ASSESSMENT OF HEALTHCARE FACILITIES IN PHCC

 CHAPTER ONE

1.0 Introduction 

1.1 Background of the Study

The spatial distribution of health facilities is of paramount importance to planners. There inequitable distribution over space is of concern and has brought about the issue of provision and effective utilization of the facilities. It is believed that it is highly available in the urban areas and, the number and quality of health facility in a country or region is one common measure of that areas prosperity and quality of life (Rizyada, 2012).

Health facilities include all public, private, non-governmental and community-based health facilities defined as a static facility (i.e., has a designated building) in which general health services are offered. Health posts can be counted as static facilities, but because they are generally small with minimal supplies, they may need to be disaggregated for interpretation purposes (WHO, 2015). In addition, health facilities refer to the physical structure and supporting equipment established for provision of health services. It usually involves a structure with facilities for different health service needs, equipment such as cold chain facilities for storage, management and use in the provision of health services to the population (Shrestha, 2013). Markus and Makanjuola (2016) stated that health policies are directed towards the creation of a basic infrastructure and adequate manpower for effective delivery of health services for the rapid growing population considering primary, secondary and tertiary levels. Although much work has been done. USAID (2013) in accessing the availability and adequacy of health facilities, emphasis was dwelled much on relationship between health facility, population and, the adequacy based on performance toward assessing the progress in determining the intervention of public health facilities to the communities and mostly in relation to urban and rural areas. Hence, the concern is towards bringing up an existing knowledge on the state of health facilities in Girei Local Government and Adamawa State at large considering its provision and distribution. 

1.2 Statement of the Problem

The provision and distribution of health care facilities in order to promote the well-being of the people of Girei Local Government Area, of Adamawa State. Hence, effectiveness of the health care facilities. Such that most of the hospital in Girei are include inadequate provision of health facilities, lack of compliance extant policies, spatial distribution of health facilities, lack of proper management of existing health facilities among others.

The effectiveness of the process for the provision of health facilities in Girei with emphasis on broad knowledge as it affects planning and management of health facilities. While others health care were uneven distributed (scattered) and insufficient as expected by the policy. The classifications were based on equipment, staff strength and patients response to the provision of the health care facilities in Girei Local Government Area. If the government can be able to distribute sufficient health facilities which it can boost the performance of the health worker, and increase the health outcome of the residents within the study area and the state in general.

1.3 Aim and Objectives of the Study

The aim of the study is aim at planning proposal for distribution of health facilities in Girei Local Government Area of Adamawa State. 

Objectives are as follows;

To identify the provision and distribution of health care facilities in Girei LGA.

To examine major problems of the health care centers in Girei LGA

To assess the nature and types of health care facilities being distributed in the study area.

To propose planning proposal for the distribution of health care facilities in Girei LGA.

1.4 Research Question

What are the natures of the health care facilities in most hospital in Girei?

Is the government making any plan for the provision of health care facilities in the study area?

Is the planning proposal for distribution of health facilities in Girei an important action to take?

1.5 Significant of the Study

This study will contribute and serve as a useful guide to policy makers to map out efficient and impassive ways of financing health care management in Girei and the country as a whole.  The lessons learnt from this study will help instill a self-help spirit in the Nigerian populace thereby in providing the standard of health centers. The reliance on government for interventions, which sometimes do not see the light of day.  

This study would be of immense benefit to the residents of Girei communities who are ignorantly destroying their health facilities and causing harm to their health and socio-economic stance. It would bring to their knowledge practical better ways of the importance of health facilities management which will in turn boost their the health outcome of the people in the communities. 

1.6 Scope and Limitation of the Study

The scope of the study is Girei Local Government Area in Adamawa State of Nigeria. However, the main focus and limitation of this research work is the planning proposal for distribution of health facilities in Girei Local Government Area of Adamawa State. This is a deliberate effort on the researchers part to make the study manageable, given the time and resources available to the researcher to complete the study. The study is limited to the perceived the distribution of health care facilities in Girei Local Government Area.