Health, 2019, 11, 630-645 http://www.scirp.org/journal/health ISSN Online: 1949-5005 ISSN Print: 1949-4998 DOI: 10.4236/health.2019.116053 June 5, 2019 630 Health Evaluating the Efficiency and Determinants of Efficiency of Rural Health Centers Situated in Punjab, Pakistan Yuelan Peng 1 , Muhammad Waqas Akbar 1 , Sofia Anwar 2 , Muhammad Hafeez 3 1 School of Public Finance and Economics Shanxi University of Finance and Economics, Shanxi, China 2 Department of Economics, Government College University Faisalabad, Faisalabad, Pakistan 3 School of Economics and Management, Beijing University of Posts and Telecommunications, Beijing, China Abstract This study calculates the efficiency of Rural Health Centers (RHCs) and in- vestigates the impact of other variables affecting the efficiency of RHCs. The study considers 29 RHCs, 13 of District Faisalabad, 9 of Toba and 7 of Jhang; a survey was conducted to collect data from each RHC for the year 2016. Data Envelopment Analysis (DEA) model was utilized to get the scores for effi- ciency. Thereafter, after getting the results from DEA Tobit regression was used in the second stage. Out of the 29 Rural Health Centers, only 11 (38%) are working efficiently as compare to others. Distance from the tehsil headquarter, Distance from the road with “0” probability, Distance from private hospital with “0” probability, Behavior of the staff with “0.0064” probability and laboratory equipment’s with “0” probability, have an impact on the efficiency scores. Distance from other health facilitators, Staff’s beha- vior, list of medicine and equipment’s used at RHCs should be improved to increase the efficiency of RHC’s. Keywords Rural Health Centers, Efficiency, Data Envelopment Analysis 1. Introduction There is a consensus on the importance of health care all over the globe because the healthy population plays a very important role in growing and in the devel- opment of an economy [1]. To earn a long lasting return as a prosperity invest- ment in the health sector is very important as a healthy labor force will increase How to cite this paper: Peng, Y.L., Akbar, M.W., Anwar, S. and Hafeez, M. (2019) Evaluating the Efficiency and Determinants of Efficiency of Rural Health Centers Si- tuated in Punjab, Pakistan. Health, 11, 630-645. https://doi.org/10.4236/health.2019.116053 Received: April 21, 2019 Accepted: June 2, 2019 Published: June 5, 2019 Copyright © 2019 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access