Impact of poor maintenance of government hospitals in Edo north senatorial district
Abstract
This study was on impact of poor maintenance of government hospitals in edo north senatorial district. The total population for the study is 200 staff of selected government hospitals in Edo north senatorial district. The researcher used questionnaires as the instrument for the data collection. Descriptive Survey research design was adopted for this study. A total of 133 respondents made doctors, nurses, senior staff and junior staff were used for the study. The data collected were presented in tables and analyzed using simple percentages and frequencies
 Chapter one
Introduction
- Background of the study
Hospitals and health care buildings are regarded as the most complex indoor facilities with numerous end users of indoor spaces and functions. Hospitals are considered as one of the most difficult indoor facilities among public sector buildings to maintain, partly because of their complex engineering services. Since poor maintenance practices could lead to more frequent breakdowns, which may cause inconvenience to catastrophe, therefore, maintenance has to be more reliable, more efficient, and more cost effective. It is impossible to produce buildings, which are maintenance free. However, maintenance work can be minimized by good design and proper workmanship, in addition to, a proper management of the process that involves assessing performance, and maintenance management of buildings. In the past few decades, researchers had realized the importance of maintainability of buildings in achieving cost savings and better functioning of facilities. A prime aim of the maintenance process is to preserve a building in its initial effective state, as far as practicable, so that it serves its purpose effectively. The best way to achieve good maintenance is to have an effective maintenance management, which capable to meet the expected requirements of the end user
Poor maintenance may result in structural failure and money wastage. It is obvious that the maintenance is very important and needed for all sectors including properties sectors. Regard to the highly cost of maintenance it is important to study maintenance problem so that an effective maintenance can be carried out. Building defects arise through inappropriate or poor design, specification and construction as well as to insufficient attention given to building maintenance. The tropical climates condition such as in Malaysia, also one problem that can affect Significantly to the building defects. The correct identification of types of building material for maintenance purposes as to be cleaned, refinished, renovated or restored is the important step in the process of identifying building defect. An investigation should be carried out before any repair work is undertaken. The organizational needs to specify and supervise the technical requirement of investigating and diagnosing faults to assess condition. There is no doubt that improved quality increases costs in labor and supervisor. However, this careful construction of structures attracts a proportionate consequence in necessary maintenance and repair cost during the life of a building. The levels of cleanliness vary major in hospitals. The cleanliness of any hospital environment is important for infection control and patient wellbeing. Cleaning staff play an important role in quality improvement, publics confident to hospitals and in reducing infection and related risks. Cleanliness is the absence of dirt, including dust, stain, bad smell and garbage. If we state that a hospital is clean, we assume that it looks clean and that it is safe for patients. Unfortunately, there are microbes that invisible to the naked eye. Purposes of cleanliness include health, beauty, absence of offensive odor and to avoid the spreading of dirt and contaminants to oneself and others.
Statement of the problem
According to Derek Miles et a! (1986), there are three main problems in maintenance which is inadequate financial, bad management, and poor building design. The first problem is financial management. To fulfill the demands of private and public sectors, there are many expected error and defects that will occur during the construction and that will be results in high cost of maintenance. The second problem is bad management. Organizations need effective managers and employees to maintain smooth management. Organizations cannot succeed without their personnel efforts and commitment. Job satisfaction is critical to retaining and attracting well-qualified personnel. This is especially an issue in medical institutions such as hospitals where specialist training and retention are highly important. The third problem is poor building design. It is important when decide the material that will be used in construction. The differences in capacity and facility would triggered a different maintenance treatment requires the study to identify whether the present maintenance system is can be implemented to the all buildings. Most hospitals have their own domestic specifications for wards, operating theatres, outpatient and non-clinical areas. More countries are producing national standards for environmental cleaning. These set a necessary and valuable precedent but they are not based on sufficient scientific evidence to Justify their contents.
Objective of the study
The objectives of the study are;
- To compare the management maintenance system between private and public hospital.
- To ascertain impact of poor maintenance of government hospital in Edo state
- To determine the effectiveness of maintenance management system in hospital.
Research hypotheses
For the successful completion of the study, the following research hypotheses were formulated by the researcher;
H0:Â there is no impact of poor maintenance of government hospital in Edo state
H1: there is impact of poor maintenance of government hospital in Edo state
 H02: there is no effectiveness of maintenance management system in hospital.
H2: there is effectiveness of maintenance management system in hospital.
Significance of the study
This study will be of advantage to students, policy makers and government, especially ministry of health. The study will make it clear the impact of poor maintenance and good maintenance the result of them and their effectiveness to the hospital. The study will also serve as a reference to other researcher that will embark on the related topic
Scope and limitation of the study
The scope of the study covers impact of poor maintenance of government hospitals in Edo north senatorial district. The researcher encounters some constrain which limited the scope of the study;
- a) AVAILABILITY OF RESEARCH MATERIAL: The research material available to the researcher is insufficient, thereby limiting the study
- b) TIME: The time frame allocated to the study does not enhance wider coverage as the researcher has to combine other academic activities and examinations with the study.
Definition of terms
Poor maintenance: Maintenance culture is a bedrock of infrastructural and facility development which should not be taken with levity if vision 2020 attainment is to be achieved. Poor leadership, lack of maintenance policy, attitudinal problem and corruption are identified among others as the major causes of poor maintenance.
Government hospital: A public hospital, or government hospital, is a hospital which is government owned and is fully funded by the government and operates solely off the money that is collected from taxpayers to fund healthcare initiatives. In some countries, this type of hospital provides medical care free of charge to patients, covering expenses and wages by government reimbursement.
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