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Health system productivity in sub-Saharan Africa: tuberculosis control in high burden countries. | LitMetric

Health system productivity in sub-Saharan Africa: tuberculosis control in high burden countries.

Cost Eff Resour Alloc

Department of Economics Sciences, University of Lome (Togo), Lomé, Togo.

Published: November 2023

AI Article Synopsis

  • Sixteen countries in Sub-Saharan Africa have a high burden of tuberculosis (TB), with the region accounting for over 25% of TB-related deaths.
  • The study utilized a Hicks-Moorsteen index and convergence tests to analyze productivity changes in TB programs across these countries.
  • Results indicate that enhancing technical efficiency is crucial for improving TB program productivity, and suggests that better resource allocation and training for health providers are needed, alongside integration of TB treatment within universal health insurance frameworks.

Article Abstract

Background: Sixteen of the 30 countries with a high tuberculosis (TB) burden are in Sub-Saharan Africa (SSA). Over 25% of TB deaths occur in the Africa region. This study aims to estimate the productivity changes of TB programs in 16 SSA countries where TB is endemic.

Methods: We used Hicks-Moorsteen index to compute and decompose Total factor productivity (TFP), and the β-convergence and σ-convergence tests to check for convergence patterns among SSA countries.

Results: We found that technological change has been the main driver of the TFP growth, and that increasing technical efficiency may be the first objective in efforts to improve TFP of TB programs. Moreover, the convergence tests reveal significant homogeneity in terms of TFP change between SSA countries studied.

Conclusion: The findings suggest that improving technical efficiency of TB programs mainly calls for better resource allocation, capacity building in governance and management of programs, improved training of the health providers and stronger prevention policies. Policymakers must design models for integration of TB treatment under the universal health insurance schemes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10676588PMC
http://dx.doi.org/10.1186/s12962-023-00485-1DOI Listing

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