scholarly journals Assessment of Healthcare Institutions and Socio-Economic Welfare: A Survey of Secondary and Tertiary Hospitals in Rivers State, Nigeria

2021 ◽  
pp. 11-21
Author(s):  
Dennis B. Ewubare ◽  
Kelechi C. Nnamdi
Keyword(s):  
Service Delivery ◽  
Federal Government ◽  
State Government ◽  
Health Workers ◽  
Sampling Technique ◽  
Public Hospitals ◽  
Quality Healthcare ◽  
Tertiary Hospitals ◽  
The Government ◽  
Rivers State

The purpose of this paper is to access healthcare institutions and the welfare experience of patients and workers in public Secondary and Tertiary Hospitals in Rivers State, with ownership across Federal Government, State Government and the Military. From a stratified sampling technique, a representative survey sample of 90 respondents was involved. Our findings shows that Tertiary hospitals in Rivers state relies on funding by Federal Government, State Government, internally generated funds and grants, in their decending order. Budgetary cut on health institution is perceived to reduce service delivery and health workers motivation, though a cut in funding is expected by few, as a result of the prevalent fall in global oil price. The analysis also shows that the price of health services and medicines have increased in recent times, but we could not establish the symptom of inflation on the prices of healthcare consumption. It was established that the level of qualified health workers without gainful employment has slightly increased, owing to low absorptive capacity of government owned hospital, low renumeration from non-public-owned hospitals. The study found that the populace prefers public hospitals over private hospitals, mainly because of affordability and availability of specialists. Although there is evidence of inadequate workforce, bureaucratic holdup and poor ambience. The study concludes that the government is the provider of very affordable and quality healthcare in Nigeria. It was therefore recommended that there should be proper accountability by the hospital management on the proceeds and expenses. Efforts should be made to strenghten internally generated revenue, while a public-private partnership, improved efficiency and quality of service delivery will attract funds.

IMPROVING THE SERVICE QUALITY OF HEALTHCARE IN GHANA: The Role of Locum Nursing

2013 ◽  
Vol 03 (12) ◽  
pp. 01-14
Author(s):  
Keelson, Solomon A. ◽  
Ann Dodor
Keyword(s):  
Service Quality ◽  
Healthcare Delivery ◽  
Sampling Technique ◽  
Research Problem ◽  
Quality Of Healthcare ◽  
Public Hospitals ◽  
Nurse Shortage ◽  
Quality Healthcare ◽  
Hospital Administrators

The study was purposed to consider how encouraging use of locum nursing could aid in managing nurse shortage in the country and consequently improve the service quality of healthcare in Ghana. To be able to address the research problem and achieve the objectives, thirty public hospitals and thirty private hospitals were selected from the three major cities in Ghana to provide data for the study. Also, 250 locum nurses were sampled for information. Nursing Supervisors or Hospital Administrators from the selected hospitals were use as informant for the study. The paper adopted a survey approach, where incidental sampling technique was used to select the hospitals, and the snowball together with incidental sampling methods were used for selecting locum nurses for the study. Mean and standard deviation were the data analysis method used. The findings confirmed that locum practice in Ghana is relatively low. Similarly, the paper also suggested that locum contribute to addressing the issue of nurse shortage in Ghana. At the same time locum nursing was found to contribute to quality healthcare delivery in the country. Appropriate policy directions were recommended.

scholarly journals INFORMATION AND COMMUNICATION TECHNOLOGY (ICT) COMPETENCY OF SERVING TEACHERS FOR QUALITYINSTRUCTIONAL SERVICE DELIVERY IN AMINU SALEH COLLEGE OF EDUCATION, AZARE, BAUCHI STATE, NIGERIA

2021 ◽  
Vol 10 (1) ◽  
pp. 38-55
Author(s):  
Jimoh A. ◽  
◽  
Salawu A. ◽  
Yusuf A. ◽  
Folorunso I. ◽  
...  
Keyword(s):  
Service Delivery ◽  
State Government ◽  
Interactive Multimedia ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
College Of Education ◽  
Internet Usage ◽  
Skills Acquisition ◽  
Ict Skills ◽  
Measurement And Evaluation

