TABLE OF CONTENTS 

DECLARATION ................................................................................................................................... i

 CERTIFICATION ............................................................................................................................... ii

 ACKNOWLEDGMENT...................................................................................................................... iii 

ABSTRACT......................................................................................................................................... iv

 TABLE OF CONTENT....................................................................................................................... vi

 LIST OF FIGURES ......................................................................................................................... viii

 LIST OF TABLES.............................................................................................................................. ix

 LIST OF APPENDICES..................................................................................................................... x

 LIST OF ABBREVIATIONS.............................................................................................................. xi

 

Chapter ONE

: INTRODUCTION ...............................................................................................1 

1.1 Background................................................................................................................................1 

1.2 Statement of the Problem .........................................................................................................4 

1.3 Significance of the Study...........................................................................................................5 

1.4 Aim and Objectives..................................................................................................................5 

1.5 Scope and Limitations...............................................................................................................6

 .

Chapter TWO

: LITERATURE REVIEW.......................................................................................7 

2.1 Introduction...................................................................................................................................7 

2.2 Building Performance...................................................................................................................7 

2.3 Building Performance Evaluation (BPE)......................................................................................8 

2.4 User Satisfaction and Post Occupancy Evaluation (POE)..........................................................11 

2.5 Organization of Health System and Health System Reforms in Nigeria.....................................12 

2.6 Conceptual Basis of Primary Health Care..................................................................................13 

2.7 Health Care Building Architecture ..............................................................................................15 

2.8 Health Care Environment, its Impact on Patient’s Well-Being and Health Outcomes............16 

2.8.1 Theoretical Approach for Healing Environments..................................................................17 

2.8.2 Optimal Healing Environment Framework............................................................................18 

2.8.3 Healing Space Requirements in Built Environment..............................................................20 

2.8.3.1 Color and light as Healing Space Requirements in Built Environment ...............................21 

2.8.3.2 Art, Music and Sound as Healing Space Requirements in Built Environment ....................22

 2.8.3.3 Green Garden as Healing Space Requirements in Built Environment...............................23 

2.8.3.4 Space and Privacy as Healing Space Requirements in Built Environment..........................23 

2.9 Standard Criteria for Hospital Design and Design Quality Indicators (DQI)...............................24 

2.10 Healthcare Building Evaluation Toolkits...................................................................................30 

2.10.1 Achieving Excellence Design Evaluation Toolkit (AEDET) Evolution....................................31 

2.10.2 A Staff and Patient Environment Calibration Tool (ASPECT)...............................................34 

2.10.3 Inspiring Design Excellence and Achievements (IDEA)......................................................35 

2.10.4 NHS Environmental Assessments Toolkit (NEAT)..............................................................36 

2.11 Conclusion................................................................................................................................38

 

Chapter THREE

: RESEARCH METHODOLOGY....................................................................39 

3.1 Research Design ...................................................................................................................39 

3.2 Study Population..................................................................................................................40 

3.3 Sample Size and Sampling Procedure..................................................................................40 

3.4 Data Collection Technique ...................................................................................................44 

3.5 Data Analytical Technique ...................................................................................................46

3.6 Ethical Considerations..........................................................................................................47 

Chapter FOUR

: DATA PRESENTATION, ANALYSIS AND DISCUSSION...........................48 

4.1 GENERAL INFORMATION ON THE RESPONDENTS ...................................................48 

4.1.1 General Information on Medical Staff ...........................................................................48 

4.1.2 General Information on Patients .................................................................................50 

4.1.3 General Information on Visitors .................................................................................52 

4.2 ASSESSMENT OF THE PERFORMANCE OF PHC BUILDINGS..............................53 

4.2.1 Perception of users on functionality of PHC buildings...............................................53 

4.2.2 Perception of users on Build Quality of PHC buildings. ............................................57 

4.2.3 Perception of users on Impact of PHC buildings. .......................................................60 

4.3 INFERENTIAL ANALYSIS (The T-Test) .....................................................................68 

4.4 DISCUSSION OF RESULTS...........................................................................................70 

Chapter FIVE

: SUMMARY, CONCLUSION AND RECOMMENDATIONS.....................76 

5.1 Summary of findings.........................................................................................................76 

5.2 Conclusions.......................................................................................................................79 

5.3 Recommendations.............................................................................................................80 

REFERENCES..................................................................................................................................83