NNT Elimination and the Nigeria��s Health System: Where is the Missing Link

Saleh, Jalal-Eddeen Abubakar

doi:10.11648/j.sjph.20150303.28

Cited by 3 publications

(1 citation statement)

References 15 publications

(20 reference statements)

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“…Client satisfaction is an integral component of health service. The effectiveness of health care is determined to some degree by consumer's satisfaction with service provided and its quality the missing link (1,14). The study conducted in rural Bangladesh showed that the most powerful predictor for client satisfaction was provider behaviour, especially respect, politeness and reduction in waiting time (15).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Quality of Expanded Program on Immunization Service Delivery in Primary Health Care Institutions of Jigjiga Zone Somali Region, Eastern Ethiopia

Salah¹

2015

EJPM

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Introduction: quality is an integral part in EPI. Being pastoralist life style, poor infrastructure was considered the main reasons behind low coverage in this region. Therefore, the main aim of this study was to assess the quality of EPI service delivery in primary health care institutions of jigjiga zone Somali of region. Method: institution based cross-sectional study was carried out to assess the status of EPI service in PHCU of Jijiga zone, Somali region, from December 2011 to March 2012. Institutions were selected based on simple random sampling technique using mixed approaches. Results: This study has described the characteristics of quality of EPI service input, service process and service outcome main finding disclosed by this study, showed that almost the service is accessible to the care takers, most of the institution visited have adequate logistics and supplies and the service providers claiming, more than half of the mothers were satisfied with EPI services. The overall satisfaction in this study was 53.3%. Out of 422 study participants, 405 (96%) of the mothers/care takers were satisfied with the reception of the health workers. Conclusion: the study showed that half of the mothers yet not satisfied with the quality of the services. Therefore, to improve client satisfaction, waiting time should be kept as short as possible, in-service training/communication skill, outreach allowance should be considered for the service providers should be concerned woreda health offices, and further study in the area has to be made to dig out more factors affecting the service utilization of EPI.

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Section: Introductionmentioning

confidence: 99%

Evaluation of the Quality of Expanded Program on Immunization Service Delivery in Primary Health Care Institutions of Jigjiga Zone Somali Region, Eastern Ethiopia

Salah¹

2015

EJPM

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Assessing service quality and the perceptual difference between employees and patients of public hospitals in a developing country

Fiakpa

Nguyen

Armstrong

2022

IJQSS

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Purpose This study aims to examine service quality in Nigerian general hospitals and determines possible differences in service quality perceptions between employees and patients. Design/methodology/approach Using the Servqual scale, data was collected from 328 employees and patients of two government hospitals in Abuja and Delta states. Analysis was carried out using SPSS 26 package for constructs reliability frequency, mean, standard deviation and t-statistics. Findings The study found significant differences in the perception of service quality between employees and patients of the Nigerian general hospitals. While employees gave a high rating to empathy, patients rated it low. Also, the patients’ poor perception of tangible did not match the employees’ high perception. Other specific findings are patients’ unfavourable assessment of the physical facilities and judged the staff to lack professional dressing. Patients felt the hospitals could not provide necessary equipment for their procedures and thus considered their services unreliable. Practical implications Reliability was perceived as a significant problem in this study; therefore, the hospitals management should ensure correct diagnoses and treatment results of the highest quality and timely services. Also, the management should invoke strong relationships between the employees and patients to earn patients’ trust. Employees should ensure to listen to patients’ complaints and find solutions promptly. Patients need health-care workers’ support and rely on their abilities; Therefore, health-care workers should be highly dependable and show empathic behaviour in discharging their duties. Health-care managers must access employees‘ and patients’ particular perceptual gaps and reconcile the difference before further quality improvement initiatives. Originality/value The findings in this study strengthen the clamour for assessing service quality from both employees and patients’ views in public hospitals. Hospital service quality is complex and primarily judged from the patients’ perspective. This study showed that health-care quality means different things to all stakeholders.

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Assessment of healthcare worker’s implementation of childhood routine immunization in primary healthcare centers in Edo State, Nigeria: A mixed method survey

Uwaibi

Erah

2021

Ann Clin Biomed Res

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The role of the health care personnel in the delivery of immunization services is very important in achieving the target of immunization coverage of 90% given by the world Health Organisation (WHO). The objective of the study was to determine the challenges affecting healthcare worker’s implementation of immunization services in Primary Healthcare Care (PHC) centres in Edo State, Nigeria. A descriptive cross-sectional study design, with a mixed method of data collection approach (incorporating quantitative and qualitative methods) using an interviewer administered questionnaire among 295 respondents (comprised of 270 health care providers, 7 key informants and 18 supervisors) of immunization activities in the various health care facilities for the Focus Group Discussion (FGD) guide. Ethical clearance for the study was obtained from the Ethics Committee of the University of Benin Teaching Hospital. Quantitative data collected was analyzed using the International Business Machine statistical package for Social Science (IBM) version 21.0 while themes occurring in the qualitative data were analyzed using ATLAS.ti software. Logistic regression was calculated to determine odds ratio and level of significance was set at <0.05. This study showed that good knowledge of immunization. age, training on the implementation of immunization, and designation affected their knowledge of immunization, and some of the challenges encountered were insufficient workers and transport for outreach activities, funding and impress, lack of motivation. Health worker’s knowledge of immunization was good, majority were trained on implementation on immunization services but there were still numerous challenges such as insufficient workers and transportation which must be addressed to strengthen and improve immunization service delivery.

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NNT Elimination and the Nigeria��s Health System: Where is the Missing Link

Cited by 3 publications

References 15 publications

Evaluation of the Quality of Expanded Program on Immunization Service Delivery in Primary Health Care Institutions of Jigjiga Zone Somali Region, Eastern Ethiopia

Evaluation of the Quality of Expanded Program on Immunization Service Delivery in Primary Health Care Institutions of Jigjiga Zone Somali Region, Eastern Ethiopia

Assessing service quality and the perceptual difference between employees and patients of public hospitals in a developing country

Assessment of healthcare worker’s implementation of childhood routine immunization in primary healthcare centers in Edo State, Nigeria: A mixed method survey

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