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A practical measure of health facility efficiency: an innovation in the application of routine health information to determine health worker productivity in Ethiopia Hasan, Md Zabir; Dinsa, Girmaye D.; Berman, Peter A.

Abstract

Background A simple indicator of technical efficiency, such as productivity of health workers, measured using routine health facility data, can be a practical approach that can inform initiatives to improve efficiency in low- and middle-income countries. This paper presents a proof of concept of using routine information from primary healthcare (PHC) facilities to measure health workers’ productivity and its application in three regions of Ethiopia. Methods In four steps, we constructed a productivity measure of the health workforce of Health Centers (HCs) and demonstrated its practical application: (1) developing an analytical dataset using secondary data from health management information systems (HMIS) and human resource information system (HRIS); (2) principal component analysis and factor analysis to estimate a summary measure of output from five indicators (annual service volume of outpatient visits, family planning, first antenatal care visits, facility-based deliveries by skilled birth attendants, and children [

Item Metadata

Title
A practical measure of health facility efficiency: an innovation in the application of routine health information to determine health worker productivity in Ethiopia
Creator
Hasan, Md Zabir; Dinsa, Girmaye D.; Berman, Peter A.
Publisher
BioMed Central
Date Issued
2021-08-05
Description
Background A simple indicator of technical efficiency, such as productivity of health workers, measured using routine health facility data, can be a practical approach that can inform initiatives to improve efficiency in low- and middle-income countries. This paper presents a proof of concept of using routine information from primary healthcare (PHC) facilities to measure health workers’ productivity and its application in three regions of Ethiopia. Methods In four steps, we constructed a productivity measure of the health workforce of Health Centers (HCs) and demonstrated its practical application: (1) developing an analytical dataset using secondary data from health management information systems (HMIS) and human resource information system (HRIS); (2) principal component analysis and factor analysis to estimate a summary measure of output from five indicators (annual service volume of outpatient visits, family planning, first antenatal care visits, facility-based deliveries by skilled birth attendants, and children [
Subject
Efficiency; Technical efficiency; Productivity; Health centers; Primary healthcare; Health information management system; Health personnel; Factor analysis; Ethiopia; Low- and middle-income countries
Genre
Article
Type
Text
Language
eng
Date Available
2021-08-05
Provider
Vancouver : University of British Columbia Library
Rights
Attribution 4.0 International (CC BY 4.0)
DOI
10.14288/1.0401230
URI
http://hdl.handle.net/2429/79197
Affiliation
Medicine, Faculty of; Non UBC; Population and Public Health (SPPH), School of
Citation
Human Resources for Health. 2021 Aug 05;19(1):96
Publisher DOI
10.1186/s12960-021-00636-6
Peer Review Status
Reviewed
Scholarly Level
Faculty
Copyright Holder
The Author(s)
Rights URI
http://creativecommons.org/licenses/by/4.0/
Aggregated Source Repository
DSpace

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Rights

Attribution 4.0 International (CC BY 4.0)