Healthcare Delivery as Public Good: An Evaluation of the NHIS as an Option in Healthcare Management in Nigeria (Published)
The health of members of any society affects the overall efficiency and effectiveness of the entire society and as such should not be the sole responsibility of the individuals concerned. Currently, health insurance has dominated government efforts in providing healthcare to her citizens but the extent to which this option actually meets the needs of all segments of the society is questionable especially in predominantly poor societies where economic situations and poverty has fundamentally limited accessibility to healthcare based on contribution. This study explored the National Health Insurance Scheme in Nigeria (NHIS) with a view to examining how much it has achieved in providing health for ALL Nigerians since its inception over eighteen years ago. The study employed questionnaire and interview in its research to a sample size of 348 respondents in Enugu state. The findings show that the Scheme fell short of its objectives. The study recommended government direct budgetary allocation to healthcare services in general as a public good and not regard healthcare as the responsibility of the individual directly affected by health challenges. This is predicated on the fact that the health of any society is the basic social responsibility of government and should be publicly funded as public good.
Evaluation of Team Composition Activities amongst Health Workers in Nigeria Using Logistic Regression Analysis (Published)
This study evaluated team composition activities amongst health workers in Nigeria using Delta State University Teaching Hospital as a case. The objectives of this study were to determine the contribution of demographic variables on the likelihood of knowledge of team in health care, to ascertain the impact of demographic variables on the likelihood of knowledge of inter-professional team composition activities and to determine the attitude competence that contributes significantly to the likelihood of knowledge of team amongst health workers in Delta State University Teaching Hospital, Oghara. The source of data used was primary source of data collection with the aid of questionnaire administered to 204 health workers at Delta State University Teaching Hospital Oghara. The statistical tools employed in this study include; the logistic regression analysis, percentage distribution, bar chart and pie chart analysis. The findings of this study revealed that 57.8% of the respondents have knowledge of team for health care, while 44.1% of the respondents have knowledge of Inter-professional team composition for healthcare. The result of the Nagelkerke R Square showed that the logistic model explained the likelihood of knowledge of team for healthcare strongly than the likelihood of knowledge of inter-professional team composition for healthcare. This result implies that majority of the workers have knowledge of team than knowledge of inter-professional team composition. Also, it was found that the attitude competencies that contributed significantly to the logistic model for likelihood of knowledge of team for health care were facilitation of participation and judgement attitude. The result further revealed that the attitude competencies identified to enhance effective healthcare were cooperative attitude, encouraging others and positive attitude.
Women’s Perception of Males’ Involvement in Maternal Healthcare in Rivers State, Nigeria (Published)
Men play a significant role in the reproductive life of women, from the pre-pregnancy stages of family planning to pregnancy, birth and post-natal periods. This study was a survey of the perceptions of women on males’ involvement in maternal healthcare in Rivers State. This involved some selected health centres in Rivers State, using a pre-tested and validated questionnaire. Aspects of men’s involvement that were taken into consideration included decision-making, economic and geographic accessibility as well as utilization of maternal health-care services. Responses from a total of 300 pregnant and post–natal mothers who were purposively selected from randomly drawn health centres in the three Senatorial Districts in Rivers State were analyzed. The results showed no significant difference in the perceptions of women with primary or post-primary education, unemployed or employed women as well as those residing in rural or urban areas. In addition, there was a unanimous agreement that joint decision-making was better than a decision solely taken by the man or woman alone. They all agreed that financial empowerment and autonomy were crucial for enabling women to access and utilize maternal healthcare facilities. It was concluded that despite the pivotal role of men in family affairs, their involvement in maternal health process was abysmal and this could be due to some extraneous factors. The study therefore recommended that women empowerment, in terms of education and finances would go a long way towards improving maternal health which, over the years, has been on the decline, despite men’s good intentions.
ASSESSING THE ROLE OF QUALITY SERVICE DELIVERY IN CLIENT CHOICE FOR HEALTHCARE: A CASE STUDY OF BECHEM GOVERNMENT HOSPITAL AND GREEN HILL HOSPITAL (Published)
Healthcare is one of the Ghana’s biggest sectors, in terms of revenue and Employment. With Ghanaians fast growing purchasing power, patients are willing to avail themselves with good quality healthcare deliveries. As a result, it is essential for health facilities to evaluate the quality of service being delivered.. Service Industries are now focusing on service quality so as to drive high levels of patients satisfaction (Kumar et al., 2008).This study sought to investigate the reason for client choice for a healthcare in Bechem Government Hospital and Green Hill Hospital. The research used quantitative research methods to collect and analyze data. The statistical Package for Social Sciences (SPSS) was used for quantitative data collection.From the respondents view point, the private hospital was rated better in terms of the reliability, responsiveness, empathy and tangibility as compared to Bechem Government Hospital. These means that management of Bechem Government Hospital need to improve more on these factors.Again, on the factors that affect quality healthcare delivery the private hospital was ranked higher than the public hospital (Bechem Government Hospital). The author therefore recommends the use of SERVQUAL model for the government Hospital used in this research. The SERVQUAL model will help the hospital to improve upon the gap identified in performing its service and consequently satisfy the patients.
The Marketing Challenges of Healthcare Entrepreneurship: An Empirical Investigation in Nigeria (Published)
This paper investigated the effects of such independent variables as technology, market segmentation and cost reduction on the delivery of the consumer-endorsed services with special interest on healthcare entrepreneurs in Aba and Umuahia metropolis. 96 questionnaires were administered randomly among medical doctors, pharmacists/laboratory technicians and qualified nurses/midwives of 12 hospitals in Umuahia and 20 hospitals in Aba metropolis. Out of the 74 copies returned, 72 were found usable for analysis. Analyzing the data using simple percentages, t-test and Pearson Correlation Coefficient, it was found that the interactions between the aforementioned independent variables and the delivery of patient-endorsed healthcare services were statistically significant. Therefore successful healthcare delivery requires the challenges of channelling competencies to market segments where competitive advantage is enduring as opposed to spreading thin across various fronts. Based on the financial setbacks of private healthcare providers and the need to further liberalize the economy, the government was advised to borrow the conspiracy theory of the Japanese. This involves the tripartite of the government, the banks and the entrepreneurs whereby the last can borrow money for a long time to acquire latest equipment and other resources with the help of government guarantee. Also, government was advised to intensify more effort on making the public healthcare providers more proficient and more humane in the delivery of patient endorsed services since their private counterparts charge high and worst still they rarely have the necessary resources in place.