Policy brief: Using administrative data to measure the productivity and allocation of health workers and funds: Lessons from Ghana

  • Since 2018, doctors and administrators from the Ghana Health Service (GHS) and academics from the University of Oxford have been working together to understand which health facilities personnel should be deployed to in order to have the greatest impact on health.
  • This project undertook a government-academia collaboration using Ghana’s District Health Information Management System II (DHIMS II) to study the productivity and optimal allocation of health personnel and resources across public health facilities in Ghana, and to identify the potential and challenges of conducting public sector productivity analysis using this type of data.
  • This type of data, which is increasingly available in many countries, can answer the following questions:
    • How productive are health workers; are health workers more needed in urban or rural areas; should facilities be given more health workers or more funds?
    • What would be the optimal allocation of health workers in a country?
  • The findings highlight challenges and how they can be addressed: the interconnection of different data systems; the measurement of facility productivity; and adapting the analysis to the intricacies of health systems.