标题：A practical measure of health facility efficiency: an innovation in the application of routine health information to determine health worker productivity in Ethiopia
摘要：Background
A simple indicator of technical efficiency, such as productivity of health workers, measured using routine health facility data, can be a practical approach that can inform initiatives to improve efficiency in low- and middle-income countries. This paper presents a proof of concept of using routine information from primary healthcare (PHC) facilities to measure health workers’ productivity and its application in three regions of Ethiopia.
Methods
In four steps, we constructed a productivity measure of the health workforce of Health Centers (HCs) and demonstrated its practical application: (1) developing an analytical dataset using secondary data from health management information systems (HMIS) and human resource information system (HRIS); (2) principal component analysis and factor analysis to estimate a summary measure of output from five indicators (annual service volume of outpatient visits, family planning, first antenatal care visits, facility-based deliveries by skilled birth attendants, and children [< 1 year
关键词：Efficiency; Technical efficiency; Productivity; Health centers; Primary healthcare; Health information management system; Health personnel; Factor analysis; Ethiopia; Low- and middle-income countries
