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Efficiency Analysis of Syrian Refugees’ Healthcare Services in Turkey and Other 3RP States

Author

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  • Emmanuel Achiri

    (Department of Political Science and International Relations, Faculty of Business and Economics, Eastern Mediterranean University, Famagusta 99628, Turkey)

  • Mustapha D. Ibrahim

    (Industrial Engineering Technology, Higher Colleges of Technology, Sharjah P.O. Box 7947, United Arab Emirates)

Abstract

Access to healthcare for refugees is often contextually and conceptually diverse. This study set out to evaluate the efficiency of the healthcare services provided for Syrian refugees in Turkey and other refugee response and resilience plan (3RP) states. Data envelopment analysis is utilized for efficiency analysis using primary healthcare system indicators. Efficiency is broken down into pure technical efficiency and scale efficiency to identify causes of inefficiency. Normative analysis is used to employ a teleological approach to better understand current refugee healthcare policies. The findings show a decline in the overall efficiency for Turkey and other 3RP states. However, Turkey’s operational practices could be a model for other 3RP states due to its relatively high pure technical efficiency. Scale inefficiency negatively impacts the overall efficiency of Turkey’s service, while other 3RP states exhibit a rather consistent performance. The study concludes that Turkey’s healthcare system for refugees is inefficient, resulting in inadequate access for Syrian refugees. As such, operational and scale efficiency must be synergized for Turkey to fulfill its obligation to provide adequate healthcare for Syrian refugees. Additionally, COVID-19 was found to have exacerbated the challenges Syrian refugees face accessing healthcare. Policy recommendations have been made in line with the findings of the study.

Suggested Citation

  • Emmanuel Achiri & Mustapha D. Ibrahim, 2022. "Efficiency Analysis of Syrian Refugees’ Healthcare Services in Turkey and Other 3RP States," IJERPH, MDPI, vol. 19(22), pages 1-16, November.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:14986-:d:972244
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    References listed on IDEAS

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    1. Sedef E. Kara & Mustapha D. Ibrahim & Sahand Daneshvar, 2021. "Dual Efficiency and Productivity Analysis of Renewable Energy Alternatives of OECD Countries," Sustainability, MDPI, vol. 13(13), pages 1-14, July.
    2. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
    3. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
    4. Alexandre Morais Nunes & Diogo Cunha Ferreira, 2022. "A Critical Analysis of Decentralizing the Portuguese Public Healthcare Provision Services," IJERPH, MDPI, vol. 19(20), pages 1-10, October.
    5. Chambers, Robert G. & Chung, Yangho & Fare, Rolf, 1996. "Benefit and Distance Functions," Journal of Economic Theory, Elsevier, vol. 70(2), pages 407-419, August.
    6. Sevda Akar & M. Mustafa Erdoğdu, 2019. "Syrian Refugees in Turkey and Integration Problem Ahead," Journal of International Migration and Integration, Springer, vol. 20(3), pages 925-940, August.
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