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Institutions and Hospital Efficiency in Cameroon: A Data Envelope Analysis

Author

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  • Christian Zamo-Akono
  • Mondjeli M. Ndjokou

    (University of Yaounde II-Soa, Cameroon)

  • Simon Song-Ntamack

    (University of Yaounde II-Soa, Cameroon)

Abstract

One of the objectives of the Cameroon Health Sector Strategy is to improve the efficient use of resources in the health sector. To accomplish this goal, the government implemented a series of reforms to improve accountability among the different stakeholders of the health sector. This paper employs data from 54 peripheral public health centre (PHC) from the Cameroon 2004 PETS to examine the extent to which the observed performances of the health sector are related to the institutional reforms. We find that the average technical efficiency score is around 0.7098 and that urban PHC perform better than rural ones. We also find that compact failures have a deterrent effect on the technical efficiency of these PHC and that client-power is an effective way of overcoming these government failures. As competition between public and private healthcare facilities has a negative effect on PHC performances, this study calls for institutional mechanisms that will reduce sorting, promote equal access to quality healthcare services between rich and poor people, and advocates for the participation of the local population in the management of PHC.

Suggested Citation

  • Christian Zamo-Akono & Mondjeli M. Ndjokou & Simon Song-Ntamack, 2013. "Institutions and Hospital Efficiency in Cameroon: A Data Envelope Analysis," Journal of African Development, African Finance and Economic Association (AFEA), vol. 15(1), pages 45-71.
    • Handle: RePEc:afe:journl:v:15:y:2013:i:1:p:45-71
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    Cited by:

    1. James Rodger & Abdullah Murrar & Pankaj Chaudhary & Brandon Foley & Marouane Balmakhtar & Justin Piper, 2020. "Assessing American Presidential Candidates Using Principles of Ontological Engineering, Word Sense Disambiguation, and Data Envelope Analysis," Expanding Horizons: Business, Management and Technology for Better Society,, ToKnowPress.

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