Health workforce and governance: the crisis in Nigeria

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 re...

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Vydané v:Human resources for health Ročník 15; číslo 1; s. 32 - 8
Hlavní autori: Adeloye, Davies, David, Rotimi Adedeji, Olaogun, Adenike Ayobola, Auta, Asa, Adesokan, Adedapo, Gadanya, Muktar, Opele, Jacob Kehinde, Owagbemi, Oluwafemi, Iseolorunkanmi, Alexander
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: London BioMed Central 12.05.2017
Springer Nature B.V
BMC
Predmet:
Case Study
Delivery of Health Care - economics
Delivery of Health Care - organization & administration
Delivery of Health Care - standards
Family physicians
Health Administration
Health care industry
Health care policy
Health crisis
Health governance
Health Personnel - economics
Health Personnel - education
Health Personnel - organization & administration
Health Policy
Health services
Health Services Research
Health system
Health workforce
Health Workforce - statistics & numerical data
Hospital administration
Human Resource Development
Human Resource Management
Humans
Insurance coverage
Leadership
Medicine
Medicine & Public Health
Nigeria
Physicians
Practice and Hospital Management
Public health
Social Policy
Studies
Teaching
Workforce
Nigeria
Health system
Health crisis
Health governance
Health workforce
Nigeria
ISSN:1478-4491, 1478-4491
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Shrnutí: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.
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ISSN:1478-4491
1478-4491
DOI:10.1186/s12960-017-0205-4