Level and determinants of county health system technical efficiency in Kenya: two stage data envelopment analysis.

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Abstract

Improving health system efficiency is a key strategy to increase health system performance and accelerate progress towards Universal Health Coverage. In 2013, Kenya transitioned into a devolved system of government granting county governments autonomy over budgets and priorities. We assessed the level and determinants of technical efficiency of the 47 county health systems in Kenya.

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Journal

Journal ID (iso-abbrev): Cost Eff Resour Alloc

Title: Cost effectiveness and resource allocation : C/E

Publisher: Springer Science and Business Media LLC

ISSN: 1478-7547

ISSN (Print): 1478-7547

Publication date (Electronic): Dec 06 2021

Volume: 19

Issue: 1

Affiliations

[1 ] Health Economics Research Unit, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya. ebarasa@kemri-wellcome.org.

[2 ] Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK. ebarasa@kemri-wellcome.org.

[3 ] Health Economics Research Unit, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya.

[4 ] Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.

[5 ] County Department of Health, Makueni County Government, Makueni, Kenya.

[6 ] Health Systems and Research Ethics Department, KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.

[7 ] Health Financing Department, Ministry of Health, Nairobi, Kenya.

[8 ] Centre for Health Policy and Management, Trinity College, The University of Dublin, Dublin, Ireland.

[9 ] Cicely Saunders Institute, Kings College London, London, England.

Article

Publisher Item ID: 10.1186/s12962-021-00332-1

DOI: 10.1186/s12962-021-00332-1

PMC ID: 8647450

PubMed ID: 34872560

SO-VID: 34030e83-24ea-4b4d-b228-d59553441550

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Keywords: Efficiency,Kenya,Devolution,Decentralization,DEA

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Keywords: Efficiency, Kenya, Devolution, Decentralization, DEA

Level and determinants of county health system technical efficiency in Kenya: two stage data envelopment analysis.

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