ArticleBMC health services research2012
How much can we gain from improved efficiency? An examination of performance of national HIV/AIDS programs and its determinants in low- and middle-income countries.
Article in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Is there scope for cost savings and efficiency gains in HIV services? A systematic review of the evidence from low- and middle-income countries.Bulletin of the World Health Organization · 2014Pooled it
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- Understanding the performance of county health service delivery in Kenya: a mixed-method analysis.Health policy and planning · 2022Article
- Technical efficiency of national HIV/AIDS spending in 78 countries between 2010 and 2018: A data envelopment analysis.PLOS global public health · 2022Article
- Health system efficiency in OECD countries: dynamic network DEA approach.Health economics review · 2021Article
- Management practices in community-based HIV prevention organizations in Nigeria.BMC health services research · 2021Article
- Intellectual capital-based performance improvement: a study in healthcare sector.BMC health services research · 2021Article
- The efficiency of routine infant immunization services in six countries: a comparison of methods.Health economics review · 2020Article
- Assessing frontline HIV service provider efficiency using data envelopment analysis: a case study of Philippine social hygiene clinics (SHCs).BMC health services research · 2019Article
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- Leveraging existing program data for routine efficiency measurement in Zambia.Gates open research · 2018Article
- Evaluation of the performance of national health systems in 2004-2011: An analysis of 173 countries.PloS one · 2017Article
- Improving the effectiveness of service delivery in the public healthcare sector: the case of ophthalmology services in Malaysia.BMC health services research · 2015Article
- The determinants of technical efficiency of a large scale HIV prevention project: application of the DEA double bootstrap using panel data from the Indian Avahan.Cost effectiveness and resource allocation : C/E · 2015Article
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- Efficiency and factors influencing efficiency of Community Health Strategy in providing Maternal and Child Health services in Mwingi District, Kenya: an expert opinion perspective.The Pan African medical journal · 2015Article
- Efficiency of HIV/AIDS health centers and effect of community-based health insurance and performance-based financing on HIV/AIDS service delivery in Rwanda.The American journal of tropical medicine and hygiene · 2014Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe economic downturn exacerbates the inadequacy of resources for combating the worldwide HIV/AIDS pandemic and amplifies the need to improve the efficiency of HIV/AIDS programs.
methodsWe used data envelopment analysis (DEA) to evaluate efficiency of national HIV/AIDS programs in transforming funding into services and implemented a Tobit model to identify determinants of the efficiency in 68 low- and middle-income countries. We considered the change from the lowest quartile to the average value of a variable a "notable" increase.
resultsOverall, the average efficiency in implementing HIV/AIDS programs was moderate (49.8%). Program efficiency varied enormously among countries with means by quartile of efficiency of 13.0%, 36.4%, 54.4% and 96.5%. A country's governance, financing mechanisms, and economic and demographic characteristics influence the program efficiency. For example, if countries achieved a notable increase in "voice and accountability" (e.g., greater participation of civil society in policy making), the efficiency of their HIV/AIDS programs would increase by 40.8%. For countries in the lowest quartile of per capita gross national income (GNI), a notable increase in per capita GNI would increase the efficiency of AIDS programs by 45.0%.
conclusionsThere may be substantial opportunity for improving the efficiency of AIDS services, by providing more services with existing resources. Actions beyond the health sector could be important factors affecting HIV/AIDS service delivery.
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