Ijah Rex Friday Ogoronte A, Ibeabuchi Okechukwu, Onyema ChinemereJ, Harcourt Somiari L, Alabi Ajibola, Aaron Friday E
Department of Surgery, Rivers State University / Rivers State University Teaching Hospital.
Palmers Hospital, Port Harcourt, Rivers State, Nigeria.
Niger Med J. 2024 Apr 21;65(1):81-91. doi: 10.60787/nmj-v65i1-457. eCollection 2024 Jan-Feb.
Tax relief and incentives are utilized to encourage the private health sector to provide services that are advantageous to community health. The aim of this study was to explore the issues related to taxes paid, incentives provided, returns on investment, satisfaction with practice, and plans of private health practitioners who were conference attendees in Port Harcourt in 2021.
A descriptive cross-sectional study was carried out at two national events in Port Harcourt, Rivers State, Nigeria in October, and December 2021, among conference attendees using self-administered questionnaires. Data obtained was analyzed using the IBM Statistical Package for the Social Sciences (SPSS) version 20.0 and presented in tables.
A total of one hundred and sixty-six (166) respondents were involved in the study. One hundred and four (62.7%) respondents believed they experienced multiple taxation from agencies of government. Most respondents paid at least fifty thousand and above as taxes to various levels of government. One hundred and forty-two (85.5%) respondents believed they did not receive any incentive from governments for their private health businesses. Fifty-three (31.9%) were not satisfied, while55 (33.1%) respondents were managing to survive in the business environment.
Private healthcare practitioners in Nigeria experience multiple taxation and a lack of incentives from governments. Dissatisfaction with the return on investment is prevalent. Inclusive health sector reform that will partly reduce the potential for brain drain is therefore needed.
税收减免和激励措施被用于鼓励私营卫生部门提供有利于社区健康的服务。本研究的目的是探讨与2021年在哈科特港参加会议的私营卫生从业者所缴纳的税款、获得的激励、投资回报、执业满意度以及计划相关的问题。
2021年10月和12月在尼日利亚河流州哈科特港的两次全国性活动中，对会议参与者进行了一项描述性横断面研究，使用自填式问卷。所获得的数据使用IBM社会科学统计软件包（SPSS）20.0版进行分析，并以表格形式呈现。
共有166名受访者参与了该研究。104名（62.7%）受访者认为他们受到了政府机构的多重征税。大多数受访者向各级政府缴纳了至少5万及以上的税款。142名（85.5%）受访者认为他们没有从政府那里获得任何针对其私营卫生业务的激励。53名（31.9%）受访者不满意，而55名（33.1%）受访者在商业环境中勉强维持生计。
尼日利亚的私营医疗从业者面临多重征税且缺乏政府激励。对投资回报的不满很普遍。因此，需要进行包容性的卫生部门改革，以部分减少人才外流的可能性。
