenya

  • Joses M. Kirigia
  • Ali EmrouznejadEmail author
  • Luis G. Sambo
  • Nzoya Munguti
  • Wilson Liambila


Data Envelopment Analysis has been widely used to analyze the efficiency of health sector in developed countries, since 1978, while in Africa, only a few studies have attempted to apply DEA in the health organizations. In this paper we measure technical efficiency of public health centers in Kenya. Our finding suggests that 44% of public health centers are inefficient. Therefore, the objectives of this study are: to determine the degree of technical efficiency of individual primary health care facilities in Kenya; to recommend the performance targets for inefficient facilities; to estimate the magnitudes of excess inputs; and to recommend what should be done with those excess inputs. The authors believe that this kind of studies should be undertaken in the other countries in the World Health Organization (WHO) African Region with a view to empowering Ministries of Health to play their stewardship role more effectively.

data envelopment analysis health sector efficiency hospital efficiency World Health Organization 


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Copyright information

© Plenum Publishing Corporation 2004

Authors and Affiliations

  • Joses M. Kirigia
    • 1
  • Ali Emrouznejad
    • 2
    Email author
  • Luis G. Sambo
    • 1
  • Nzoya Munguti
    • 3
  • Wilson Liambila
    • 3
  1. 1.Regional Office for AfricaWorld Health OrganizationCongo
  2. 2.Statistics and Operational Research, School of Mathematical and Information SciencesCoventry UniversityCoventryUnited Kingdom
  3. 3.Ministry of Health, KenyaNairobi

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