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Does integration of HIV and sexual and reproductive health services improve technical efficiency in Kenya and Swaziland? An application of a two-stage semi parametric approach incorporating quality measures

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  • Obure, Carol Dayo
  • Jacobs, Rowena
  • Guinness, Lorna
  • Mayhew, Susannah
  • Vassall, Anna

Abstract

Theoretically, integration of vertically organized services is seen as an important approach to improving the efficiency of health service delivery. However, there is a dearth of evidence on the effect of integration on the technical efficiency of health service delivery. Furthermore, where technical efficiency has been assessed, there have been few attempts to incorporate quality measures within efficiency measurement models particularly in sub-Saharan African settings.

Suggested Citation

  • Obure, Carol Dayo & Jacobs, Rowena & Guinness, Lorna & Mayhew, Susannah & Vassall, Anna, 2016. "Does integration of HIV and sexual and reproductive health services improve technical efficiency in Kenya and Swaziland? An application of a two-stage semi parametric approach incorporating quality me," Social Science & Medicine, Elsevier, vol. 151(C), pages 147-156.
    • Handle: RePEc:eee:socmed:v:151:y:2016:i:c:p:147-156
    DOI: 10.1016/j.socscimed.2016.01.013
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    Cited by:

    1. Margit Sommersguter-Reichmann, 2022. "Health care quality in nonparametric efficiency studies: a review," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 30(1), pages 67-131, March.
    2. Yoko Akachi & Margaret E. Kruk, 2017. "Quality of care: Measuring a neglected driver of improved health," WIDER Working Paper Series wp-2017-135, World Institute for Development Economic Research (UNU-WIDER).
    3. Sandra G. Sosa-Rubí & Sergio Bautista-Arredondo & Carlos Chivardi-Moreno & David Contreras-Loya & Gina Hera-Fuentes & Marjorie Opuni, 2021. "Efficiency, quality, and management practices in health facilities providing outpatient HIV services in Kenya, Nigeria, Rwanda, South Africa and Zambia," Health Care Management Science, Springer, vol. 24(1), pages 41-54, March.
    4. Hauck, K. & Morton, A. & Chalkidou, K. & Chi, Y-Ling & Culyer, A. & Levin, C. & Meacock, R. & Over, M. & Thomas, R. & Vassall, A. & Verguet, S. & Smith, P.C., 2019. "How can we evaluate the cost-effectiveness of health system strengthening? A typology and illustrations," Social Science & Medicine, Elsevier, vol. 220(C), pages 141-149.
    5. Sergio Bautista-Arredondo & Gina La Hera-Fuentes & David Contreras-Loya & Ada Kwan & S Janae Van Buren & Ogbonna O Amanze & Akinyemi Atobatele & Adedayo Adeyemi & Emmanuel Abatta & Kayode M Ogungbemi , 2018. "Efficiency of HIV services in Nigeria: Determinants of unit cost variation of HIV counseling and testing and prevention of mother-to-child transmission interventions," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-19, September.
    6. Yoko Akachi & Margaret E. Kruk, 2017. "Quality of care: Measuring a neglected driver of improved health," WIDER Working Paper Series 135, World Institute for Development Economic Research (UNU-WIDER).

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