ArticleCost effectiveness and resource allocation : C/E2015
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.
Article in Cost effectiveness and resource allocation : C/E, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Exploring the association between primary care efficiency and health system characteristics across European countries: a two-stage data envelopment analysis.BMC health services research · 2023Article
- Technical efficiency of national HIV/AIDS spending in 78 countries between 2010 and 2018: A data envelopment analysis.PLOS global public health · 2022Article
- Efficiency, quality, and management practices in health facilities providing outpatient HIV services in Kenya, Nigeria, Rwanda, South Africa and Zambia.Health care management science · 2021Article
- Using HIV self-testing to increase the affordability of community-based HIV testing services.AIDS (London, England) · 2020Article
- Assessing the efficiency of countries in making progress towards universal health coverage: a data envelopment analysis of 172 countries.BMJ global health · 2020Article
- Impact of environmental variables on the efficiency of water companies in England and Wales: a double-bootstrap approach.Environmental science and pollution research international · 2019Article
- 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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3 authors.
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Abstract
backgroundIn 2004, the largest HIV prevention project (Avahan) conducted globally was implemented in India. Avahan was implemented by NGOs supported by state lead partners in order to provide HIV prevention services to high-risk population groups. In 2007, most of the NGOs reached full coverage.
methodsUsing a panel data set of the NGOs that implemented Avahan, we investigate the level of technical efficiency as well as the drivers of technical inefficiency by using the double bootstrap procedure developed by Simar & Wilson (2007). Unlike the two-stage traditional method, this method allows valid inference in the presence of measurement error and serial correlation.
resultsWe find that over the 4 years, Avahan NGOs could have reduced the level of inputs by 43% given the level of outputs reached. We find that efficiency of the project has increased over time. Results indicate that main drivers of inefficiency come from the characteristics of the state lead partner, the NGOs and the catchment area.
conclusionThese organisational factors are important to explicitly consider and assess when designing and implementing HIV prevention programmes and in setting benchmarks in order to optimise the use and allocation of resources. JEL CLASSIFICATIONS: C14, I1.
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