Health workforce and governance: the crisis in Nigeria
Health workforce and governance: the crisis in Nigeria
复制标题
DOI：
10.1186/s12960-017-0205-4
复制
发表时间：
2017-05-12
影响因子：
4.5
通讯作者：
Iseolorunkanmi, Alexander
中科院分区：
文献类型：
--
作者：
Adeloye, Davies;David, Rotimi Adedeji;Iseolorunkanmi, Alexander
背景资料：在尼日利亚，据报告卫生部门面临若干挑战，特别是在培训、供资、就业和卫生工作人员的部署方面。我们的目的是审查最近在尼日利亚卫生部门的卫生人力危机，以确定关键的根本原因，并提供建议，以防止和/或管理潜在的未来危机在尼日利亚。方法：我们进行了范围文献检索PubMed，以确定在尼日利亚的卫生人力和卫生治理的研究。一个批判性的分析，与扩展的评论，最近的卫生人力危机（2010-2016年）和卫生系统在尼日利亚carried.Results：尼日利亚的卫生系统是相对薄弱的，还有一个协调一致的反应在全国各地。由于拖欠几个月的工资、福利差、缺乏适当的保健设施以及保健工作者中出现派系，最近报告了一些保健工作人员危机。各级政府管理不善和应对不力，助长了卫生工作者之间的进一步内部危机，不同派别参与了长期的霸权挑战。因此，这些危机阻止了最佳的医疗保健提供给NigeriaPopulation.Conclusions：一个包容性的利益相关者论坛在尼日利亚卫生部门仍然是必不可少的。国家卫生系统需要一个坚实的行政政策基础，以便能够协调卫生工作人员队伍和各利益攸关方之间的优先事项和伙伴关系。希望本文能促进尼日利亚卫生人力和治理方面的相关改革，以改善该国的卫生服务。
Background: In Nigeria, several challenges have been reported within the health sector, especially in training, funding, employment, and deployment of the health workforce. We aimed to review recent health workforce crises in the Nigerian health sector to identify key underlying causes and provide recommendations toward preventing and/or managing potential future crises in Nigeria.Methods: We conducted a scoping literature search of PubMed to identify studies on health workforce and health governance in Nigeria. A critical analysis, with extended commentary, on recent health workforce crises (2010-2016) and the health system in Nigeria was conducted.Results: The Nigerian health system is relatively weak, and there is yet a coordinated response across the country. A number of health workforce crises have been reported in recent times due to several months' salaries owed, poor welfare, lack of appropriate health facilities and emerging factions among health workers. Poor administration and response across different levels of government have played contributory roles to further internal crises among health workers, with different factions engaged in protracted supremacy challenge. These crises have consequently prevented optimal healthcare delivery to the Nigerian population.Conclusions: An encompassing stakeholders' forum in the Nigerian health sector remain essential. The national health system needs a solid administrative policy foundation that allows coordination of priorities and partnerships in the health workforce and among various stakeholders. It is hoped that this paper may prompt relevant reforms in health workforce and governance in Nigeria toward better health service delivery in the country.