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"A straight-up comparison of the dollars spent per student in District A and dollars spent per student in District B can be grossly misleading," said Lori L. Taylor, a government professor and education researcher at Texas A&M University who has helped the state analyze school district efficiency.
Accounting for delivery efficiency of 54%, the overall district efficiency was calculated as 35%.
In Cambodia, this is the first study of OD productivity, and indeed it adds to a very limited body of evidence on health district efficiency (most studies which have been done in low and middle income settings have analysed the hospital as the unit of production), and on the impact of health sector reforms on productivity.
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Results from model 3 which are corrected for output level interactions show that in about 19percentnt of the districts efficiency levels were adversely affected by the level of institutional delivery rates attained by their immediate neighbours.
To understand how that affects student achievement may take several years, Mr. Fuller said, and even then it may be difficult to measure for the purposes of determining a district's efficiency.
The results of this analysis in our study revealed no influence of outliers on district hospital efficiency.
Government studies show that at the beginning of this decade there was wide variation between districts in efficiency of health resource use and that most district systems operated at sub-optimal levels.
During urban planning, city planners and municipal authorities make various choices that impact districts' energy efficiency and emissions significantly.
In Bihar, 30 of the 34 districts covered in the analysis are operating below 90% of their maximum potential; while in Kerella 13 of the reported 14 districts have efficiency score of 75% or more.
On the other hand, in one out of five districts the efficiency level was boasted by as high as 30percentnt due to the positive effect of the efficiency level attained by their neighbours.
Thus, in those districts where efficiency level is already high but the rate of institutional coverage is still low further progress can only come by way of putting new resources in these areas.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com