The results were thoroughly discussed with the MoHCC and included in the medium-term evaluation process of the 2016 - 2020 health strategy. Efficiency scores have being calculated following the Simar and Wilson double bootstrap procedure. The average efficiency of district hospitals is low, stagnant over 2015-2017. Moreover, efficiency scores are widely dispersed showing a large heterogeneity in district hospitals’ performance. The findings suggest significant room for manoeuvre to getting more results with the resources spent. The analysis of the efficiency drivers was constrained by the availability of data. It has been performed with truncated regression. It shows the importance of both supply and demand-side factors, leading to several policy-oriented considerations. The study also highlights important shortcomings in the routine collection of basic data that need to be addressed by the MoHCC so as not to bias the decision-making process.
Corresponding Authors : Marlene Guillon (marlene.guillon@umontpellier.fr), Jacky Mathonnat (jacky.mathonnat@uca.fr)