Level and determinants of district primary healthcare system technical efficiency in Ghana: two-stage stochastic frontier analysis.

ABSTRACT:

Background

Primary healthcare (PHC) is critical towards achieving Universal Health Coverage (UHC). In Ghana, PHC is organised at the district level and plays a key role in the country's pursuit of UHC. However, many districts face challenges not only with limited resources but also with how effectively they are used. We examined how efficiently districts in Ghana use their health resources and what factors are associated with this efficiency.

Methods

We used a two-step stochastic frontier analysis model using data from 181 districts. The output variable was a composite coverage index derived from eight PHC service indicators for 2021, primarily reflecting maternal and child health and infectious disease services. Input variables included district health expenditure for 2020/

SUBMITTER: Amboko B 

PROVIDER: S-EPMC12911674 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature