Problems Facing Healthcare Management in Nigeria

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Public health in a country is crucial because it helps to determine

many other factors such as national security, economic growth, and

development, sustainability, etc. A good public health system provides

the needed health care and at the right time to the people, this helps

to monitor and control disease outbreak and to also keep economic

activities going.









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The state of healthcare In Nigeria is saddening. It is a mix of a long

list of problems such as a lack of medications. Lack of medical

equipment, malnutrition, corruption, poor health infrastructure, fake

drugs, and lack of sufficient health personnel. This article

highlights the problems facing healthcare management systems in

Nigeria.



Problems Facing Healthcare Management in Nigeria











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Read on below:

If you are in doubt of the catastrophic state of the health care

system, consider this, an average of 20,000 Nigerians travel to India

each year for medical assistance due to the lack of a sound healthcare

system in Nigeria, this is not to count the number of Nigerians that

troop into other countries. There is also a persistent rate of

avoidable death that occur in Nigeria from â€Ĺ“preventable or treatable

infectious diseases such as malaria, pneumonia, diarrhoea, measles and

HIV/AIDS, this especially account for more than 70% of the estimated

one million death of children under the age of five in Nigeria.

Problems of health care management in Nigeria are:

Corruption



You should not be too surprised that this is one of the menaces

destroying the health care system in Nigeria. Corruption is a

cankerworm that feeds on every aspect of a country. In fact,

healthcare is the third most corrupt branch of the country. Since

public funds are embezzled and mismanaged, even funds meant to be used

to develop the health care system in Nigeria are diverted into

individual pockets. This is why there is a lack of development in the

health care system in Nigeria in terms of basic health care facilities

and modern equipment. Corruption has also wrecked the National Health

Scheme (NHS) which was meant to help citizens to secure better quality

health care. Those in management positions in the healthcare system

siphon off public funds to private accounts. This has made quality

medical care inaccessible for Nigerian citizens.







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Poor remuneration of health workers



Government hospitals in Nigeria do not pay adequate salaries to health

workers. Many Nigerian health workers do not feel protected and

appreciated, this is not good enough for persons who are responsible

for the lives of the citizens of a country. The meagre remuneration

for health workers is what has caused the massive brain drain

currently witnessed yearly, from Nigeria to the US and Europe.

Thousands of Nigerian medical personals leave the country in search of

greener pastures which leaves Nigeria to battle with the problem of

the insufficient workforce. Poor remuneration of workers also gives

rise to the perpetual national strikes of health workers. Poor

salaries and unhealthy work environments contribute to low motivation

and less productivity, for health workers which negatively affects the

healthcare system.



Poor education system



Generally, Nigerian suffers from a poor education system that cannot

provide adequate practical knowledge to students. Education in Nigeria

is largely theoretical, therefore most new graduates face the problem

of the practical application of knowledge to solve problems. There is

a lack of real experiences for many health workers. So, you will find

that many health workers in Nigeria make mistakes, not because they

did not learn well but because they are not properly prepared for

real-life situations.



Fake drugs



The problem of fake drugs in Nigeria has not been curbed. The side

effects of fake drugs include drug resistance, treatment failure,

poisoning and other diseases that are detrimental to the health of the

patients. Fake drugs also include drugs that are produced in

unhygienic conditions and may contain dangerous chemicals. The sales

of fake drugs continue to thrive in Nigeria because these drug dealers

sell their fake drug products at much cheaper prices than the original

price of the product. There is a high poverty rate in Nigeria, hence

many will prefer cheaper drugs because they do not have money.



Lack of a database



The absence of a common and active data collection system leads to a

lack of organization in the Nigerian health care management system.

Stakeholders who want to invest in the health system have very little

information to work with.







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Inadequate supply of medication



Healthcare in Nigeria has struggled long with the problem of

inadequate supply of medication. This is another resultant effect of

corruption in Nigeria. Many primary healthcare centres across Nigeria

do not get at least 20% of their medications every year. Patients are

forced to travel around in order to find a doctor with the right

medication. The lack of medicines also leads to the death of many

Nigerians yearly.



Lack of funding



Government medical facilities experience a lack of financing. In 2020,

the allocation of the national budget to health was less than 8% and

was further cut down from N44.4bn to N25.5bn which made it just about

4.17% of the total national budget. The situation is much worse in

rural areas where basic needs such as electricity, drugs are not

provided. The health care system cannot improve if it is not well

funded.



Poor Hygiene



Nigerian medical facilities suffer poor hygiene such as old

infrastructure, hot climate, lack of toilet facilities, etc. Even

outside of the hospitals, many Nigerians live in an unhygienic

environment; this includes inaccessibility to clean water, good

shelter and good food, all of these increase the poor health condition

of Nigerians and in turn puts pressure on an already failing health

care system.



Lack of Medical Facilities



The health care systems in rural areas of Nigeria lack the equipment

needed to provide good health care to the citizens. Many have to

travel to nearby cities for medical help while many in the cities have

to travel out of the country to seek medical help. Lack of medical

facilities also leads to the overpopulation of available medical

facilities. Basic medical equipment in demand includes cars, surgeon

rooms, x-ray rooms, etc.



In order to improve the state of the Nigerian health care system,

there needs to be a medical system that is well-grounded and funded in

addition to adequate management by dependable leaders.











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