Management Problems Of Primary Health Care In Nigeria

Primary Healthcare in Nigeria: Overview, Challenges, and Prospects is a well-intended effort to explore the current health system in Nigeria in the context of the 21st Century. It provides a historical background to the Nigerian healthcare system, identifies the major challenges, and provides rich information on how to improve the health care system in Nigeria. It brings into focus Nigeria's struggle to improve primary healthcare delivery and how those efforts have not improved the peoples' health in Nigeria. It also explains how the lack of effective primary healthcare delivery system promotes medical tourism and causes loss of national revenue to foreign health care systems. This book clearly identifies basic challenges affecting healthcare delivery such as poor infrastructure, underfunding, lack of research and community involvement, inadequate labor force management and development, lack of true leadership and accountability in public office, poor health promotion and education strategies, and a fragile public-private sector partnership in healthcare delivery. Primary Healthcare in Nigeria draws examples from other countries which have improved their health systems to show that the solutions to Nigeria's healthcare problems rest in the hands of leadership committed to the nation's good and wellness. Primary Healthcare in Nigeria: Overview, Challenges, and Prospects is intended to give public health students a clearer perspective about Nigeria's health system and how it impacts peoples' lifespan, wellness, and national development. It is also a good resource for public health professionals to understand and embrace the global view of public health, and then challenges them to work toward a better healthcare delivery system. This book is organized in chapters and focuses essentially on: The historical origin of Nigeria's healthcare system Meaning of a healthcare system The Concept of Access to Health care Challenges and prospects of the primary he

Case Study from the year 2020 in the subject Health - Health system, , language: English, abstract: The study attempts to explore the impact and challenges of PHC delivery system with the intension of generating data for policy and planning. The goal of primary health care (PHC) was to provide accessible health for all by the year 2020 and beyond. Unfortunately, this is yet to be achieved in Nigeria and seems to be unrealistic in the next decade. The PHC aims at providing people of the world with the basic health services. Though PHC centers were established in both rural and urban areas in Nigeria with the intention of equity and easy access, regrettably, the rural populations in Nigeria are seriously underserved when compared with their urban counterparts. About two-thirds of Nigerians reside in rural areas therefore they deserve to be served with all the components of PHC. Primary health care, which is supposed to be the bedrock of the country's health care policy, is currently catering for less than 20% of the potential patients. While most PHC facilities are in various state of disrepair, with equipment and infrastructure being either absent or obsolete, the referral system is almost non-existent. The goal of the National Health Policy (1987) is to bring about a comprehensive health care system, based on primary health care that is promotive, protective, preventive, restorative and rehabilitative to all citizens within the available resources so that individuals and communities are assured of productivity, social well- being and enjoyment of living. The health services, based on PHC, include among other things: education concerning prevailing health problems and the methods of preventing and controlling them, promotion of food supply and proper nutrition, material and child care, including family planning immunization against the major infectious diseases, prevention and control of locally endemic and epidemic diseases and provision of essential drugs and supplies. The provision of health care at PHC level is largely the responsibility of local governments with the support of state ministries of health and within the overall national health policy. Private medical practitioners also provide health care at this level.

The current effort of Mr Eboh is an attempt to look at the management of healthcare in Nigeria from an independent perspective. He seeks to develop new and exciting concepts, employ change management models and enunciate pragmatic strategies for the purpose of promoting a workable health sector in the country. Mr Eboh's many years of management experience in the National Health Service, United Kingdom coupled with his academic background in Health Service Management are quite unique and evident in the way he reviewed the current healthcare in Nigeria and the approach aimed at restructuring and supporting a more potentially effective healthcare planning and delivery systems. This book will no doubt be quite useful for people that develop policies for healthcare services across the boundaries of management structures both in government and private healthcare institutions. Similarly, it will be very valuable for those that wish to develop career in managing the nation's healthcare services, as well as for academics and professionals due to its depth of analysis of healthcare issues.

The paper examined management of health services in Kosofe Local Government Area of Lagos State.It identified the effect of PHC program on the lives of the people of the local government and assessed the problems militating against successful management of the programme.It concluded that primary health care should constitute the fundamental strategy for meeting the health of the people of the local government and health care delivery should be free of political incursion as the first and most important need of humanity to live and enjoy life regardless of one's status.

This paper looks at the way in which the pattern of disease is changing in developing countries, and the implications this has for the way in which primary health care (PHC) programs should be designed and managed. In the absence of an accepted methodology for discussing health management issues, it attempts to develop a conceptual framework suited to analyzing an environment of dynamic change. It applies this framework first to the management of primary health care programs provided by governments, and then to the role of the non-government sector in primary care. The paper draws broad clients. If the general approach adopted seems useful, the conceptual framework needs next to be applied to a series of specific country cases to test its validity and refine it, and to adapt the general conclusions to local cultural, administrative and political conditions.