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An Evaluation of Cost Control Practices in Public Healthcare Institutions: A Study of Lagos State Teaching Hospital

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Background of the Study

Cost control in public healthcare institutions is crucial for ensuring the efficient utilization of resources while maintaining the quality of healthcare services. In Nigeria, public hospitals like Lagos State Teaching Hospital (LUTH) face increasing pressure to optimize costs due to rising healthcare demands and limited budgets (Okeke & Bamidele, 2024).

Cost control practices such as budgeting, expenditure tracking, and inventory management help healthcare institutions reduce waste, enhance operational efficiency, and ensure that resources are directed toward critical needs. However, in many public healthcare institutions, challenges such as inadequate funding, corruption, and poor financial management hinder the effectiveness of cost control measures.

This study evaluates the cost control practices at LUTH, focusing on their effectiveness and the challenges encountered in implementation.

Statement of the Problem

Public healthcare institutions in Nigeria often struggle with inefficiencies, resource wastage, and financial mismanagement. At LUTH, cost control practices are implemented to address these issues, but their effectiveness is limited by factors such as insufficient funding, lack of skilled personnel, and outdated systems (Akinola & Yusuf, 2025).

This study examines the cost control practices at LUTH, identifying gaps and proposing strategies for improvement.

Objectives of the Study

  1. To assess the cost control practices employed at LUTH.
  2. To evaluate the effectiveness of these practices in reducing costs.
  3. To identify challenges faced in implementing cost control measures in public healthcare institutions.

Research Questions

  1. What cost control practices are utilized at LUTH?
  2. How effective are these practices in reducing operational costs?
  3. What challenges affect the implementation of cost control measures in public healthcare institutions?

Research Hypotheses

  1. Cost control practices significantly reduce operational costs at LUTH.
  2. Challenges in implementing cost control measures hinder their effectiveness in public healthcare institutions.

Scope and Limitations of the Study

The study focuses on cost control practices at LUTH, with an emphasis on their effectiveness and associated challenges. Limitations include access to financial data and potential respondent bias.

Definitions of Terms

  • Cost Control: The process of managing and reducing business expenses to increase efficiency.
  • Public Healthcare Institution: A government-funded medical facility that provides healthcare services to the public.
  • Operational Costs: Expenses associated with the day-to-day functioning of an organization.




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