NONE 20260409113021778 wseas/wseas content-registration-form+ja@crossref.org content-registration-form WSEAS TRANSACTIONS ON BUSINESS AND ECONOMICS 1109-9526 2224-2899 Sanderson Abel Botswana University of Agriculture and Natural Resources Department of Agricultural and Applied Economics BOTSWANA Keneilwe Kgosikoma Botswana University of Agriculture and Natural Resources Department of Agricultural and Applied Economics BOTSWANA Robson Manenge Midlands State University Department of Economics ZIMBABWE Leward Jeke Nelson Mandela University Department of Economics SOUTH AFRICA Health efficiency is an important metric in any health delivery system since it guarantees that healthcare systems utilize the fewest resources feasible while delivering the highest quality of treatment and health outcomes. The study examined the technical efficiency of the health systems in the SADC region for the period 2010-2022. In order to identify the causes of the technical inefficiencies in the SADC countries’ health systems, the study broke down technical efficiency into pure technical and scale efficiency using the data envelopment analysis methodology. The study revealed that the average technical efficiency score was 55 percent, the average scale efficiency score was 81 percent, and the average pure technical score was 64 percent. This means that the region’s health system technical inefficiency stems mostly from management inefficiency. The conclusion is that, despite operating at the proper scale, most countries are being choked by inadequate resource management. This suggests that enhancing administrative skills and resource use are key to increasing health efficiency. 04 09 2026 04 09 2026 238 18 https://creativecommons.org/licenses/by/4.0/deed.en_US 10.37394/23207.2026.23.18 https://wseas.com/journals/bae/2026/a365107-3653.pdf Cylus, J., Papanicolas, I., & Smith, P. C. (2017). 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