IDEAS home Printed from https://ideas.repec.org/a/rmk/rmkbae/v10y2023i1p103-113.html
   My bibliography  Save this article

Impact of HIV and Covid-19 pandemics on ivorian health system efficiency

Author

Listed:
  • Tito Nestor TIEHI

Abstract

The purpose of this study is to estimate the impact of HIV and Covid19 on the efficiency of the public health system in Côte d'Ivoire. To this end, we use non-parametric data envelopment analysis (DEA) and double bootstrap procedures to analyze the data. The analyze reveals that district hospitals are not technically efficient. These estimates show that in 2019, TB-HIV co-infection and geographic accessibility increases technical efficiency, while respiratory diseases reduce it. In contrast, in 2020, the advent of the Covid-19 pandemic blunted the positive impact of TB-HIV co-infection and geographical accessibility on the technical efficiency of the Ivorian health system observed in 2019. This result, due to the reorientation of resources allocated to the health sector to deal with the Covid-19 pandemic, is similar to the crowding out of the HIV pandemic by that of Covid-19.

Suggested Citation

  • Tito Nestor TIEHI, 2023. "Impact of HIV and Covid-19 pandemics on ivorian health system efficiency," Bulletin of Applied Economics, Risk Market Journals, vol. 10(1), pages 103-113.
    • Handle: RePEc:rmk:rmkbae:v:10:y:2023:i:1:p:103-113
    as