ICT has permeated all spheres of human endeavours in this 21st century of information-driven society, education sector inclusive. Consequence upon this development, teachers as stakeholders are not left behind in the aspect of training and retraining to acquire relevant skills in the usage of ICT in order to be ICT-compliant and use same in their teaching methodologies. This paper, therefore, examined ICT competency of serving teachers for quality instructional service delivery in Aminu Saleh College of Education, Azare, Bauchi State, Nigeria. The study adopted survey research design as questionnaire was used as an instrument for data collection from the sampled serving teachers. The questionnaire used for this research was structured on three components of ICT: Microsoft PowerPoint Presentation, Internet Usage and Usage of projector/interactive multimedia board. Simple random sampling technique was used to draw sample of 196 from the population of entire academics totally 436 currently serving in the area of the study using sample size table provided by Research Advisor. The instrument used for the study was validated by the specialists in the fields of Computer Science and Measurement and Evaluation. The reliability index of the instrument yielded 0.82 using Crobanch alpha reliability technique. The results revealed that academics have skills in the usage of Microsoft PowerPoint Presentation for effective instructional service delivery. Besides, it was found out that the serving teachers possess technical-know-how in Internet usage for gathering materials for their lessons, but lack skills on how to operate projector/interactive multimedia board for their lectures. It was also discovered that age, gender and years of experience had significant influence on the level of ICT skills acquisition and usage of serving teachers. However, there was no association between educational qualification of serving teachers and their level of ICT skills acquisition. The study recommends that Bauchi state government, in conjunction with College authority, should organize seminar on how to use and operate projector as well as interactive multimedia board for quality instructional service delivery by the lecturers.

Implementation of E-Governance in India

2012 ◽  
pp. 1282-1304
Author(s):  
Mangala Anil Hirwade
Keyword(s):  
Service Delivery ◽  
State Government ◽  
Holistic View ◽  
Government Services ◽  
Service Category ◽  
The Status ◽  
The Common ◽  
Common Man ◽  
The Government ◽  
Ultimate Objective

The National e-Governance Plan (NeGP) was approved by the Government of India in the year 2006, comprising of 27 Mission Mode Projects (MMPs) and 8 components. The vision of this programme is –“to make all government services accessible to the common man in his locality, through common service delivery outlets, and ensure efficiency, transparency, and reliability of such services at affordable costs to realise the basic needs of the common man.” The effort has been made to demystify and simplify the process of delivering government services by taking a holistic view of initiatives across the country and proving an enabling ICT based platform. The ultimate objective is to bring government services to citizens’ doorsteps. This article discusses major e-governance initiatives before the launch of NeGP and the status of MMPs under Central and State Government and under integrated service category after the launch of NeGP. It also takes an overview of the number of online services provided to the stakeholders through government portals. A review of recommendations of National Knowledge Commission of India on e-governance is taken along with the actions taken in this direction. Major challenges in implementation of e-governance are also discussed.

scholarly journals Challenges, Distrust, and Understanding: Employing Communicative Action in Improving Trust in a Public Medical Sector in Uganda

SAGE Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 215824401989370
Author(s):  
Grace Akello ◽  
Ulrike Beisel
Keyword(s):  
Service Delivery ◽  
Health Workers ◽  
Communicative Action ◽  
Care Delivery ◽  
Participant Observation ◽  
Health Sector ◽  
Medical Sector ◽  
Government Hospitals ◽  
The Government

We assessed how the everyday work challenges that frontline health workers (FRHWs) face in the government health sector in northern Uganda influence their trust in the Ministry of Health (MOH). We employed qualitative research techniques, including interviews and participant observation, over a 9-month period to examine FRHWs’ viewpoints about how the MOH should address these challenges in service delivery. One hundred and sixty-five FRHWs, of whom 48 were recruited for extensive follow-up, participated in our study. Key findings include distrust in the MOH is prevalent among FRHWs, there is a lack of trust in the organization’s coordination role in service delivery and this affects health care delivery to patients, interrelations, and provider cooperation. Therefore, restoring trust in government hospitals will require a truthful non-violent response by the MOH in its contractual agreement with FRHWs. In our analysis, we employ Habermas’s Theory of Communicative Action.

scholarly journals Conflict and Conflict Resolutions Experienced by Early Career Doctors in the Nigerian Health Sector: a Qualitative Report

