Josiah Blessing Osagumwendia, Enebeli Emmanuel Chukwunwike, Duncan Brontie Albertha, Anukam Lordsfavour Uzoma, Akingbade Oluwadamilare, Ncube France, Josiah Chinelo Cleopatra, Alimele Eric Kelechi, Otoboyor Ndidi Louis, Josiah Oghosa Gabriel, Mukoro Jemima Ufuoma, Nganwuchu Blessing Chiamaka, Opeyemi Fawole Israel, Olaosebikan Timothy Wale, Kantaris Marios
Department of Research and Statistics, Institute of Nursing Research, Oshogbo, Nigeria.
Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
PLOS Glob Public Health. 2024 Nov 7;4(11):e0003881. doi: 10.1371/journal.pgph.0003881. eCollection 2024.
Nigeria's healthcare system faces significant challenges in financing and quality, impacting the delivery of services to its growing population. This study investigates healthcare workers' perceptions of these challenges and their implications for healthcare policy and practice. A cross-sectional survey was conducted with 600 healthcare professionals from eight states across Nigeria, representing a variety of healthcare occupations. Participants completed a questionnaire that assessed their perceptions of healthcare financing, quality of care, job satisfaction, and motivation using a 5-point Likert scale, closed- and open-ended questions. Descriptive statistics, Chi-squared test, and regression analysis were used to analyze the data. The findings revealed that healthcare workers were generally not satisfied with the current state of healthcare financing and system quality in Nigeria. Poor funding, inadequate infrastructure, insufficient staffing, and limited access to essential resources were identified as major challenges. These challenges contributed to low job satisfaction, demotivation, and a desire to leave the profession. Socioeconomic factors, location State of practice, professional designation (clinical vs nonclinical), clinical designation (profession), and employment type (full-time vs part-time) were found to influence healthcare workers' perceptions (p < 0.05). The findings indicated a need to improve healthcare workers' satisfaction and retention, and quality of care in Nigeria, by increasing healthcare funding, transparent fund management protocols, investing in infrastructure and human resource development, and addressing regional healthcare disparities. By implementing these reforms, Nigeria can enhance the quality and accessibility of healthcare services and improve the health and well-being of its citizens.
尼日利亚的医疗保健系统在融资和质量方面面临重大挑战，影响着为其不断增长的人口提供服务。本研究调查了医护人员对这些挑战的看法及其对医疗保健政策和实践的影响。对来自尼日利亚八个州的600名医疗保健专业人员进行了横断面调查，这些人员代表了各种医疗保健职业。参与者完成了一份问卷，该问卷使用5点李克特量表、封闭式和开放式问题评估了他们对医疗保健融资、护理质量、工作满意度和积极性的看法。使用描述性统计、卡方检验和回归分析来分析数据。研究结果显示，医护人员总体上对尼日利亚目前的医疗保健融资状况和系统质量不满意。资金不足、基础设施不完善、人员配备不足以及获得基本资源的机会有限被确定为主要挑战。这些挑战导致工作满意度低、积极性下降以及想要离开该职业。研究发现，社会经济因素、执业所在州、专业职称（临床与非临床）、临床职称（职业）和就业类型（全职与兼职）会影响医护人员的看法（p < 0.05）。研究结果表明，需要通过增加医疗保健资金、制定透明的资金管理协议、投资基础设施和人力资源开发以及解决地区医疗保健差距来提高尼日利亚医护人员的满意度和留用率以及护理质量。通过实施这些改革，尼日利亚可以提高医疗保健服务的质量和可及性，改善其公民的健康和福祉。
