The Efficiency of the Health System in Chad

This paper measures and investigates the determinants of Chadian health system efficiency. The method used through the analysis is a non-parametric approach on panel data. By orienting the analytical framework from the global level (of the country) to the local level, the study will consider the following questions: Is Chadian Health System Efficient? What are the determinants Chadian Health System efficiency? To answer those questions, a DEA approach is used and a Tobit model is estimated. The results suggest that Chadian health system as a hole is not efficient. Indeed, the region of Ndjamena despite his high concentration of medical staff and material resources have the lowest efficiency score (0.20); it's followed by the regions of Ouaddai and that of Occidental Logone whose efficiency scores are respectively 0.57 and 0.59. The results also show that the socio-environmental factors and health expenditures positively affect the health system. Moreover, some educational factors, like the gross literacy rate negatively affects the efficiency of the system.