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Efficiency and Productivity changes in the presence of undesirable outcomes in Emergency Obstetric and Newborn Care |
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| Institution: | 1. Area of Finance and Strategy, T A Pai Management Institute, Manipal, Karnataka, India;2. Department of International Business, Chung Hua University, Hsinchu, Taiwan, R.O.C;1. Fluminense Federal University, Department of Economics, National Council for Scientific and Technological Development (CNPq), Rua Alexandre Moura, Bloco F, 8, São Domingos, Niterói, RJ, 24210-200, Brazil;2. Fluminense Federal University, Department of Economics, Brazil;1. Department of Political Science, University of Pisa, via Serafini 3, 56126, Pisa, Italy;2. Department of Political Sciences, University of Bari, Italy;3. Institute of Development Policy and Management, University of Antwerp, Belgium;4. United Nations Industrial Development Organization, Vienna, Austria;1. Department of Business and Economic Studies, University of Naples - Parthenope, Italy;2. Department of Economics, University of Patras, Rio, 26504, Patras, Greece;3. Visiting Professor, University of Naples, Parthenope,Italy |
| Abstract: | This paper analyzes efficiency and productivity changes in Emergency Obstetric and Newborn care (EmONC) in regional public hospitals in India. A novel approach of Weighted Russell Directional Distance Function Model (WRDDFM) has been employed. This model considers all the radial and non-radial slacks associated with good outputs as well as the undesirable outcomes while estimating inefficiency and helps to identify the source of the inefficiency. The empirical results based on a sample of 46 regional public hospitals from 2006–07 to 2013–14 show on average overall inefficiency of 24% and much of these are due to inefficiencies associated with undesirable outcome of stillbirths and intra-uterine deaths. Further, on an average the sampled hospitals have experienced marginal productivity decline over the reform period. The study indicates that there is a greater scope for efficiency and productivity gains in public hospitals, particularly if the undesirable outcome of still birth is minimized. |
| Keywords: | Public hospitals reforms Tamil Nadu Data Envelopment Analysis Slack based measure Panel data Stillbirth |
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