Bulletin of the World Health Organization

Can countries of the WHO African Region wean themselves off donor funding for health?

Joses Muthuri Kirigia, Alimata J Diarra-Nama

Volume 86, Number 11, November 2008, 889-892

Table 1. Review of health facility efficiency studies in the WHO African Region

Country and DMU No. of DMUs with technical inefficiency Average technical efficiency scores among inefficient DMUs (%) Scope for increasing health service output (%)
Angola
28 municipal hospitals in 20004 17 66.2 33.8
28 municipal hospitals in 20014 16 65.8 34.2
28 municipal hospitals in 20024 18 67.5 32.5
Ghana
17 district hospitals5 8 61 39
17 health centres5 3 49 51
Kenya
54 public hospitals6 14 84 16
32 public health centres7 18 65 35
Namibia
20 public hospitals in 1997/19988 13 56 44
24 public hospitals in 1998/19998 16 64 36
26 public hospitals in 1999/20008 23 59 41
26 public hospitals in 2000/20018 21 60 40
Seychelles
17 health centres in 20019 7 95.8 4.2
17 health centres in 20029 9 93.2 6.8
17 health centres in 20039 8 94.0 6
17 health centres in 20049 7 96.4 3.6
Sierra Leone
37 peripheral health units10 22 63 37
South Africa
55 hospitals11 22 76 24
155 public clinics12 108 61 39
Zambia
30 hospitals13 18 45 55
40 health centres14 33 54 46

DMU, decision-making unit.