This paper examined the technical efficiency and scale efficiency of health centre IVs in Uganda. Using data from the Annual Health sector performance report for the financial year 2019-2020 and Health Sector Grant and Budget Guidelines to Local Governments report 2019-2020, the technical efficiency, scale efficiency and projections of the quantities of health centre input and outputs needed to make inefficient health centres efficient were determined. An output-oriented Data Envelopment Analysis (DEA) with Variable Returns to Scale (VRS) was used to analyse the data for pure technical efficiency and scale efficiency for a sample of 28 health centre IVs. It was revealed that 14 (50%) health centre IVs were VRS technically inefficient while 15 (54%) were scale inefficient. The average pure technical efficiency score of 92% implied that the health centres are in position to increase their output levels by 8% with the same amount of inputs (beds and annual budget allocation).
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Warren et al. (2022) studied this question.