Introduction: The purpose of
development plans is expansion of public welfare and justice among urban and
rural areas. These plans are good indicators for assessing the performance of
country's macro plans. The aim of this study was to assess the relative
efficiency of rural health macro management during the third and the early
years of fourth development plan.
Materials and
Methods: This study has been done with descriptive research method and during
third plan and the early years of forth plan, between 2000 and 2007. The
statistics were derived from official documents and in this regard, three
inputs and five outputs indicators, data envelopment analysis mathematical
model and DEA master1 software have been used.
Findings: During the
third and fourth development plan and based on eight indicators, Tehran and
Mazandaran provinces are at the top, in terms of efficiency. Totally, the
difference between the lowest and highest efficiency in provinces is declining
and this is sign of good management in distribution of wealth among different
provinces. The sensitivity analysis showed that "ratio of behvarz to 1000
people of rural population" between the input indicators and
"percentage of rural households with drinking water network" between
output indicators has a great potential among the provinces for more attention
and more appropriate usage, due to their least sensitivity. Moreover, the most
efficient and sensitive indicator among inputs is "average per capita
number of health homes and rural health centers" and the most effective
and sensitive index among output is "average cost of health care of rural
households, financed by government and for free".
Conclusion: The
efficient provinces should harmonize their indicators for a proper management
of their resources and costs. It means with a good management, they should
reduce their sensitive indicators. On the other hand, the inefficient provinces
should pay more attention to sensitize their indicators with better usage of
their resources and planning for improvement in their outputs
Jalalvandi M, Shahtahmasbi E, Shamsollahi S. Assessment the relative efficiency of rural health micromanagement during the third and the early years of fourth development plan. JHPM 2013; 2 (2) :40-50 URL: http://jhpm.ir/article-1-136-en.html