Private money-making indulgence and inefficiency of primary healthcare in Nigeria: a qualitative study of health workers’ absenteeism
Objectives Generating additional personal income is common with primary healthcare (PHC) workforce in Nigeria, which could be because of the inconsistencies marring their monthly salaries. Therefore, this study investigates the drivers of private economic activities of PHC providers in the public se...
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| Veröffentlicht in: | International journal of public health 2020-09, Vol.65 (7), p.1019-1026 |
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| container_title | International journal of public health |
| container_volume | 65 |
| creator | Agwu, Prince Ogbozor, Pamela Odii, Aloysius Orjiakor, Charles Onwujekwe, Obinna |
| description | Objectives
Generating additional personal income is common with primary healthcare (PHC) workforce in Nigeria, which could be because of the inconsistencies marring their monthly salaries. Therefore, this study investigates the drivers of private economic activities of PHC providers in the public sector, and the links to absenteeism, as well as inefficiency of PHC facilities in Nigeria.
Methods
A qualitative study design was used to collect data from 30 key-informants using in-depth interviews. They were selected from 5 PHC facilities across three local government areas in Enugu state, south-eastern Nigeria. Data were analysed thematically, and guided by phenomenology.
Results
Findings showed that majority of the health workers were involved in different private money-making activities. A main driver was inconsistencies in salaries, which makes it difficult for them to routinely meet their personal and household needs. As a result, PHC facilities were found less functional.
Conclusions
Absenteeism of PHC providers can be addressed if efforts are made to close justifiable gaps that cause health workers to struggle informally. Such lesson can be instructive to low- and middle-income countries in strengthening their health systems. |
| doi_str_mv | 10.1007/s00038-020-01405-3 |
| format | Article |
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Generating additional personal income is common with primary healthcare (PHC) workforce in Nigeria, which could be because of the inconsistencies marring their monthly salaries. Therefore, this study investigates the drivers of private economic activities of PHC providers in the public sector, and the links to absenteeism, as well as inefficiency of PHC facilities in Nigeria.
Methods
A qualitative study design was used to collect data from 30 key-informants using in-depth interviews. They were selected from 5 PHC facilities across three local government areas in Enugu state, south-eastern Nigeria. Data were analysed thematically, and guided by phenomenology.
Results
Findings showed that majority of the health workers were involved in different private money-making activities. A main driver was inconsistencies in salaries, which makes it difficult for them to routinely meet their personal and household needs. As a result, PHC facilities were found less functional.
Conclusions
Absenteeism of PHC providers can be addressed if efforts are made to close justifiable gaps that cause health workers to struggle informally. Such lesson can be instructive to low- and middle-income countries in strengthening their health systems.</description><identifier>ISSN: 1661-8556</identifier><identifier>EISSN: 1661-8564</identifier><identifier>DOI: 10.1007/s00038-020-01405-3</identifier><identifier>PMID: 32840632</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Absenteeism ; Adult ; Efficiency, Organizational - economics ; Efficiency, Organizational - statistics & numerical data ; Environmental Health ; Female ; Health Workforce - economics ; Health Workforce - statistics & numerical data ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nigeria ; Occupational Medicine/Industrial Medicine ; Original ; Original Article ; Primary Health Care - economics ; Primary Health Care - statistics & numerical data ; Public Health ; Qualitative Research ; Salaries and Fringe Benefits - economics ; Salaries and Fringe Benefits - statistics & numerical data</subject><ispartof>International journal of public health, 2020-09, Vol.65 (7), p.1019-1026</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-2a331518c7c048d000a0b93ebc9e048fe03eb765f28015dddd61ff3f0ea7de853</citedby><cites>FETCH-LOGICAL-c474t-2a331518c7c048d000a0b93ebc9e048fe03eb765f28015dddd61ff3f0ea7de853</cites><orcidid>0000-0001-9224-7622</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00038-020-01405-3$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00038-020-01405-3$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32840632$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Agwu, Prince</creatorcontrib><creatorcontrib>Ogbozor, Pamela</creatorcontrib><creatorcontrib>Odii, Aloysius</creatorcontrib><creatorcontrib>Orjiakor, Charles</creatorcontrib><creatorcontrib>Onwujekwe, Obinna</creatorcontrib><title>Private money-making indulgence and inefficiency of primary healthcare in Nigeria: a qualitative study of health workers’ absenteeism</title><title>International journal of public health</title><addtitle>Int J Public Health</addtitle><addtitle>Int J Public Health</addtitle><description>Objectives
Generating additional personal income is common with primary healthcare (PHC) workforce in Nigeria, which could be because of the inconsistencies marring their monthly salaries. Therefore, this study investigates the drivers of private economic activities of PHC providers in the public sector, and the links to absenteeism, as well as inefficiency of PHC facilities in Nigeria.
Methods
A qualitative study design was used to collect data from 30 key-informants using in-depth interviews. They were selected from 5 PHC facilities across three local government areas in Enugu state, south-eastern Nigeria. Data were analysed thematically, and guided by phenomenology.
Results
Findings showed that majority of the health workers were involved in different private money-making activities. A main driver was inconsistencies in salaries, which makes it difficult for them to routinely meet their personal and household needs. As a result, PHC facilities were found less functional.
