Problems and prospects of financing health care delivery in nigeria
Table Of Contents
Thesis Abstract
Abstract
Health care delivery in Nigeria faces numerous challenges in terms of financing. The country has a high burden of disease and a growing population, which puts significant pressure on the health care system. This paper explores the problems and prospects of financing health care delivery in Nigeria. One of the major challenges facing health care financing in Nigeria is the heavy reliance on out-of-pocket payments. This places a significant financial burden on individuals, especially those in lower socio-economic groups. The lack of financial risk protection leads to catastrophic health expenditures and pushes many people into poverty. Another issue is the underfunding of the health sector by the government. Despite commitments to allocate a certain percentage of the national budget to health, actual funding falls short of these targets. This underfunding affects the quality of health care services, infrastructure, and human resources, leading to substandard health outcomes. In addition, the fragmented nature of health financing in Nigeria contributes to inefficiencies and inequities in the system. Multiple funding sources, including government allocations, donor funds, and private health insurance, create a complex and disjointed financing landscape. Coordination and integration of these funding streams are essential to ensure optimal allocation of resources and equitable access to health care services. Despite these challenges, there are prospects for improving health care financing in Nigeria. Strengthening the role of health insurance is crucial in moving towards universal health coverage. The National Health Insurance Scheme (NHIS) plays a key role in expanding health insurance coverage, but challenges such as low enrolment rates and limited benefit packages need to be addressed. Furthermore, increasing government funding for health and improving budget allocation processes are important steps in enhancing health care financing. Adequate funding is essential for building and maintaining health care infrastructure, training health care workers, and ensuring the availability of essential medicines and supplies. Addressing the problems of health care financing in Nigeria requires a multi-faceted approach that involves government commitment, private sector engagement, and community participation. By strengthening health insurance, increasing government funding, and promoting efficient resource allocation, Nigeria can improve the sustainability and effectiveness of its health care delivery system.
Thesis Overview
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<b></b></p><p><b><b>INTRODUCTION</b></b></p><p><b><b></b></b></p><b><b><p><b>1.1 <br></b><b>BACKGROUND OF THE STUDY</b></p><p><b></b></p><b><p>Nigeria is<br>once again on the roller caster of a new clinche</p><p>“2010” with health care reform as<br>one of the major pivots of the vision. The tremendous rate our medical<br>personnel’s (Doctor and Nurses) travels out of the country for greener pasture<br>has caused </p><p>More harm to his country than<br>good.</p><p>The percentage of death rate as a<br>result of treatment by in experienced Doctor and Nurses are numerous. Our<br>intelligent and future hopes were deformed by one disease or the other because<br>of treatment by non-experts.</p><p>ODUTOLA, (1997) in his book<br>demonstrated that “our hospitals have become mere consulting clinics”.</p><p> “Our<br>health care system has collapsed”</p><p> “Our<br>hospital are short everything”</p><p>What then is our hope and aim<br>towards achieving the goal of vision 2010.</p><p>This motivated the researcher to<br>identify the problems and prospects of financing Health care Delivery in<br>Nigeria.</p><p>1.2 <b>STATEMENT OF THE<br>PROBLEM</b></p><p>The research<br>work is concerned with the problems and prospects of financing health care<br>delivery programme in Nigeria. The level of service offered to the health<br>system is very low. This is with particular reference to staff attitudes and<br>performance. They cried bitterly of their salary as to compare to other co-medical<br>personeels in other countries. They were promised to be paid, but was not<br>effective some of them decided to travel out of country for better future.</p><p>Some hospitals<br>requires refurbishment and other need certain amenities, but none was done,<br>rather they were closed down and some becomes unfuctional Hospitals preemies<br>are littered with broken down equipment and unopened create of new equipment<br>with no place for installation. The <br>patronage of the government health facilities is very low.