PROBLEMS AND PROSPECT OF HEALTH SERVICE DELIVERY AT GRASSROOT LEVEL
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Abstract
This study seeks to highlight the recent activities of local government in health care delivery. Health care in Nigeria is prone to so many problems which are attributed to the fact that health services are in great demand but accessibility to health services is very low. Result shows that factors such as socio-economic, cultural, political as well as poor planning and/or poor implementation of health policies and programmes by the government are some of contributing factors. The literature review reveals the interconnectedness between local government and the sustenance of primary health care in Nigeria. The study traced the historical antecedent of health service delivery from the colonial era to the present day. It identifies the major contradictions in the management of primary health care implementation, using a local government as case study. In this study, Ife-East L.G.A was used as case study in this research. They include shortage of qualified personnel and finance, inadequate transportation, inaccessibility to communities, lack of maintenance culture, political instability, high degree of leadership turn-over. For the sustainability of health care service delivery at the grassroots, the study recommends increase financial allocation, community mobilization, improved health education, policy consistency and provision of qualified health workers.
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