ArticleHealth services insights2019
Technical Efficiency of Maternal and Reproductive Health Services in Public Hospitals of Oromia Regional State, Ethiopia.
Article in Health services insights, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Technical efficiency of public hospitals in east Africa: a systematic review and meta-analysis.BMC health services research · 2025Pooled it
- The state and significant drivers of health systems efficiency in Africa: A systematic review and meta-analysis.Journal of global health · 2023Pooled it
- Technical efficiency of public health facilities in Punjab, Pakistan: application of a two-stage data envelopment analysis.BMC health services research · 2026Article
- Contributions of District Health Information Software 2 (DHIS2) to maternal and child health service performance in Ethiopia: an interrupted time series mixed-methods study.Archives of public health = Archives belges de sante publique · 2025Article
- Impact of Population Size and Aging on the Efficiency of Cancer Screening in Japanese Municipalities: Insights from Data Envelopment Analysis.Health services insights · 2025Article
- Technical efficiency analysis of advanced medical centers in Burkina Faso.BMC health services research · 2024Article
- Article
- Understanding efficiency and the effect of pay-for-performance across health facilities in Tanzania.BMJ global health · 2020Article
- Technical Efficiency of Maternal Health Services Provision in Public Hospitals of Northwest Ethiopia: A Two-Stage Data Envelopment Analysis.Risk management and healthcare policy · 2020Article
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
As the Ethiopian health system faced critical resource constraints, wise use of the available health resources is a priority agenda. Therefore, our study aimed to assess technical efficiency of maternal and reproductive health services in public hospitals of Oromia regional state, Ethiopia. Two-stage data envelopment analysis was performed among 14 hospitals with input orientation and variable returns to scale assumptions. Technical efficiency scores were computed at the first stage, and predictors were determined using Tobit regression at the second stage. The assessment revealed that 12 (85.7%) hospitals were pure technical efficient and 9 (64.29%) hospitals were scale efficient. Level (primary/general) (β = 1.17, 95% confidence interval [CI] = 0.16-2.18), service years (β = 0.02, 95% CI = 0.003-0.03), and size of catchment population (β = 5.58E-07, 95% CI = 2.95E-08 to 1.09E-06) were positively associated with technical efficiency of maternal and reproductive health service, whereas average waiting time for maternal health service (β = -0.03, 95% CI = -0.05 to -0.01) was negatively associated with efficiency. In conclusion, most of the hospitals were technically efficient and around two-thirds were operating scale efficient. Allocation of more resources to older secondary hospitals with larger catchment population could result in more efficient use of resources for maternal and reproductive health service delivery.
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