    Download full text from publisher

    File URL: https://www.riskmarket.co.uk/bae/journals-articles/issues/impact-of-hiv-and-covid-19-pandemics-on-ivorian-health-system-efficiency/?download=attachment.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Scheraga, Carl A., 2004. "Operational efficiency versus financial mobility in the global airline industry: a data envelopment and Tobit analysis," Transportation Research Part A: Policy and Practice, Elsevier, vol. 38(5), pages 383-404, June.
    2. Juan Ventura & Eduardo GonzáLez & Ana Cárcaba, 2004. "Efficiency and Program‐Contract Bargaining in Spanish Public Hospitals," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 75(4), pages 549-573, December.
    3. Halkos, George E. & Tzeremes, Nickolaos G., 2011. "A conditional nonparametric analysis for measuring the efficiency of regional public healthcare delivery: An application to Greek prefectures," Health Policy, Elsevier, vol. 103(1), pages 73-82.
    4. Kirjavainen, Tanja & Loikkanent, Heikki A., 1998. "Efficiency differences of finnish senior secondary schools: An application of DEA and Tobit analysis," Economics of Education Review, Elsevier, vol. 17(4), pages 377-394, October.
    5. John A. Romley & Dana P. Goldman, 2011. "How Costly is Hospital Quality? A Revealed‐Preference Approach," Journal of Industrial Economics, Wiley Blackwell, vol. 59(4), pages 578-608, December.
    6. Hervé Leleu & Benoît Dervaux, 1997. "Comparaison des différentes mesures d'efficacité technique : une application aux centres hospitaliers français," Économie et Prévision, Programme National Persée, vol. 129(3), pages 101-119.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Djily Diagne, 2006. "Mesure de l'efficience technique dans le secteur de l'éducation: une application de la méthode DEA," Swiss Journal of Economics and Statistics (SJES), Swiss Society of Economics and Statistics (SSES), vol. 142(II), pages 231-262, June.
    2. Bampatsou, Christina & Halkos, George, 2019. "Economic growth, efficiency and environmental elasticity for the G7 countries," Energy Policy, Elsevier, vol. 130(C), pages 355-360.
    3. R. Amy Puenpatom & Robert Rosenman, 2006. "Efficiency of Thai provincial public hospitals after the introduction of National Health Insurance Program," Working Papers 2006-2, School of Economic Sciences, Washington State University.
    4. Mahmut BAKIR & Şahap AKAN & Kasım KIRACI & Darjan KARABASEVIC & Dragisa STANUJKIC & Gabrijela POPOVIC, 2020. "Multiple-Criteria Approach of the Operational Performance Evaluation in the Airline Industry: Evidence from the Emerging Markets," Journal for Economic Forecasting, Institute for Economic Forecasting, vol. 0(2), pages 149-172, July.
    5. Sufian, Fadzlan & Abdul Majid, Muhamed Zulkhibri, 2007. "Consolidation and efficiency: Evidence from non-bank financial institutions in Malaysia," MPRA Paper 12128, University Library of Munich, Germany, revised 01 May 2007.
    6. Pierre Ouellette & Valérie Vierstraete, 2010. "Malmquist indexes with quasi-fixed inputs: an application to school districts in Québec," Annals of Operations Research, Springer, vol. 173(1), pages 57-76, January.
    7. M. Portela & A. Camanho & A. Keshvari, 2013. "Assessing the evolution of school performance and value-added: trends over four years," Journal of Productivity Analysis, Springer, vol. 39(1), pages 1-14, February.
    8. Helmuth Cremer & Dario Maldonado, 2013. "Mixed oligopoly in education," Documentos de Trabajo 10500, Universidad del Rosario.
    9. Mbaye Diene & Bity Diene & Théophile Azomahou, 2015. "Human capital productivity and uncertainty," Working Papers halshs-01144990, HAL.
    10. Zou, Bo & Elke, Matthew & Hansen, Mark & Kafle, Nabin, 2014. "Evaluating air carrier fuel efficiency in the US airline industry," Transportation Research Part A: Policy and Practice, Elsevier, vol. 59(C), pages 306-330.
    11. Baker, Laurence C. & Bundorf, M. Kate & Kessler, Daniel P., 2016. "The effect of hospital/physician integration on hospital choice," Journal of Health Economics, Elsevier, vol. 50(C), pages 1-8.
    12. Tavassoli, Mohammad & Faramarzi, Gholam Reza & Farzipoor Saen, Reza, 2014. "Efficiency and effectiveness in airline performance using a SBM-NDEA model in the presence of shared input," Journal of Air Transport Management, Elsevier, vol. 34(C), pages 146-153.
    13. Ying Li & Tai‐Yu Lin & Yung‐ho Chiu & Shu‐Ning Lin & Tzu‐Han Chang, 2021. "Impact of alliances and delay rate on airline performance," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 42(6), pages 1607-1618, September.
    14. Waldo, Staffan, 2007. "On the use of student data in efficiency analysis--Technical efficiency in Swedish upper secondary school," Economics of Education Review, Elsevier, vol. 26(2), pages 173-185, April.
    15. Howley, Peter, 2017. "Less money or better health? Evaluating individual’s willingness to make trade-offs using life satisfaction data," Journal of Economic Behavior & Organization, Elsevier, vol. 135(C), pages 53-65.
    16. Assaf, A. George & Josiassen, Alexander, 2012. "European vs. U.S. airlines: Performance comparison in a dynamic market," Tourism Management, Elsevier, vol. 33(2), pages 317-326.
    17. Bădin, Luiza & Daraio, Cinzia & Simar, Léopold, 2019. "A bootstrap approach for bandwidth selection in estimating conditional efficiency measures," European Journal of Operational Research, Elsevier, vol. 277(2), pages 784-797.
    18. Dino Rizzi & Vincenzo Rebba, 2006. "Measuring Hospital Efficiency through Data Envelopment Analysis when Policy-makers� Preferences Matter. An Application to a sample of Italian NHS hospitals," Working Papers 2006_13, Department of Economics, University of Venice "Ca' Foscari".
    19. Afonso, Antonio & St. Aubyn, Miguel, 2006. "Cross-country efficiency of secondary education provision: A semi-parametric analysis with non-discretionary inputs," Economic Modelling, Elsevier, vol. 23(3), pages 476-491, May.
    20. M C A S Portela & A S Camanho, 2010. "Analysis of complementary methodologies for the estimation of school value added," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 61(7), pages 1122-1132, July.

    More about this item

    Keywords

    Double Bootstrap; Tuberculosis/HIV; Covid-19.;
    All these keywords.

    JEL classification:

    • C14 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Semiparametric and Nonparametric Methods: General
    • D24 - Microeconomics - - Production and Organizations - - - Production; Cost; Capital; Capital, Total Factor, and Multifactor Productivity; Capacity
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:rmk:rmkbae:v:10:y:2023:i:1:p:103-113. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Eleftherios Spyromitros-Xioufis (email available below). General contact details of provider: http://www.riskmarket.co.uk/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.