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This study aims to evaluate operational systems in Nigerian community health centres and measure efficiency gains using multilevel regression.

March 13, 2026Open Access

Methodological Evaluation and Efficiency Gains in Nigerian Community Health Centres: A Multilevel Regression Analysis

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This study aims to evaluate operational systems in Nigerian community health centres and measure efficiency gains using multilevel regression.
Two-stage analytical design with data envelopment analysis and multilevel linear regression.
Calculated technical efficiency scores for a purposive sample of 127 centres.
Identified facility- and community-level factors influencing technical efficiency.
Drug supply chain integrity and staff skill-mix were key predictors of efficiency.
A one-standard-deviation improvement in supply chain metrics led to a 15.2% increase in technical efficiency.
District-level health funding showed no significant effect on efficiency.

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This case study evaluates operational efficiency in community health centres, suggesting targeted interventions for improvement.

Okonkwo et al. (2006) studied this question.

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