Technical Inefficiency of District Hospitals in Côte d'Ivoire: Measurement, Causes and Consequences

  •  Tito N. Tiehi    


The aim of this study is to estimate the level of inefficiency and to identify the causes and consequences of Cote d’Ivoire public hospitals inefficiency. To that effect, we are using the non-parametric Data Envelopment Analysis (DEA) and the double Bootstrap procedures to analyze the data. The analysis of data from the Ministry of Health in Cote d’Ivoire reveals that districts’ hospitals are not technically efficient. This situation has a negative impact on hospital output in the country. Thus, the health system is impacted by the inefficiency of districts’ hospitals in accommodating the demand of health care. That technical inefficiency remains dependent on environmental factors that constitute an impediment for some of the levers ((ratio of doctors per capita, malnutrition, average length of stay, geographical access, and correlation Tuberculosis / HIV) and others (number of doctors in medical staff) able to increase hospitals technical efficiency. The outcomes of this study reveal two main stakes: firstly, the need for improvement of hospitals productive efficiency and secondly, the need for a better planning and utilization of the resources allocated to the health sector. Providing adequate responses to these concerns is extremely important for the country’s ambition to establish a universal health insurance system and improve the quality of health care services.

This work is licensed under a Creative Commons Attribution 4.0 License.