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

ABSTRACT:

Background

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.

Methods

We carried out a two-stage data envelopment analysis (DEA) using Simar and Wilson's double bootstrap method using data from all the 47 counties in Kenya. In the first stage, we derived the bootstrapped DEA scores using an output orientation. We used three input variables (Public county health expenditure, Private county health expenditure, number of healthcare facilities), and

SUBMITTER: Barasa E 

PROVIDER: S-EPMC8647450 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature