Performance Evaluation Of Primary Health Care (Phc) Buildings

Performance Evaluation Of Primary Health Care (Phc) Buildings

Abstract

Being studies have established that the physical characteristics of structures have significant influence on inhabitants ’ satisfaction. still, studies has shown that the conventional ways that public sanitarium structures in Nigeria are designed have contributed to stress, depression and anxieties because of loss of sequestration, control over eating and sleeping times, and noise. And in addition contributed to troubles, disinclinations and other acquired infections called Hospital Acquired Infections( HAI) to cases and staff. This study assessed the performance of Primary Healthcare Centre( PHC) structures which is linked to be the applicable settings to attack over 90 of the major causes of morbidity and mortality due to its propinquity to about two- thirds of Nigerians. The objects of this study were to; identify those standard performance criteria of healthcare structures that aids mending of cases and appreciatively impact druggies of PHC structures; estimate the perception of druggies on the performance of PHC structures and figure applicable way to remedy the linked gaps to match up with the global norms. This was a descriptivecross-sectional study conducted in six PHC structures across the six area councils of the Federal Capital Territory( FCT), Nigeria. A intentional slice fashion was used to elect a aggregate of 334 samples( cases, medical staff and callers ’) from the target population. Data were collected with the aid of an acclimated interpretation of- Achieving Excellence Design Evaluation Toolkit( AEDET) questionnaires. Both descriptive and deducible statistics were used to present simple mean, standard divagation and test for statistical significance of the results. Ten criterion, distributed into three criteria videlicet; functionality, make quality and impact were linked as the needed norms for healthcare structure performance. They prop in the mending of cases, ameliorate the productivity of medical staff and attract patronage from callers. The results show that druggies ’ perception on the functionality and make quality of the PHC structures which concerns the extent to which it facilitates or inhibits the conditioning of the medical staff who carry out the functions outside and around the structure was poor. Also, the staff and patient terrain which was addressed byimpact was assessed to be poor. In view of these, cases in PHC structures don’t have sequestration during their stay for treatment and can not be alone with others to have private conversations because of the multiple bed system that’s presently run. The toilets, bathrooms and other installations for the use of staff, cases and caller aren’t befitting and staid enough to attract patronage. The study recommends that the National Primary Healthcar

Development Agency’s( NPHCDA) Minimum norms for Primary Healthcare and the Ward Minimum Healthcare Package upon which the design of PHC structures in Nigeria is grounded should be streamlined and reviewed to reflect ultramodern trends in healthcare armature.

Chapter One

Preface

Background

A completed structure with its installations and services must be fit for the purpose. Meaning that it should be suitable to perform its functions in the manner that will insure satisfaction to its inhabitants( Ilesanmi, 2010; Hinde, 2012). Although structures are constructed for different purposes( casing, academy, health,etc.), their performance moreover excellent or poor can be seen from the eyes of its druggies( Ilesanmi, 2010; Jiboye, 2012). The design quality of a structure have been set up to impact its functions( Haciric, 2008; Ibrahim, 2011; Jiboye, 2012). For illustration, a well- designed academy has shown to ameliorate the tutoring and literacy process of preceptors and scholars thereby bettered educational achievements( Khan and Kotharkar, 2012; Khalila, Kamaruzzamanb, Baharumb, and Husina, 2015). Also, a well- designed sanitarium has shown to help in quick cases ’ recovery, have positive impact on medical staff and callers( Abbas and Ghazali, 2010; Ibrahim, 2011; Dandajeh, 2011).

A number of reasons have been handed on why structures perform inadequately in meeting druggies ’ needs and prospects. The major reason was lack of acceptable knowledge of druggies ’ changing requirements and preferences by engineers and other professionals who design, construct and maintain these structures. And the nostrum to ameliorate the overall performance of structures is to explore and understand druggies ’ needs, prospects and bournes through regular performance evaluation by means of structure Performance Evaluation( BPE) or Post residency Evaluation( POE)( Natasha & Abdul Hadi, 2008; Ibema, Opoko, Adeboye, and Amole, 2013).