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Disentangling the efficiency drivers in country‐level global health programs: An empirical study
dc.contributor.authorBerenguer, Gemma
dc.contributor.authorIyer, Ananth V.
dc.contributor.authorYadav, Prashant
dc.date.accessioned2019-01-15T20:31:14Z
dc.date.available2019-01-15T20:31:14Z
dc.date.issued2016-07
dc.identifier.citationBerenguer, Gemma; Iyer, Ananth V.; Yadav, Prashant (2016). "Disentangling the efficiency drivers in country‐level global health programs: An empirical study." Journal of Operations Management 45(1): 30-43.
dc.identifier.issn0272-6963
dc.identifier.issn1873-1317
dc.identifier.urihttps://hdl.handle.net/2027.42/147166
dc.description.abstractMotivated by the cost reductions and outcome improvements generated by benchmarking in many industries, we focus on in‐country global health programs to identify and quantify opportunities for process improvement. We empirically study the major efficiency drivers of reproductive health (RH) country programs in Sub‐Saharan Africa sponsored by international funding organizations. To ensure a level playing field for comparison across countries, we quantify the impact of cross‐country heterogeneity and random shocks on the efficiency of RH programs. To analyze these relationships and isolate the effects attributable to managerial inefficiency, we use a three‐stage Data Envelopment Analysis (DEA)/Stochastic Frontier Analysis (SFA) model. We show the impact of environmental factors on program efficiency, linking policy making decisions with operational and health outcome performance. We also show that donor fragmentation negatively impacts managerial efficiency, and we suggest actions to mitigate this effect. We then provide a way to improve performance through benchmarking efforts within groups of countries and present an initial prototype of such efforts.
dc.publisherWorld Bank Publications
dc.publisherWiley Periodicals, Inc.
dc.subject.otherDEA
dc.subject.otherSFA
dc.subject.otherManagerial efficiency
dc.subject.otherFunding concentration
dc.subject.otherGlobal health delivery
dc.titleDisentangling the efficiency drivers in country‐level global health programs: An empirical study
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelIndustrial and Operations Engineering
dc.subject.hlbtoplevelEngineering
dc.description.peerreviewedPeer Reviewed
dc.contributor.affiliationumWilliam Davidson Institute, University of Michigan, 724 University Avenue, Ann Arbor, MI 48105 USA
dc.contributor.affiliationotherKrannert School of Management, Purdue University, 403 W. State Street, West Lafayette, IN 47907 USA
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/147166/1/joom30-sup-0001.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/147166/2/joom30.pdf
dc.identifier.doi10.1016/j.jom.2016.05.005
dc.identifier.sourceJournal of Operations Management
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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