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Estimating the Efficiency of Healthcare Facilities Providing HIV/AIDS Treatment in Zambia: A Data Envelopment Approach

  • Felix MasiyeEmail author
  • Chrispin Mphuka
  • Ali Emrouznejad
Chapter
Part of the International Series in Operations Research & Management Science book series (ISOR, volume 215)

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.

Keywords

Data Envelopment Analysis HIV/AIDS treatment Healthcare efficiency Zambia Managing Service Productivity 

Notes

Acknowledgements

We are grateful to the Clinton Health Access Initiative Zambia Country Office for supporting the data collection and making the data available for this analysis. We thank Mr Bona Chitah of the University of Zambia, Department of Economics, for assistance in explaining the data collection process. The views expressed in this chapter do not necessarily represent those of the funder. Any errors are our own.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Felix Masiye
    • 1
    Email author
  • Chrispin Mphuka
    • 1
  • Ali Emrouznejad
    • 2
  1. 1.Department of EconomicsUniversity of ZambiaLusakaZambia
  2. 2.Aston Business SchoolAston UniversityBirminghamUK

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