DAVID EBOH BA (Hons) (Health Service Management) PGDipHE, LLB, MBA Health Management Consultant President: Nigerian Association of Health Service Managers and Consultants (NAHSMAC) Author: Two management books on healthcare School Governor: St Peter’s R.C. Pri. Sch. London
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Managing Productive and Profitable Healthcare in Nigeria
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DAVID EBOH
BA (Hons) (Health Service Management) PGDipHE, LLB, MBA
Health Management Consultant
President: Nigerian Association of Health Service Managers and Consultants
(NAHSMAC)
Author: Two management books on healthcare
School Governor: St Peter’s R.C. Pri. Sch. London
• The market and competition
• Globalisation and technology
• Corporate failures and successes
• Data management and information research
• Understanding yesterday
• Dealing with today
• Planning for tomorrow (future)
• Public interest and National/State Image
Financial strategy
Business strategy
Human Resource Strategy
Clinical leadership and Medical Research
Staff education, training and development strategy
Branding and Marketing strategy
Estate and facility management
Security
• Over 10 episodes of doctors’ strike in 2 years
• Over 100,000 deaths following the strikes
• Each strike last consistently over 2 – 10 months
• Diversion of public drugs and equipment to private hospitals
• Redirection of patients from public to private hospitals
• Cash deposit overrides Hippocratic oath for saving lives
Uffot, E. (2010) ....They’re still at best consulting clinics Newswatch 50th
Birthday Special Edn. 29 Sept.
• Political rhetoric, no genuine commitment
• Public fund paying for overseas treatment of government
officials
• Foreign medical treatment cost Nigeria N30 billion
annually (Ngozi Okonjo-Iweala)
• Failure to manage the synergy across health related
agencies – food, road/transport, water etc
• Political indecision on interprofessional rivalry
• Subjectivity to external influences – Nigerians used as
guinea pig for clinical trials
(Eboh, D. (2008) The Politics of Healthcare in Nigeria, A Game of Lottery
1 million Nigerian children currently die per year at birth
compare to 9 million globally (WHO)
1,100 children die annually out of 100,000 births
53,000 women die annually from pregnancy related
conditions (WHO, see Uffot 2010)
1 in 5 children die before their 5th birthday in Nigeria
Estimate of 60% of the deaths are preventable
Low life expectancy, 48 years men, 49 years women
• About 80% of preventable deaths are due to clinical
negligence
• In 2007 N400 million health budget mismanaged by then
Minister of Health Prof Adenike Grange
• In 2003, N17.4 billion health loan from IDA, world Bank not
properly accounted for
• In 2009, N13 billion loan from IDA ,World Bank also
unsatisfactorily managed
• Present Health Minister, Prof. Chukwu asserts that N 4.47
trillion ($20 billion) is needed to achieve MDG by 2015 (Uffot
2010)
Patient centred care - clinical and administrative staff
Equality and diversity
Corporate culture and identity; Collective ownership
Absence of learning and development – status barrier
Mutuality in dignity and respect across all boundaries
Every stakeholder matters in healthcare setting
The gradual growth of foreign healthcare providers in
Nigeria – threat and opportunities
Under developed accident & emergency services
Poor primary healthcare system - Non-viable community
healthcare services
Continuing brain drain of medical, other clinical and
healthcare professionals
Dead or isolated prominent Nigerians in healthcare
institutions abroad– why???
Road accidents and other traumatic incidents
Extensive review of the key influencing factors
Proactive PEST analysis
Comprehensive SWOT analysis
Overhaul of institutions and organisational structure
Introduction of corporate leadership
Introduction of Socio - entrepraprenural health management
model
Training, development and mentoring of managers
Taking advantage of IT and modern technology
Establishment of dedicated Health Management Institute
Extensive and sustained investment in medical research
Clear distinction in roles between clinical and management
leadership
Managed and viable primary healthcare system
Universal registration with Community Health Clinics
Functional A&E and Ambulance services
Proactive disease prevention and chronic disease
management
21st Century Healthcare Corporate Boardroom
With Social-Entrepreneural Model for Service Delivery
This model enhances multi-talents approach to corporate priorities and unifies strategic vision for growth,