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Health workforce and governance: the crisis in Nigeria
#MMPMID28494782
Adeloye D
; David RA
; Olaogun AA
; Auta A
; Adesokan A
; Gadanya M
; Opele JK
; Owagbemi O
; Iseolorunkanmi A
Hum Resour Health
2017[May]; 15
(1
): 32
PMID28494782
show ga
BACKGROUND: In Nigeria, several challenges have been reported within the health
sector, especially in training, funding, employment, and deployment of the health
workforce. We aimed to review recent health workforce crises in the Nigerian
health sector to identify key underlying causes and provide recommendations
toward preventing and/or managing potential future crises in Nigeria. METHODS: We
conducted a scoping literature search of PubMed to identify studies on health
workforce and health governance in Nigeria. A critical analysis, with extended
commentary, on recent health workforce crises (2010-2016) and the health system
in Nigeria was conducted. RESULTS: The Nigerian health system is relatively weak,
and there is yet a coordinated response across the country. A number of health
workforce crises have been reported in recent times due to several months'
salaries owed, poor welfare, lack of appropriate health facilities and emerging
factions among health workers. Poor administration and response across different
levels of government have played contributory roles to further internal crises
among health workers, with different factions engaged in protracted supremacy
challenge. These crises have consequently prevented optimal healthcare delivery
to the Nigerian population. CONCLUSIONS: An encompassing stakeholders' forum in
the Nigerian health sector remain essential. The national health system needs a
solid administrative policy foundation that allows coordination of priorities and
partnerships in the health workforce and among various stakeholders. It is hoped
that this paper may prompt relevant reforms in health workforce and governance in
Nigeria toward better health service delivery in the country.
|Delivery of Health Care/economics/*organization & administration/standards
[MESH]
free
free
free
