Dim Cyril Chukwudi, Mbachu Chinyere Ojiugo, Enebe Nympha Onyinye, Kassy Wilson Chukwukasi, Nnagbo Johnpaul Ejikeme, Obi Ikechukwu Emmanuel, Onodugo Nkiruka Pauline, Lasebikan Nwamaka Ngozika, Onodugo Obinna Donatus
Department of Obstetrics and Gynaecology, College of Medicine, University of Nigeria Teaching Hospital Ituku-Ozalla, Enugu, Nigeria.
Department of Obstetrics and Gynecology, University of Nigeria, Enugu, Nigeria.
BMC Health Serv Res. 2025 Jan 7;25(1):35. doi: 10.1186/s12913-024-12076-8.
The perennial underperformance of the Nigerian Health System necessitated enhanced advocacy for health to be placed at the centre of a renewed social contract and as a means of bolstering public trust. The hospital management of the University of Nigeria Teaching Hospital (UNTH) introduced initiatives to improve the hospital's operational environment and service performance in response to the population served. Following these changes, an Organizational Capacity Assessment (OCA) is critical to direct further development in the organization.
A comprehensive Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis was conducted for the UNTH across twelve broad areas. The Modified Delphi Technique was adopted for the identification and prioritization of the organizational SWOTs. Thirty key stakeholders and leaders in the organization were first consulted to identify the SWOTs. This was followed by a structured ranking of the SWOTs by 109 staff of UNTH to isolate the priority assets and needs of the organization.
The top strengths were mainly related to the hospital's resources like its large expanse of land, staff capabilities like their skills and training, as well as their prevailing language, and existing hospital partnerships. The identified weaknesses were associated with challenges such as transportation for staff to work, infrastructure (lack of staff accommodation and office space), and health workforce shortages due to migration. The highest ranked opportunity was in the Epidemiology and Disease Surveillance broad area while the highest ranked threat was in the leadership and governance broad area.
This SWOT analysis has highlighted the strategic aspects of UNTH's operations. By identifying its internal strengths and weaknesses and external opportunities and threats, the hospital can thus formulate effective strategies to enhance its performance and maintain its position as a leading healthcare institution.
尼日利亚卫生系统长期表现不佳，因此有必要加大宣传力度，将卫生置于新的社会契约的核心位置，并作为增强公众信任的一种手段。尼日利亚大学教学医院（UNTH）的医院管理层推出了多项举措，以改善医院的运营环境和服务表现，以应对所服务的人群。在这些变革之后，进行组织能力评估（OCA）对于指导该组织的进一步发展至关重要。
对UNTH在十二个广泛领域进行了全面的优势、劣势、机会和威胁（SWOT）分析。采用改良德尔菲技术来识别组织的SWOT并确定其优先级。首先咨询了该组织的30名关键利益相关者和领导者以识别SWOT。随后，UNTH的109名员工对SWOT进行了结构化排序，以确定该组织的优先资产和需求。
首要优势主要与医院的资源有关，如广阔的土地、员工的能力（如技能和培训）、通用语言以及现有的医院合作伙伴关系。已识别的劣势与一些挑战相关，如员工上班的交通问题、基础设施（缺乏员工宿舍和办公空间）以及因人员外流导致的卫生人力短缺。排名最高的机会在流行病学和疾病监测这一广泛领域，而排名最高的威胁在领导与治理这一广泛领域。
这项SWOT分析突出了UNTH运营的战略方面。通过识别其内部优势和劣势以及外部机会和威胁，该医院能够制定有效的战略来提升其表现，并保持其作为领先医疗机构的地位。