Conclusions
Absenteeism of PHC providers can be addressed if efforts are made to close justifiable gaps that cause health workers to struggle informally. Such lesson can be instructive to low- and middle-income countries in strengthening their health systems.</description><subject>Absenteeism</subject><subject>Adult</subject><subject>Efficiency, Organizational - economics</subject><subject>Efficiency, Organizational - statistics & numerical data</subject><subject>Environmental Health</subject><subject>Female</subject><subject>Health Workforce - economics</subject><subject>Health Workforce - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nigeria</subject><subject>Occupational Medicine/Industrial Medicine</subject><subject>Original</subject><subject>Original Article</subject><subject>Primary Health Care - economics</subject><subject>Primary Health Care - statistics & numerical data</subject><subject>Public Health</subject><subject>Qualitative Research</subject><subject>Salaries and Fringe Benefits - economics</subject><subject>Salaries and Fringe Benefits - statistics & numerical data</subject><issn>1661-8556</issn><issn>1661-8564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9UU1v1DAQtRCIloU_wAFZ4sIlMI4d28sBCVVQkCrgAGfL64x33SZOayeL9saN38Df45fUbZbl44AvHs-8eeM3j5DHDJ4zAPUiAwDXFdRQARPQVPwOOWZSsko3Utw9xI08Ig9yPgeQoIHdJ0e81gIkr4_J908pbO2ItB8i7qreXoS4piG2U7fG6JDa2JYneh9cKIkdHTy9TKG3aUc3aLtx42zCAqEfwhpTsC-ppVeT7cJox7BFmsepve2a0fTrkC4w5Z_fflC7yhhHxJD7h-Set13GR_t7Qb68ffP55F119vH0_cnrs8oJJcaqtpyzhmmnHAjdlgVYWC05rtwSS8IjlFjJxtdFaNOWI5n33ANa1aJu-IK8mnkvp1WPrSvzk-3MXpEZbDB_V2LYmPWwNUosFeeiEDzbE6ThasI8mj5kh11nIw5TNrXgitValfUuyNN_oOfDlGKRV1CCLaVWzQ1hPaNcGnJO6A-fYWBufDazz6b4bG59Nrw0PflTxqHll7EFwGdALqVYjPk9-z-01-ESt5s</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Agwu, Prince</creator><creator>Ogbozor, Pamela</creator><creator>Odii, Aloysius</creator><creator>Orjiakor, Charles</creator><creator>Onwujekwe, Obinna</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9224-7622</orcidid></search><sort><creationdate>20200901</creationdate><title>Private money-making indulgence and inefficiency of primary healthcare in Nigeria: a qualitative study of health workers’ absenteeism</title><author>Agwu, Prince ; Ogbozor, Pamela ; Odii, Aloysius ; Orjiakor, Charles ; Onwujekwe, Obinna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-2a331518c7c048d000a0b93ebc9e048fe03eb765f28015dddd61ff3f0ea7de853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Absenteeism</topic><topic>Adult</topic><topic>Efficiency, Organizational - economics</topic><topic>Efficiency, Organizational - statistics & numerical data</topic><topic>Environmental Health</topic><topic>Female</topic><topic>Health Workforce - economics</topic><topic>Health Workforce - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nigeria</topic><topic>Occupational Medicine/Industrial Medicine</topic><topic>Original</topic><topic>Original Article</topic><topic>Primary Health Care - economics</topic><topic>Primary Health Care - statistics & numerical data</topic><topic>Public Health</topic><topic>Qualitative Research</topic><topic>Salaries and Fringe Benefits - economics</topic><topic>Salaries and Fringe Benefits - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Agwu, Prince</creatorcontrib><creatorcontrib>Ogbozor, Pamela</creatorcontrib><creatorcontrib>Odii, Aloysius</creatorcontrib><creatorcontrib>Orjiakor, Charles</creatorcontrib><creatorcontrib>Onwujekwe, Obinna</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Agwu, Prince</au><au>Ogbozor, Pamela</au><au>Odii, Aloysius</au><au>Orjiakor, Charles</au><au>Onwujekwe, Obinna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Private money-making indulgence and inefficiency of primary healthcare in Nigeria: a qualitative study of health workers’ absenteeism</atitle><jtitle>International journal of public health</jtitle><stitle>Int J Public Health</stitle><addtitle>Int J Public Health</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>65</volume><issue>7</issue><spage>1019</spage><epage>1026</epage><pages>1019-1026</pages><issn>1661-8556</issn><eissn>1661-8564</eissn><abstract>Objectives
Generating additional personal income is common with primary healthcare (PHC) workforce in Nigeria, which could be because of the inconsistencies marring their monthly salaries. Therefore, this study investigates the drivers of private economic activities of PHC providers in the public sector, and the links to absenteeism, as well as inefficiency of PHC facilities in Nigeria.
Methods
A qualitative study design was used to collect data from 30 key-informants using in-depth interviews. They were selected from 5 PHC facilities across three local government areas in Enugu state, south-eastern Nigeria. Data were analysed thematically, and guided by phenomenology.
Results
Findings showed that majority of the health workers were involved in different private money-making activities. A main driver was inconsistencies in salaries, which makes it difficult for them to routinely meet their personal and household needs. As a result, PHC facilities were found less functional.
Conclusions
Absenteeism of PHC providers can be addressed if efforts are made to close justifiable gaps that cause health workers to struggle informally. Such lesson can be instructive to low- and middle-income countries in strengthening their health systems.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32840632</pmid><doi>10.1007/s00038-020-01405-3</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9224-7622</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International journal of public health, 2020-09, Vol.65 (7), p.1019-1026 |
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| subjects | Absenteeism Adult Efficiency, Organizational - economics Efficiency, Organizational - statistics & numerical data Environmental Health Female Health Workforce - economics Health Workforce - statistics & numerical data Humans Male Medicine Medicine & Public Health Middle Aged Nigeria Occupational Medicine/Industrial Medicine Original Original Article Primary Health Care - economics Primary Health Care - statistics & numerical data Public Health Qualitative Research Salaries and Fringe Benefits - economics Salaries and Fringe Benefits - statistics & numerical data |
| title | Private money-making indulgence and inefficiency of primary healthcare in Nigeria: a qualitative study of health workers’ absenteeism |
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