2020 ◽  
Vol 3 (2) ◽  
pp. 79-85
Author(s):  
O. Olaopa ◽  
O. Adebayo ◽  
I. Adufe ◽  
M.A. Adeniyi ◽  
S. Oiwoh ◽  
...  
Keyword(s):  
Health Workers ◽  
Health Sector ◽  
Early Career ◽  
Clinical Settings ◽  
Group Discussions ◽  
Tertiary Hospitals ◽  
Clinical Workplace ◽  
Perpetrators And Victims ◽  
The Government ◽  
Different Levels

AbstractBackground. Conflicts across professional workgroup and hierarchies inundate the clinical workplace. Early Career Doctors (ECDs) are also affected either as victims or as a provocateur/perpetrator. The effects of conflict at their workplaces have both significant positive and negative dimensions and impacts on ECDs. Little has been reported about conflict among ECDs in Nigeria.Thus, this study explored the issue of conflict and conflict resolution among ECDs in Nigeria, in a bid to elicit information on the causes, consequences, perpetrators and victims.Method. This was a qualitative study, using Focus Group Discussions (FGD) to explore information on conflict and conflict management among purposively selected key respondents (n = 14) from seven tertiary hospitals in Nigeria. The respondents are ECDs who were leaders and representatives of other ECDs in their various hospitals. Two FGDs were conducted.Results. The result showed that conflict is inescapable in clinical settings and occurred at different levels. The perpetrators are varieties of health workers, and most are task-related conflicts, although there are relational ones. The conflicts with the government on labour-related issues are also frequent. The lack of job description and specification and power struggle among others were highlighted as the drivers of conflicts between ECDs and other health-workers. Conclusion. The findings of the study were discussed, and suggestions were made to reduce its effect, which would require structural solutions to mitigate at different levels and the diverse players in the health sectors.

scholarly journals Influence of Electronic Administration on Public Service Delivery among State Agencies in Kenya

2021 ◽  
Vol 6 (2) ◽  
pp. 39-43
Author(s):  
Kenneth Goga Riany
Keyword(s):  
Service Delivery ◽  
Public Service ◽  
Sampling Technique ◽  
Target Population ◽  
Positive Influence ◽  
The State ◽  
State Agencies ◽  
Strategy Execution ◽  
Public Service Delivery ◽  
The Government

E-Administration remains a key E-Government strategy that seeks to ensure the management of the government institutions and organizations if effectively done to enhance effectiveness and proper service delivery. The purpose of this study was to examine the influence of E-Administration on the public service delivery among state agencies in Kenya. The study adopted a descriptive research design to collect data from the target population comprising of 4230 employees within the management cadre at 132 specific government state agencies. Convenient sampling technique was used by the study to sample the respondents within the 132 specific government state agencies. A sampling formula was applied to calculate the sample size of 365 employees and self-developed questionnaires were used to collect data from the sample. Data was analyzed using descriptive and inferential statistics. The study found that E-Administration had a significant and positive influence on public service delivery by the state agencies in Kenya. The study further established that strategy execution had a significant moderating effect on the relationship between E-Administration and public service delivery by the state agencies in Kenya. The study recommended that the government through the state agencies should embrace E-Administration as a way of enhancing public service delivery. The management of state agencies should furthermore embrace strategy execution practices so as to enable success of E-Administration.

scholarly journals General and Tuberculosis-Specific Service Readiness in two states in Nigeria

2020 ◽  
Author(s):  
Mojisola Oluwasanu ◽  
Abiodun Hassan ◽  
Ayodeji Adebayo ◽  
Queen Chidinma Ogbuji ◽  
Bamidele Olaiya Adeniyi ◽  
...  
Keyword(s):  
Service Delivery ◽  
Qualitative Data ◽  
Assessment Tool ◽  
Sampling Technique ◽  
Domain Score ◽  
Specific Service ◽  
Readiness Assessment ◽  
Healthcare Facilities ◽  
Service Readiness ◽  
The Government

