SSA) • Benefits abound • Improves health care equity • Easy access for poor and vulnerable populaJon groups • Less pressure on higher level faciliJes • Improves efficiency 1 14/10/16 Introduc;on (2) • PHC faciliJes in developing countries however face daunJng challenges • Poor faciliJes and supplies • Lack of adequate financing • While there have been calls for increased gov’t financing, re. [...] Methods • Data: • 2015 Access, Bo_lenecks, Cost and Equity (ABCE) project conducted by • InsJtute for Health Metrics and EvaluaJon (IHME) in collaboraJon with • Ghana Ministry of Health (MOH), • Ghana Heath Service (GHS), • Ghana UNICEF office and UNICEF • Collected between 2007 and 2011 on 73 health centers 2 14/10/16 Methods (2) • Measuring efficiency • StochasJc fronJer Analysis (SFA) was. [...] • ‘Nopo’ DecomposiJon procedure: Public-private efficiency disparity • EsJmates gap and decomposes into • Explained component • Unexplained Methods (3) • Variables • Output variable: • OutpaJent visits (InpaJent services are mostly not available at primary level). [...] • Input variable: • number of personnel • hospital beds and • expenditure on other capital items and administraJon. [...] • Other control variables used include • rural/urban locaJon • public/private facility type • age of facility • display of fee list and • number of rooms available.
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