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Purpose:Tanzania has implemented policies that aim at improvinghealth sector performance as well as the general health status of citizens. Establishment of community insurance fund, increase government budget allocation in health sector, establishment of institutions for critical and special diseases like Tanzania Ocean road cancer institute, Muhimbili Orthopaedic Institute and many other that aim at improving sector efficiency. These efforts and policies had a direct impact on improving the health sector and achieving Sustainable Development Goals (SDGs). Despite these improvement efforts, the health sector continues to face enormous challenges. Among the major challenges identified is the level of inefficiencies in healthcare delivery. It is for this reason; this paper examines the scale efficiency level in Tanzania’s public hospitals.
Methods:Using data from the Ministry of Health, this paper employs the Data Envelopment Analysis (DEA) to examine Tanzania’s public hospital efficiency levels.
Results:Findings showed that the average scale efficiency was 78.6%.and 72.9%for regional and district hospitals respectively. Additionally, 43.8% of the regional referral hospitals attained the most productive scale size compared to 21.05% in district hospitals.
Conclusion: The study concludes that there is dire need for the ministry of health to consider resource reallocation across public hospitals. Periodic re-estimation of efficiency levels coupled with increased health care input injection is of urgent need.
Keywords
Scale efficiency, Public hospitals, Data Envelopment Analysis
The full text of this article is available to read as a PDF.
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CURRENT STATUS: Published
View the published article at Cost Effectiveness and Resource Allocation.
Version (no preprint)
Posted 24 Jun, 2021
Review #1 received
Received 24 Jun, 2021
Reviews received
Received 17 May, 2021
Reviewers invited
Invitations sent on 16 May, 2021
Reviewer #1 agreed
On 16 May, 2021
First submitted
On 02 May, 2021
Editor assigned
On 01 May, 2021
Submission checks complete
On 01 May, 2021
Editor invited
On 01 May, 2021
Editorial decision: Minor Revision
On 19 Nov, 2020
This version was not preprinted
Version 2
Posted 04 Jan, 2021
No community comments so far
Editorial decision: Minor Revision
On 02 Apr, 2021
Review #2 received
Received 28 Mar, 2021
Reviewer #2 agreed
On 15 Dec, 2020
Reviewers invited
Invitations sent on 14 Dec, 2020
Reviewer #1 agreed
On 14 Dec, 2020
Review #1 received
Received 14 Dec, 2020
Editor assigned
On 13 Dec, 2020
Submission checks complete
On 13 Dec, 2020
Editor invited
On 13 Dec, 2020
No comments provided
Editorial decision: Major Revision
On 19 Nov, 2020
Review #2 received
Received 15 Nov, 2020
Reviewer #2 agreed
On 26 Oct, 2020
Reviewer #1 agreed
On 18 Sep, 2020
Review #1 received
Received 18 Sep, 2020
Reviewers invited
Invitations sent on 06 Aug, 2020
Editor assigned
On 18 Jul, 2020
First submitted
On 17 Jul, 2020
Submission checks complete
On 17 Jul, 2020
Editor invited
On 17 Jul, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Policy
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See the published version of this preprint at Cost Effectiveness and Resource Allocation.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at Cost Effectiveness and Resource Allocation.
Version (no preprint)
Posted 24 Jun, 2021
Review #1 received
Received 24 Jun, 2021
Reviews received
Received 17 May, 2021
Reviewers invited
Invitations sent on 16 May, 2021
Reviewer #1 agreed
On 16 May, 2021
First submitted
On 02 May, 2021
Editor assigned
On 01 May, 2021
Submission checks complete
On 01 May, 2021
Editor invited
On 01 May, 2021
Editorial decision: Minor Revision
On 19 Nov, 2020
This version was not preprinted
Version 2
Posted 04 Jan, 2021
No community comments so far
Editorial decision: Minor Revision
On 02 Apr, 2021
Review #2 received
Received 28 Mar, 2021
Reviewer #2 agreed
On 15 Dec, 2020
Reviewers invited
Invitations sent on 14 Dec, 2020
Reviewer #1 agreed
On 14 Dec, 2020
Review #1 received
Received 14 Dec, 2020
Editor assigned
On 13 Dec, 2020
Submission checks complete
On 13 Dec, 2020
Editor invited
On 13 Dec, 2020
No comments provided
Editorial decision: Major Revision
On 19 Nov, 2020
Review #2 received
Received 15 Nov, 2020
Reviewer #2 agreed
On 26 Oct, 2020
Reviewer #1 agreed
On 18 Sep, 2020
Review #1 received
Received 18 Sep, 2020
Reviewers invited
Invitations sent on 06 Aug, 2020
Editor assigned
On 18 Jul, 2020
First submitted
On 17 Jul, 2020
Submission checks complete
On 17 Jul, 2020
Editor invited
On 17 Jul, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Policy
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Cost Effectiveness and Resource Allocation.
Purpose:Tanzania has implemented policies that aim at improvinghealth sector performance as well as the general health status of citizens. Establishment of community insurance fund, increase government budget allocation in health sector, establishment of institutions for critical and special diseases like Tanzania Ocean road cancer institute, Muhimbili Orthopaedic Institute and many other that aim at improving sector efficiency. These efforts and policies had a direct impact on improving the health sector and achieving Sustainable Development Goals (SDGs). Despite these improvement efforts, the health sector continues to face enormous challenges. Among the major challenges identified is the level of inefficiencies in healthcare delivery. It is for this reason; this paper examines the scale efficiency level in Tanzania’s public hospitals.
Methods:Using data from the Ministry of Health, this paper employs the Data Envelopment Analysis (DEA) to examine Tanzania’s public hospital efficiency levels.
Results:Findings showed that the average scale efficiency was 78.6%.and 72.9%for regional and district hospitals respectively. Additionally, 43.8% of the regional referral hospitals attained the most productive scale size compared to 21.05% in district hospitals.
Conclusion: The study concludes that there is dire need for the ministry of health to consider resource reallocation across public hospitals. Periodic re-estimation of efficiency levels coupled with increased health care input injection is of urgent need.
The full text of this article is available to read as a PDF.
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