Level and determinants of district primary healthcare system technical efficiency in Ghana: two-stage stochastic frontier analysis
Districts in Ghana have the potential to improve PHC outputs by about 13% on average by better use of existing resources and addressing determinants of efficiency. Findings suggest that districts with a higher proportion of PHC facilities and lower income inequality tend to be more efficient. These patterns highlight the value of strengthening PHC infrastructure and pursuing equity-focused policies as part of strategies to enhance efficiency in district health systems.
Authors
- Edwine Barasa (ORCID: https://orcid.org/0000-0001-5793-7177)
- Rose Nabi Deborah Karimi Muthuri (ORCID: https://orcid.org/0000-0003-0353-8132)
- Beatrice Amboko (ORCID: https://orcid.org/0000-0002-5754-3853)
- Fiammetta Bozzani (ORCID: https://orcid.org/0000-0002-9518-6885)
- Anna Vassall
- Jacob Novignon
Institutions
- University of Ghana (GH)
- Kenya Medical Research Institute (KE)
- University of Oxford (GB)
- London School of Hygiene & Tropical Medicine (GB)
- Amsterdam Institute for Global Health and Development (NL)
Publication Details
- Journal
- BMJ Global Health
- Published
- 2026-02-01
- DOI
- https://doi.org/10.1136/bmjgh-2024-018847
- Primary Topic
- Global Maternal and Child Health
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Bill and Melinda Gates Foundation