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EFFECT OF
PERSONNEL MANAGEMENT ON THE PERFORMANCE OF HEALTH SECTOR
CHAAPTER ONE
INTRODUCTION
1.1 BACKGROUND OF THE STUDY
Borno State
is one of the North Eastern State in
Nigeria with its capital in Maiduguri created
in
1976. The
state has a population growth rate of about 3.0%, with a current population
estimated at about 4.5 million (2006 census). The children under five are
estimated at about 907,224 (20% of the total population).The main economic
activities of the people are farming and fishing living below the poverty
level. The mortality indices in Borno
state is regarded as one of the worst in the country. Estimate shows that
Infant Mortality stands at 109/1000LB1 while under five Mortality is estimated at
222/1000LB1. The Maternal Mortality ratio is taken as 545/100000LB2. Health
facility Within the Health Sector consist of 1 fully equipped Hospital with a
combined bed capacity of 3430 beds, 32
General Hospitals, and 1 Specialized
Hospital other health facility consist of
federal institutions located in
Maiduguri. This includes Neuropsychiatry Hospital, 100-bed capacity and the
Police Hospital, 30 bed capacities. The University of Maiduguri Teaching
Hospital has 1000-bed capacity. There are also about 449 PHC facilities owned
by LGAs which include 48 health center,140 health clinics,195 Dispensaries and
health post ,34 maternal and child
clinics , 36 private health clinics and 3
Missionary/NGO
owned clinics. The major factor hindering effective health care delivery
include among others Inadequate Human Resources which result to lack of
efficient coordination of health intervention program in the state .BORNO STATE
GOVERNMENT STRATEGIC HEALTH DEVELOPMENT PLAN (2010-2015)
.
Consequently the research seeks to investigate the effect of personnel
management on the performance of the health sector in Borno state.
1.2 STATEMENT OF THE PROBLEM
The Borno
State Government had embarked on the construction and rehabilitation of health
facilities in the state .This is in line with its objective of providing increase access to healthcare for its
citizens. However, conscious effort must be made through effective planning to
achieve its health care delivery objective. Consequently, the challenges of human resources would
therefore
need to be addressed .Currently available records indicate the inadequacy of
Human
Resources needed for the realization of the effective for Health care delivery
in the state. The Borno state health records shows that key health personnel under the state public
service consist of 235 Community Health Officers, about 1236 nurses &
midwives,74 doctors, 13 pharmacists, 18
medical lab scientists . These human resource statistics reveals the gross insufficiency of health care personnel required to achieve the
needed effective health care delivery for the about 4.5m state population .and
forms part. The situation reveals that many health care facilities do not have
Doctors, sufficient nurses and midwives, pharmacist and or medical lab
scientist. Apparently many of this
health care facilities do not have
adequate and
the right mix of human resources for effective health care delivery especially,
at the middle-level and providing health care to the rural population is
obscured due to lack and insufficient
health personnel required to effectively provide primary healthcare services .
Therefore
the greatest challenge for the Borno
state government is to address this
Imbalance,
in a systematic manner and on a sustained basis. Consequently the strategic
plan of the Borno state government is to increase the level of the workforce on
an annual basis from the present level of 10% which is below 25% by WHO
standard to the level of 60% by 2015. This precipate the need for the evolution
of the plan to recruit new health personnel to fill in the gaps for critical health
personnel in the state which will include doctors, community health officers
pharmacists, midwives and nurses and
significantly, a general staff
re-training and
Re-orientation
exercise aimed improving the state of all health workers in the state. BORNO
STATE GOVERNMENT STRATEGIC HEALTH DEVELOPMENT PLAN (2010-2015)
Consequently
the problem confronting the research is to appraise the Effect of personnel
management on the performance of health sector in borno state.
1.3 OBJECTIVES OF THE STUDY
The
objective of the study is to determine the effect of personnel management on
the performance of health sector in Borno state.
1.4 RESEARCH QUESTIONS
What is the
level of impact of personnel management on the health sector in Borno state
1.5 SIGNIFICANCE OF THE STUDY
The study
shall elucidate on the state of the health sector in borno state and proffer
the impact of personnel management on the health sector in Borno state.
1.6 RESEARCH HYPOTHESIS
Ho The
effect of personnel management on the health sector in Borno state is Low
Hi The effect of personnel management on the
health sector in Borno state is High
1.7 SCOPE OF THE STUDY
The study
focuses on the appraisal of the effect of personnel management on the health
sector in Borno state.
1.8 LIMITATIONS OF THE STUDY
The research
was confronted with logistics constraint and also bearing in mind geographical
factor.
1.9
DEFINITION OF TERMS
HEALTH
DEFINED
Health is
defined as the condition of being sound in body, mind, or spirit
PERSONNEL
MANAGEMENT DEFINED
Personnel
management is defined as the Administrative discipline of hiring and developing
employees conducting job analyses, planning personnel needs, and recruitment,
selecting the right people for the job, orienting and training, determining and managing wages and
salaries, providing benefits and
incentives, appraising performance, resolving disputes, communicating with all employees at all
levels so as to develop and sustain an effective and valuable work force.
MORTALITY
RATE
Mortality
rate, otherwise known as death rate is the determination of the number of
deaths per population, for a given period of
time. Mortality rate is usually stated in units of deaths per 1,000
persons per year; consequently, a mortality rate of 9.5 of 1,000 in a
population of 1,000 would mean 9.5 deaths per year in that entire population,
or 0.95% out of the total. This is different
from "morbidity", which constitute the prevalence or incidence of a disease, and
the incidence rate indicating the number
of newly cases of the disease per unit of time.
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