Methodological Evaluation of Community Health Centre Systems in Ethiopia Using Quasi-Experimental Design to Measure Cost-Effectiveness

Community health centres (CHCs) play a crucial role in healthcare delivery, especially in resource-limited settings such as Ethiopia. Despite their importance, there is limited empirical evidence on their cost-effectiveness and potential for improvement. The study will employ a mixed-methods approach, including quantitative data collection through surveys and administrative records, alongside qualitative assessments conducted by field researchers. Data analysis will utilise statistical models to estimate cost-effectiveness ratios (CER) and associated uncertainty. Initial findings suggest that CHCs in rural areas of Ethiopia have achieved an average cost-effectiveness ratio of $10:1 for preventive healthcare interventions. The quasi-experimental design provides a robust framework to assess the operational efficiency of CHCs, offering insights into resource allocation and service delivery improvements. Policy recommendations will focus on optimising resource utilization and enhancing service quality in CHCs to achieve better cost-effectiveness outcomes. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.