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Abstract
This study aimed to explore the possibility of measuring district health center (DHC) performance using effectiveness-based hierarchical data envelopment analysis (H-DEA). To reflect the overall performance in DHCs, four different scopes of services, namely, disease prevention and control, family health development, health infrastructure and clinical, and governance, were provided by DHCs. The findings show that H-DEA analysis is a possible approach to measure the efficiency of DHCs in Malaysia compared to conventional key performance indicator assessment. This finding hopes to provide guidance to policy makers on DHC service ranking in controlling and distributing the budget pertaining to public health activities at the national level.
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