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A Comparative Study of Fall Incidence Among Elderly Patients in Government and Private Hospitals in Katsina State

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Background of the Study
Falls among the elderly have become a critical public health issue, particularly in regions where healthcare resources and hospital infrastructures vary significantly. In Katsina State, the aging population is increasing steadily, and the incidence of falls has garnered attention due to its association with adverse health outcomes, including fractures, reduced mobility, and increased mortality (Olumide, 2023). The disparity in healthcare delivery between government and private hospitals in the region may influence fall incidences. Government hospitals, often burdened by limited resources and overcrowding, may not offer the same level of patient monitoring and environmental safety as their private counterparts, which tend to have more individualized care protocols and better infrastructural facilities (Aminu & Suleiman, 2024).

Recent studies highlight that the quality of hospital care, particularly regarding fall prevention measures, plays a significant role in reducing fall risks among elderly patients (Bello et al., 2023). However, despite these insights, empirical evidence comparing fall incidences between government and private hospitals remains sparse in the context of Katsina State. This study aims to fill that gap by critically evaluating the environmental, procedural, and staffing factors that may contribute to differing fall rates. Additionally, the research will examine how infrastructural limitations, such as poor lighting, slippery floors, and inadequate handrails, are managed in various hospital settings, thus affecting the safety of elderly patients (Garba, 2025).

The aging process itself brings a series of physiological changes such as impaired balance, reduced muscle strength, and deteriorating sensory functions, which can predispose the elderly to falls (Hassan, 2023). These factors are often exacerbated by comorbid conditions that require hospital admission, making the hospital environment a pivotal area for intervention. Differences in nurse-to-patient ratios, staff training on fall prevention, and availability of assistive devices further complicate the scenario in public versus private hospitals. By comparing these two types of institutions, the study hopes to identify critical success factors and potential pitfalls that can guide policy formulation and resource allocation in healthcare settings.

Furthermore, the study will explore the role of hospital administration in implementing fall prevention strategies, such as routine risk assessments and the establishment of multidisciplinary teams. Understanding these aspects is crucial in the era of patient-centered care, where quality and safety are paramount (Ibrahim & Musa, 2024). Ultimately, the findings of this research could lead to improvements in fall prevention programs, which are essential for reducing morbidity and mortality among the elderly population in Katsina State.

Statement of the Problem
Despite the growing body of research on fall prevention, there remains a significant gap in understanding how different hospital environments affect the incidence of falls among elderly patients in Katsina State. Preliminary data suggest that government hospitals, often constrained by limited resources and high patient volumes, may experience a higher incidence of falls compared to private hospitals where individualized care and better infrastructure are more common (Nasir, 2023). This disparity poses a challenge to healthcare policymakers who must allocate resources effectively to ensure the safety of all patients, irrespective of the type of hospital they attend.

Government hospitals frequently struggle with issues such as inadequate staffing, outdated equipment, and insufficient safety protocols. Such challenges may increase the risk of falls, as elderly patients are particularly vulnerable due to their diminished physical capabilities and the presence of multiple comorbidities (Yakubu & Lawal, 2024). On the other hand, private hospitals, while generally better equipped, may have their own limitations, including a focus on profitability over comprehensive geriatric care. Consequently, the differences in fall incidences between these two settings remain inadequately explored, leaving a critical gap in the literature.

Furthermore, existing studies have not sufficiently addressed how systemic factors—such as hospital policies, staff training, and the availability of specialized fall prevention programs—influence patient outcomes. The lack of comparative data makes it difficult to develop standardized interventions that can be applied across different hospital settings. This study seeks to bridge this gap by providing a detailed comparative analysis of fall incidences, which will contribute to a more nuanced understanding of how hospital type influences patient safety among the elderly. The ultimate goal is to identify actionable strategies that can be implemented in both government and private hospitals to reduce the incidence of falls, thereby improving overall patient care and reducing healthcare costs associated with fall-related injuries (Tijani, 2025).

Objectives of the Study

  1. To compare the incidence of falls among elderly patients in government and private hospitals in Katsina State.
  2. To assess the environmental and procedural factors that contribute to falls in these hospital settings.
  3. To recommend targeted interventions for reducing fall incidences in both types of hospitals.

Research Questions

  1. What is the difference in fall incidence rates among elderly patients between government and private hospitals in Katsina State?
  2. How do environmental and procedural factors influence fall incidences in these hospital settings?
  3. What targeted interventions can be recommended to reduce falls in both government and private hospitals?

Research Hypotheses

  1. There is a statistically significant difference in fall incidence rates among elderly patients between government and private hospitals.
  2. Environmental factors such as lighting, flooring, and handrails significantly contribute to the fall incidences in these hospital settings.
  3. Implementing targeted fall prevention interventions will significantly reduce the incidence of falls among elderly patients.

Scope and Limitations of the Study
This study focuses on comparing fall incidences among elderly patients in selected government and private hospitals in Katsina State. It will involve a quantitative analysis of hospital records, observational assessments of environmental conditions, and structured interviews with healthcare staff. Limitations include potential biases in record keeping, variations in hospital reporting standards, and the generalizability of findings beyond Katsina State.

Definitions of Terms

  • Fall Incidence: The number of falls recorded among elderly patients within a specific period.
  • Elderly Patients: Individuals aged 60 years and above.
  • Government Hospitals: Publicly funded healthcare facilities managed by state authorities.
  • Private Hospitals: Privately owned and operated healthcare facilities.
  • Environmental Factors: Physical aspects of the hospital setting that may contribute to fall risks, such as lighting and flooring conditions.




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