Problems And Prospects Of Financing Health Care Delivery In Nigeria

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Problems And Prospects Of Financing Health Care Delivery In Nigeria


Abstract


Through the apes, there have been persistent efforts to improve good health and standards of human life. Health is said to be wealth. That is why the researcher wants to find out the problem and prospect of financing Health care delivery in Nigeria. To achieve this objective, the right atmosphere must be provided, co-ordinated and directed for effective result.

The objective of health care is the attainment of good health to all sundry and effective medical attention to the people. The extent by which this is implemented is very vital to this study that is where finance comes in.

The researcher used two distinct types of data collection instruments on the write up. Questionnaire and library research.

The findings of the study was based on inadequate of fund on hospital facilities, inappropriate of funds allocated, inadequate payment of salaries to health workers and underpayment of salary in regard to government approval.

The recommendation and conclusions were drawn from the findings of the study.


Table of Contents


Chapter One

Introduction

  • 1.1 Background of the Study
  • 1.2 Statement of the Problem
  • 1.3 Objective of the Study
  • 1.4 Significance of the Study
  • 1.5 Limitation of the Study
  • 1.6 Definition of Terms
  • References.

Chapter Two

Literature Review

  • 2.1 Definition, aims and Objective of financing Health care delivery.
  • 2.2 Methods and types of financing Health care.
  • 2.3 Determination of financing health care
  • 2.4 Cost – Benefit consideration on financing Health care.
  • 2.5 Evaluation of the Programme
  • References

Chapter Three

Research Design and Methodology.

  • 3.1 Source of data (Secondary Source)
  • 3.2 Location of data
  • 3.3 Method of data collection
  • References

Chapter Four

Findings


Chapter Five

Recommendations and Conclusion

  • 5.1 Recommendations
  • 5.2 Conclusions
  • References.

Chapter One


Introduction

1.1 Background of the Study

Nigeria is once again on the roller caster of a new clinche

“2010” with health care reform as one of the major pivots of the vision. The tremendous rate our medical personnel’s (Doctor and Nurses) travels out of the country for greener pasture has caused

More harm to his country than good.

The percentage of death rate as a result of treatment by in experienced Doctor and Nurses are numerous. Our intelligent and future hopes were deformed by one disease or the other because of treatment by non-experts.

ODUTOLA, (1997) in his book demonstrated that “our hospitals have become mere consulting clinics”.

“Our health care system has collapsed”

“Our hospital are short everything”

What then is our hope and aim towards achieving the goal of vision 2010.

This motivated the researcher to identify the problems and prospects of financing Health care Delivery in Nigeria.


1.2 Statement of the Problem

The research work is concerned with the problems and prospects of financing health care delivery programme in Nigeria. The level of service offered to the health system is very low. This is with particular reference to staff attitudes and performance. They cried bitterly of their salary as to compare to other co-medical personeels in other countries. They were promised to be paid, but was not effective some of them decided to travel out of country for better future.

Some hospitals requires refurbishment and other need certain amenities, but none was done, rather they were closed down and some becomes unfuctional Hospitals preemies are littered with broken down equipment and unopened create of new equipment with no place for installation. The patronage of the government health facilities is very low.


1.3 Objectives of the Study

  1. To find out the effect of inadequate fund on hospital facilities.
  2. To verify the utilization of fund allocated on hospital facilities.
  3. To study the influence of hospital salary on medical personnel.
  4. To ascertain if the medical personeels were paid according to the economic to the approval government scales.

1.4 Research Questions

  1. How does inadequacy of fund on hospital facilities affect the economic growth of Nigeria.
  2. How are the funds allocated on hospital facilities used.
  3. Does the salary of the medical personnel’s seem favorable seem favorable to them.
  4. Were the medical personnel’s paid as they are supposed to.

1.5 Significance of the Study

Health concerned each and every member of our society directly or in directly, individual or collectively, consciously or unconsciously. The beneficiaries include the entire country at large. The government and the citizens.

The Entire country

The attainment of good health by the people of one state in the federation, which lead to social and economically productive life at the highest possible level.

The Government

In a country where the individuals were healthy, there is a tendency that the work force will be strong and productive.

The Citizens

Intellectuals and competent intelligent people should not loss their lives as a result of diseases and infections. People can engaged themselves in one activity or the other thereby making something useful to the country.


1.6 Definition of Terms

Problem Of Financing

Difficulties in raising fund.

Prospect Of Financing

Expected way of raising fund.

Health Care

Organized effort at the National, state or community level to deliver service in order to attain a set of pre-determined health related goals.

Medical Personeels

Those responsible for ones state of health example; the medical Doctors, Nurses, Lab technologist, Pharmacist etc.

To Medical Personeels

Counter parts of medical personnel’s in other areas.

Health Institutions

This means any hospital, clinic or nursing home or associated Institutions, convalescent home or specialized services maintained by the government, used for the reception and treatment of persons suffering from any sickness, injury or bodily or mentally infirmity birth or Immediately after child birth for the purpose of providing such person with nursing or surgical attention.

Tertiary Health Care

They handle cases that the secondary health care cannot handle. They are the teaching Hospitals, Specialist Hospital and Special and Hospitals.

Secondary Health Care

Cases/sickness where the clinics are unable to cope, it will be referred to secondary. They are state owned General Hospitals; Private owned Hospitals and Voluntary Agency Hospitals.

Primary Health Care

These are clinics, Health centers where one usually go for the first treatment. They are responsible to refer where they are unable to handle.


Chapter Five


Recommendation and Conclusion

In the light of the findings of the study, the following recommendations are offered.

Adequate fund should be allocated on hospital facilities so as to enhance the provision of better and necessary equipments and amenities and also employment of competent intellectuals on medical issues in order to attain a high standard of health for all and sundry.

The funds allocated on hospital facilities should be used for what they are meant for and not for irrelevant projects or selfish interest. Penalty should be stipulated on any body or organization that fraud or embezzle fund meant for Health services.

The medical personnel’s should be supported and encouraged in their health care duties. Their salaries should be attractive and interesting so as to motivate them in giving out the best in them to the people who needs their services.

Government health planners should be developed in the managerial skills in order to meet with the technicalities of health planning. Voluntary agency and private hospital can be used to extend health care to target populations. The medical personnel’s should be paid by the approval government scale. They should not be underpaid to avoid them indulging in strict action, which demoralizes the future Doctors and Nurses thereby increases, the percentage of death rate in the society.

Our health workers should be discouraged of disposing their talents abroad. In a nutshell, Health system should be financed first before any other because Health they say is wealth.


Conclusion

The problem and project of financing health care delivery in Nigeria is basically as a result of inadequate allocation of fund on hospital facilities.

There was no paper utilization of funds allocated on hospital facilities. From the findings of the study, the medical personnel’s were unfavorable to them. The health workers were not paid according to the approved government scale. There were no enough medical Institutions for training of medical personnel’s for serving the health of the people at large.

All these and more are the authentic problem to health care delivery in Nigeria.


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