An Investigation of the Maintenance Culture of Public Hospitals in Nasarawa State
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Background of the Study
Public hospitals play a crucial role in delivering healthcare services, particularly in developing countries where access to private healthcare is limited. However, the effectiveness of public hospitals is often undermined by poor infrastructure maintenance, which affects service delivery and patient care (World Health Organization [WHO], 2024). A strong maintenance culture ensures the longevity of hospital facilities, improves patient outcomes, and enhances healthcare efficiency (Federal Ministry of Health, 2024).
In Nigeria, maintenance culture in public hospitals has been a persistent challenge, leading to dilapidated infrastructure, non-functional medical equipment, and inadequate sanitary conditions (Adebayo & Yusuf, 2024). Nasarawa State, located in north-central Nigeria, has faced numerous reports of poorly maintained healthcare facilities, with issues such as leaking roofs, non-operational diagnostic machines, and outdated medical tools affecting service delivery (Ibrahim & Bello, 2024). While government policies exist to regulate hospital maintenance, poor policy implementation, inadequate funding, and lack of accountability contribute to infrastructure decay (Ogunbanjo & Salami, 2024).
This study investigates the maintenance culture of public hospitals in Nasarawa State, examining the factors contributing to poor maintenance and proposing solutions for improving hospital infrastructure and equipment sustainability.
Statement of the Problem
Despite government investments in healthcare infrastructure, public hospitals in Nasarawa State continue to suffer from poor maintenance practices. Many facilities lack regular repairs, leading to deteriorating buildings, broken medical equipment, and unhygienic environments (Bello & Yusuf, 2023). The absence of a structured maintenance framework and lack of accountability further exacerbate the situation (Ogunbanjo & Salami, 2024).
The failure to maintain hospital infrastructure not only affects healthcare service delivery but also increases the financial burden on the government, as emergency repairs and replacements often cost more than regular maintenance (Ibrahim & Bello, 2024). This study seeks to investigate the underlying factors behind poor maintenance culture in Nasarawa State's public hospitals and recommend strategies to ensure sustainability and efficiency in healthcare infrastructure management.
Objectives of the Study
- To assess the state of maintenance culture in public hospitals in Nasarawa State.
- To identify the key factors affecting hospital maintenance and infrastructure sustainability.
- To propose effective maintenance strategies for improving healthcare infrastructure in Nasarawa State.
Research Questions
- What is the current state of maintenance culture in public hospitals in Nasarawa State?
- What factors hinder the effective maintenance of healthcare infrastructure in Nasarawa State?
- What strategies can be implemented to improve hospital maintenance culture?
Research Hypotheses
- Maintenance culture has no significant impact on healthcare service delivery in public hospitals in Nasarawa State.
- Poor funding and lack of accountability significantly contribute to poor hospital maintenance.
- Implementing a structured maintenance framework will improve hospital infrastructure sustainability.
Scope and Limitations of the Study
This study focuses on the maintenance culture of public hospitals in Nasarawa State, assessing infrastructure conditions, equipment management, and sanitation practices. Limitations include possible difficulty in obtaining maintenance records and variations in maintenance practices across different hospitals.
Definitions of Terms
- Maintenance Culture: The practices and policies adopted to ensure the regular upkeep of hospital infrastructure and equipment.
- Infrastructure Sustainability: The ability to maintain hospital buildings and facilities in functional conditions over time.
- Preventive Maintenance: Routine checks and repairs conducted to prevent major infrastructure failures.
- Hospital Service Delivery: The provision of medical care and related services within a healthcare facility.
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