Balancing Demand, Quality and Efficiency in Nigerian Health Care Delivery System

摘要

The health sector is crucial to growth and development of a nation. Despite sound policies and interventions to develop the Nigerian health sector, it has witnessed several challenges that continue to reduce the progress and achievement of universal access to health care. Some of the factors that affect the overall performance of the health system include; inadequate health facilities/structure, poor human resources and management, poor remuneration and motivation, lack of fair and sustainable health care financing, unequal economic and political relations, the neo-liberal economic policies of the Nigerian state, corruption, illiteracy, very low government spending on health, high out-of-pocket expenditure in health and absence of integrated system for disease prevention, surveillance and treatment, inadequate mechanisms for families to access health care, shortage of essential drugs and supplies and inadequate supervision of health care providers are among some of the persistent problems of the health system in Nigeria. This paper looks at the enormity of the problems and recommends policy options vital to addressing the problems in order to attain the equilibrium in demand, quality and efficiency in the health care delivery system in Nigeria. Keywords: Demand, Quality, efficiency, health care system, Nigeria