Are vaccination sites in Bangladesh scale efficient?


Valdmanis, V; Walker, D; Fox-Rushby, J; (2003) Are vaccination sites in Bangladesh scale efficient? International journal of technology assessment in health care, 19 (4). pp. 692-7. ISSN 0266-4623

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Abstract

OBJECTIVES: The overall aim of this study is to discern whether and to what degree vaccination sites exhibit constant returns to scale. METHODS: Data Envelopment Analysis is used to compare all the facilities in the sample in terms of input costs used to produce multiple outputs. The application considers the Expanded Program on Immunization (EPI), which operated in Dhaka City, Bangladesh, during 1999. RESULTS: A preponderance of EPI sites were determined to be operating at increasing returns to scale. CONCLUSIONS: Our findings question the applicability of cost-effectiveness analyses that assume constant returns to scale.

Item Type: Article
Keywords: scale, efficiency, immunization, data envelopment analysis, Bangladesh, Cost-effectiveness, immunization program
Faculty and Department: Faculty of Public Health and Policy > Dept of Global Health and Development
PubMed ID: 15095775
Web of Science ID: 220479700011
URI: http://researchonline.lshtm.ac.uk/id/eprint/14828

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