</p><p>1.3 <b>OBJECTIVES OF THE STUDY</b></p><p><b></b></p><b><p>1. To<br>find out the effect of inadequate fund on hospital facilities.</p><p>2. To<br>verify the utilization of fund allocated on hospital facilities.</p><p>3. To<br>study the influence of hospital salary on medical personnel.</p><p>4. To ascertain if the medical personeels were<br>paid according to the economic to the approval government scales.</p><p><b>RESEARCH QUESTIONS</b></p><p><b></b></p><b><p>1. How<br>does inadequacy of fund on hospital facilities affect the</p><p> economic growth of Nigeria.</p><p>2. How<br>are the funds allocated on hospital facilities used.</p><p>3. Does<br>the salary of the medical personnel’s seem favorable seem favorable to them.</p><p>4. Were<br>the medical personnel’s paid as they are supposed to.</p><p><b>SIGNIFICANCE<br>OF THE STUDY</b></p><p><b></b></p><b><p> Health<br>concerned each and every member of our society directly or in directly,<br>individual or collectively, consciously or unconsciously. The beneficiaries<br>include the entire country at large. The government and the citizens.</p><p> <br>The Entire country – The attainment of good health by the people<br>of one state in the federation, which lead to social and economically<br>productive life at the highest possible level.</p><p> <br>The Government – In a country where the individuals were healthy, there<br>is a tendency that the work force will be strong and productive.</p><p> <br>The Citizens – Intellectuals and competent intelligent people should not loss their lives as a result of<br>diseases and infections. People can engaged themselves in one activity or the<br>other thereby making something useful to the country.</p><p><b>LIMITATION<br>OF THE STUDY</b></p><p><b></b></p><b><p>Those aspects of health left were<br>as have of time – The researcher do not have the time of going from one state<br>to another for the collection of data, as a result, they were left out.</p><p>Finance – There is no money for<br>the researcher to the moving round the states of the federation for data<br>collection and in some place, there will be no data available.</p><p>Lack of accurate data – Most data<br>seen were not accurate to the topic<br>involved in the project </p><p><b>DEFINTION<br>OF TERMS</b></p><p><b></b></p><b><p><b>PROBLEM OF FINANCING – </b>Difficulties<br>in raising fund.</p><p><b>PROSPECT OF FINANCING – </b>Expected<br>way of raising fund.</p><p><b>HEALTH CARE – </b>Organized<br>effort at the National, state or community level to deliver service in order to<br>attain a set of pre-determined health related goals.</p><p><b>MEDICAL PERSONEELS – </b>Those<br>responsible for ones state of health example; the medical Doctors, Nurses, Lab<br>technologist, Pharmacist etc.</p><p><b>TO MEDICAL PERSONEELS – </b>Counter<br>parts of medical personnel’s in other areas.</p><p><b>HEALTH INSTITUTIONS – </b>This<br>means any hospital, clinic or nursing home or associated Institutions,<br>convalescent home or specialized services maintained by the government, used<br>for the reception and treatment of persons suffering from any sickness, injury<br>or bodily or mentally infirmity birth or Immediately after child birth for the<br>purpose of providing such person with nursing or surgical attention.</p><p><b>TERTIARY HEALTH CARE – </b>They<br>handle cases that the secondary health care cannot handle. They are the<br>teaching Hospitals, Specialist Hospital and Special and Hospitals.</p><p><b>SECONDARY HEALTH CARE- </b>Cases/sickness<br>where the clinics are unable to cope, it will be referred to secondary. They<br>are state owned General Hospitals; Private owned Hospitals and Voluntary Agency<br>Hospitals.</p><p><b>PRIMARY HEALTH CARE- </b>These<br>are clinics, Health centers where one usually go for the first treatment. They<br>are responsible to refer where they are unable to handle.</p><p><b>REFERENCES</b></p><p><b></b></p><b><p>ERONINI E.M (1995) “A New approach to health care<br>financing in</p><p> Nigeria”</p><p> Page<br>46 – 48.</p><p>ORJIH .J. (1996) “Business Research Methodology”</p><p> Methodology”</p><p> Mbtesoy<br>Publicity Co. Enugu</p><p> PP.<br>37 – 41, 203 – 204.</p><p>ODUTOLA. A.B. (1997) “Visioning<br>Health care in Nigeria by the year</p><p> 2010 and beyond”</p><p>Health Issues; No 03 P</p><p>Page 2-3</p><p>COWIE A.P (1993) Oxford Advanced Learners DICTIONARY.</p><p> Oxford<br>University Press.</p></b></b></b></b></b></b></b></b></b>
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