Abstract Tuberculosis is the world’s deadliest infectious disease and a leading cause of death in Nigeria. The availability of a functional healthcare system is critical for effective TB service delivery and attainment of national and global targets. This study was designed to assess readiness for TB service delivery in Oyo and Anambra states of Nigeria. This was a facility-based study with a mixed-methods convergent parallel design. A multi-stage sampling technique was used to select 42 primary, secondary and tertiary healthcare facilities in two TB high burden states. Data was collected using key informant interviews, facility assessment using a semi-structured tool adapted from the WHO Service Availability and Readiness Assessment tool and facility observation using a checklist. Quantitative data were analysed using descriptive and inferential statistics while qualitative data were transcribed and analysed thematically. Data from both sources were integrated to generate conclusions. The domain score for basic amenities in both states is 48.8% (SE:2.8); 47.0% (SE:4.0) in Anambra and 50.8% (SE:3.9) in Oyo state. In Oyo, only half of the facilities (50%) have access to constant power supply compared to 72.7% in Anambra state. The overall general service readiness index for both states is 69.2% with Oyo state having a higher value (73.3%) compared to Anambra with 65.4% (P = 0.56). The domain score for availability of staff and TB guidelines is 57.1% (SE:3.4) for both states. Indicators of this domain with very low values were staff training for the management of HIV and TB co-infection and training on MDR -TB. Almost half (47.6%) experienced a stock out of TB drugs in the 3 months preceding the study. The overall tuberculosis-specific service readiness index for both states is 75%; this is higher in Oyo state (P = 0.14). Qualitative data revealed areas of deficiencies for TB service delivery such as inadequate infrastructure, poor staffing and gaps with continuing education on TB management. The weak health system remains a challenge and there must be concerted actions and funding by the government and donors to improve the TB healthcare systems.

scholarly journals Performance Comparison of Public Hospitals Between 2014 and 2018 in Different Regions of Guangdong Province, China, Following 2017 Medical Service Price Reforms

2021 ◽  
Vol 9 ◽  
Author(s):  
Kai-Yuan Weng ◽  
Feng Xia ◽  
Wen-Qi Lin ◽  
Yi-Bao Wang
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Medical Service ◽  
Guangdong Province ◽  
Performance Comparison ◽  
Public Hospitals ◽  
Level Of Economic Development ◽  
Tertiary Hospitals ◽  
The Government ◽  
The Pearl River

This study analyzed performance of public hospitals and regional differences in performance following reform of medical service prices in Guangdong province, China. From three cities in four regions, we randomly selected a total of 12 traditional Chinese medicine hospitals and 12 general tertiary hospitals. Six questionnaires were completed by the hospitals, using 2014–2018 internal data. Principal components analysis was used to compare performances of the hospitals and regions following price reform. The extent to which medical service prices were adjusted varied considerable for different procedures in the same region and for the same category of procedures among regions. After reform, compensation for medical services in public hospitals reached the target of 80%, except in the Western region. However, annual growth of costs to patients was generally above 4%; the burden on patients was not alleviated by fee control. Reforms were more effective for comprehensive than Chinese traditional medicine hospitals. Performance scores of general hospitals in the Pearl River Delta, Eastern, Western, and Northern regions were 1.24, 1.16, −0.22, and −1.01, respectively. This is consistent with ranking by level of economic development of each region. The government should implement a regional medical service pricing mechanism. Additionally, comprehensive and traditional Chinese medicine hospitals should each have appropriate pricing policies. Future policies should focus on controlling costs incurred by patients.

scholarly journals Assessing Productivity Development of Public Hospitals: A Case Study of Shanghai, China

2020 ◽  
Vol 17 (18) ◽  
pp. 6763
Author(s):  
Juan Du ◽  
Shuhong Cui ◽  
Hong Gao
Keyword(s):  
Public Hospital ◽  
Public Hospitals ◽  
Productivity Improvement ◽  
Medical Reform ◽  
Tertiary Hospitals ◽  
Overall Performance ◽  
Implementation Effect ◽  
The Government ◽  
Public Hospital Reform

As the main provider of medical services for the general public, the productivity changes of public hospitals directly reflect the development of the healthcare system and the implementation effect of medical reform policies. Using the dataset of 126 public hospitals in China from 2013 to 2018, this paper improves the existing literature in both index selection and model formulation, and examines public hospitals’ total factor productivity (TFP) growth. Empirical results not only demonstrate the trend of productivity development but also point out the directions in how to improve the current running status. Our study demonstrates that there were no obvious productivity fluctuations in public hospitals during the recent observing years, indicating that the performance of China’s public health system was generally acceptable in coping with fast-growing medical demand. However, the effect of public hospital reform has not been remarkably shown; thus, no significant productivity improvement was observed in most hospitals. Tertiary hospitals witnessed a slight declining trend in TFP, while secondary hospitals showed signs of rising TFP. To effectively enhance the overall performance of public hospitals in China, practical suggestions are proposed from the government and hospital levels to further promote the graded medical treatment system.

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