Examination on level of scale efficiency in public hospitals in Tanzania

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dc.contributor.authorFumbwe, Fatuma
dc.contributor.authorLihawa, Robert
dc.contributor.authorAndrew, Felician
dc.contributor.authorKinyanjui, George
dc.contributor.authorMkuna, Eliaza
dc.date.accessioned2021-10-07T09:54:54Z
dc.date.available2021-10-07T09:54:54Z
dc.date.issued2021-08-11
dc.date.updated2021-08-15T03:32:12Z
dc.description.abstractPurpose Tanzania has implemented policies that aim at improving health sector performance as well as the general health status of citizens. Establishment of community insurance fund, increase government budget allocation in health sector, establishment of institutions for critical and special diseases like Tanzania Ocean road cancer institute, Muhimbili Orthopaedic Institute and many other that aim at improving sector efficiency. These efforts and policies had a direct impact on improving the health sector and achieving Sustainable Development Goals (SDGs). Despite these improvement efforts, the health sector continues to face enormous challenges. Among the major challenges identified is the level of inefficiencies in healthcare delivery. It is for this reason; this paper examines the scale efficiency level in Tanzania’s public hospitals. Methods Using data from the Ministry of Health, this paper employs the Input based Data Envelopment Analysis (DEA) to examine Tanzania’s public hospital efficiency levels. DEA has been applied because it can handle multiple inputs and output that can have different units simultaneously. Results Findings showed that the average scale efficiency was 78.6%.and 72.9%for regional and district hospitals respectively. Additionally, 43.8% of the regional referral hospitals attained the most productive scale size compared to 21.05% in district hospitals. Conclusion The study concludes that there is dire need for the ministry of health to consider resource reallocation across public hospitals. Periodic re-estimation of efficiency levels coupled with increased health care input injection is of urgent need.en_US
dc.identifier.apacitationFumbwe, F., Lihawa, R., Andrew, F., Kinyanjui, G., & Mkuna, E. (2021). Examination on level of scale efficiency in public hospitals in Tanzania. <i>Cost Effectiveness and Resource Allocation</i>, 19(Article number: 49), http://hdl.handle.net/11427/34192en_ZA
dc.identifier.chicagocitationFumbwe, Fatuma, Robert Lihawa, Felician Andrew, George Kinyanjui, and Eliaza Mkuna "Examination on level of scale efficiency in public hospitals in Tanzania." <i>Cost Effectiveness and Resource Allocation</i> 19, Article number: 49. (2021) http://hdl.handle.net/11427/34192en_ZA
dc.identifier.citationFumbwe, F., Lihawa, R., Andrew, F., Kinyanjui, G. & Mkuna, E. 2021. Examination on level of scale efficiency in public hospitals in Tanzania. <i>Cost Effectiveness and Resource Allocation.</i> 19(Article number: 49) http://hdl.handle.net/11427/34192en_ZA
dc.identifier.ris TY - Journal Article AU - Fumbwe, Fatuma AU - Lihawa, Robert AU - Andrew, Felician AU - Kinyanjui, George AU - Mkuna, Eliaza AB - Purpose Tanzania has implemented policies that aim at improving health sector performance as well as the general health status of citizens. Establishment of community insurance fund, increase government budget allocation in health sector, establishment of institutions for critical and special diseases like Tanzania Ocean road cancer institute, Muhimbili Orthopaedic Institute and many other that aim at improving sector efficiency. These efforts and policies had a direct impact on improving the health sector and achieving Sustainable Development Goals (SDGs). Despite these improvement efforts, the health sector continues to face enormous challenges. Among the major challenges identified is the level of inefficiencies in healthcare delivery. It is for this reason; this paper examines the scale efficiency level in Tanzania’s public hospitals. Methods Using data from the Ministry of Health, this paper employs the Input based Data Envelopment Analysis (DEA) to examine Tanzania’s public hospital efficiency levels. DEA has been applied because it can handle multiple inputs and output that can have different units simultaneously. Results Findings showed that the average scale efficiency was 78.6%.and 72.9%for regional and district hospitals respectively. Additionally, 43.8% of the regional referral hospitals attained the most productive scale size compared to 21.05% in district hospitals. Conclusion The study concludes that there is dire need for the ministry of health to consider resource reallocation across public hospitals. Periodic re-estimation of efficiency levels coupled with increased health care input injection is of urgent need. DA - 2021-08-11 DB - OpenUCT DP - University of Cape Town IS - Article number: 49 J1 - Cost Effectiveness and Resource Allocation KW - Scale efficiency KW - Public hospitals KW - Data envelopment analysis LK - https://open.uct.ac.za PY - 2021 T1 - Examination on level of scale efficiency in public hospitals in Tanzania TI - Examination on level of scale efficiency in public hospitals in Tanzania UR - http://hdl.handle.net/11427/34192 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s12962-021-00305-4
dc.identifier.urihttp://hdl.handle.net/11427/34192
dc.identifier.vancouvercitationFumbwe F, Lihawa R, Andrew F, Kinyanjui G, Mkuna E. Examination on level of scale efficiency in public hospitals in Tanzania. Cost Effectiveness and Resource Allocation. 2021;19(Article number: 49) http://hdl.handle.net/11427/34192.en_ZA
dc.language.isoenen_US
dc.language.rfc3066en
dc.publisher.departmentDepartment of Social Developmenten_US
dc.publisher.facultyFaculty of Humanitiesen_US
dc.rights.holderThe Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceCost Effectiveness and Resource Allocationen_US
dc.source.journalissueArticle number: 49en_US
dc.source.journalvolume19en_US
dc.source.urihttps://resource-allocation.biomedcentral.com/
dc.subjectScale efficiencyen_US
dc.subjectPublic hospitalsen_US
dc.subjectData envelopment analysisen_US
dc.titleExamination on level of scale efficiency in public hospitals in Tanzaniaen_US
dc.typeJournal Articleen_US
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