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Objectives: To estimate technical efficiency scores of District Headquarter Hospitals (DHQHs) for obstetric services and to explore the relationship between the efficiency of DHQHs and the patients' satisfaction about the quality of services provided.

Design, Setting And Participants: Data from Health Facility Assessment (HFA) survey is used for efficiency measurement. The data on patient's perceptions and other control variables are taken from Client Exit Interviews part of the HFA survey.

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