The Local Government and Challenges of Primary Healthcare Delivery in Enugu State East Local Government Area Nigeria
Primary healthcare as a decentralized medical service at the community area in Nigeria is bedeviled with challenges. In other words, this study takes took a critical look at the challenges militating against primary health care delivery at the local levels in Nigeria with reference to Enugu East local government of Enugu state. The study examines the efforts and challenges of Enugu East local government in improving the health care service in Enugu East rural communities. In reference to the methodology of this study, it adopted a survey design with reference to primary source (structured questionnaire) as instrument of data collection, quantitative liket scale of data analysis and Easton’s political system framework for empirical analysis. This study further revealed that primary health care delivery is fraught with challenges (such as inadequate funding, drugs, quality service) which stem from the abysmal failures of Enugu East local government. This work therefore recommends measures such as improved budgetary allocation, strengthening the supply chain of drugs, enhanced clinical service as conditions imperative for improved health care service in Enugu East rural communities.
Appadoari, A (1975) The Substance of Politics. London: Oxford University Press.
Awofeso, O. (2003). Issues in Local Government Administrationin Nigeria. Lagos Lisjohnson Resources Publishers
Choudhury, H and Dara Das(1997) Introduction to Political Sociology. New Delhi: Vikas Publishing Company.
Ezeani, E (2003) Local Government Administration. Enugu: Ziks-Chuks Publishers.
Ezeani, E (2012) Fundamentals of Public Administration. Enugu: Ziks-Chuks Publishers.
Fajiobi, F. (2010). X-ray of Local Government Administration in Nigeria. Ibadan Cresthill Publishers Ltd.
Gauba, O. (2003). An Introduction to Political Theory, India: Macmillan Ltd.
Ogunna, A. (1996). Handbook on Local Government in Nigeria, Owerri: Versatile Publishers Ltd.
Udenta, J. (2007). Local Government: A Comparative Perspective, Enugu: New Generation Books.
Ugwu, S.C. (2000). Issues in Local Government and Urban Administration in Nigeria, Enugu: Academic Publishing Company.
Verma, S.P. (1974). Modern Political Theory, New Delhi: Vikas Publishing House Art Ltd.
Abdulraheem, S, Olapipo, R and Awodu, O (2011) Primary Health Care Services in Nigeria: Critical Issues and Strategies for Enhancing the use by the rural communities. Journal of Public health and Epidemiology Vol4(1).
Abiodun,A J (2005) Patient’s Satisfaction with the Quality Attributes of Primary Health Care Service in Nigeria. Journal of Health.
Adeymo, D (2005) Local government and health care delivery in Nigeria. Journal of Humanities.
Almata –Ata (1978) Primary Health Care.Geneva : World Health Organization.
Anyika, Emmanuel (2014) Challenges of Implementing Sustainable Health Care Delivery in Nigeria under Environmental Uncertainty .Journal of Hospital Administration Vol 3. No 6.
Berman, P and T, A Bossert(2000) Decade of Health Sector Reform in Developing Countries. UNAIDS Journal of Reading.
Ndibuagu, E O; Nwobi E A, Onoka, C A, Arinze, Onyia S, and Obionu, C N (2015) Knowledge, Attributes and Practices of Enugu State District Health System by Public Primary Health Care Workers. International Research Journal Of Medical Sciences.
Okoli, F C, Nnamani D and Eberinwa, O M (2015) Local Government and Good Governance in Enugu State, Nigeria (2002-2012). Review of Public Administration and Management.
Uzochukwu, Be, O Onwujekwe and Nkoli E, (2014) The District Health System in Enugu State Nigeria. An Analysis of Policy Development and Implementation. Journal of Health EconomicsDecember,2014.
Copyright (c) 2019 Prof. Jude Udenta, Ndiruka Udenta
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright of their manuscripts, and all Open Access articles are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
SOCIALSCI JOURNAL allow the author(s) to retain publishing rights without restrictions.
This Journal is licensed under a Creative Commons Attribution 4.0 International License.