Impact of Poor Maintenance of Government Hospitals in Edo North Senatorial District
Chapter One
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.
CHAPTER TWO
REVIEW OF RELATED LITERATURE
1introuction
Maintenance is defined as the combination of technical and administrative actions, including supervision that intends to retain an item, or restore it to a state in which it can perform a required function [22]. Chanter and Swallow [6] defined maintenance as a combination of any actions carried out to retain an item in, or restore it to an acceptable condition. Horner et al proposed more specific definition of building maintenance as work undertaken in order to keep, restore or improve every part of a building, its services and surrounds, to a currently accepted standard, and to sustain the utility and value of the building. Lind and Muyingo stated that maintenance can be classified into planned maintenance and corrective maintenance. On the other hand, Dennis classified maintenance into four categories according to its purpose and process as follow:
- Preventive maintenance is carried out to prevent an item failing or wearing out by providing systematic inspection, detection and prevention of incipient failure. Preventative maintenance is usually programmed.
- Statutory maintenance is when plant such as lifts, fire systems, fume hoods and air conditioning systems are serviced and maintained in accordance with legislative requirements.
- Corrective maintenance is maintenance that is required to bring an item back to working order when it has failed or worn out.
- Backlog maintenance is maintenance that is necessary to prevent the deterioration of an asset or its function but which has not been carried out.
The main responsibility of maintenance unit is to maintain all the facilities and infrastructures, and to ensure the effectiveness of the supporting system for activity and work process in the office. The main supporting system such as lift system, air conditional system, air intake and outlet, electrical system, firefighting system, plumbing and sanitary system, cleaning services, civil and structural building, landscape, safety security, pest control, and telecommunication system, should be working properly without any disturbance that could affect the entire office work process. Maintenance can be implemented in three stages: planning and design stage, construction stage, and maintenance stage. Bin Hashem listed some factors that influence maintenance in the design stage for building maintenance such as: deterioration, future needs and faulty of choice materials. Cooper and Jones reported that the key factors that contributed to high levels of dissatisfaction of the approach to maintenance programs are: poor specification of initial requirements; unclear aims and objectives and inappropriate frameworks; an inability to predict long term cost requirements; variations in levels of experience of those conducting surveys; unrealistic claims by consultants selling survey services; inappropriate or unusable data; poor links to organizational objectives; and a lack of fit of survey data. Shah Ali et al stated that the most dominant factors affecting maintenance cost were building materials, building services, building age and failure to execute maintenance at the right time. Cobbinah showed another type of factors as being responsible for the poor maintenance of public buildings, those include: the age of the buildings, lack of maintenance culture, inadequate funds and high maintenance cost, pressure on building facilities by number of users and poor construction work and maintenance work done by maintenance personnel of the institution.
CHAPTER THREE
RESEARCH METHODOLOGY
Research design
The researcher used descriptive research survey design in building up this project work the choice of this research design was considered appropriate because of its advantages of identifying attributes of a large population from a group of individuals. The design was suitable for the study as the study sought the impact of poor maintenance of government hospitals in Edo north senatorial district
Sources of data collection
Data were collected from two main sources namely:
(i)Primary source and
(ii)Secondary source
Primary source:
These are materials of statistical investigation which were collected by the research for a particular purpose. They can be obtained through a survey, observation questionnaire or as experiment; the researcher has adopted the questionnaire method for this study.
Secondary source:
These are data from textbook Journal handset etc. they arise as byproducts of the same other purposes. Example administration, various other unpublished works and write ups were also used.
Population of the study
Population of a study is a group of persons or aggregate items, things the researcher is interested in getting information impact of poor maintenance of government hospitals in Edo north senatorial district. 200 staff of selected government hospitals in Edo north senatorial district was selected randomly by the researcher as the population of the study.
CHAPTER FOUR
PRESENTATION ANALYSIS INTERPRETATION OF DATA
Introduction
Efforts will be made at this stage to present, analyze and interpret the data collected during the field survey. This presentation will be based on the responses from the completed questionnaires. The result of this exercise will be summarized in tabular forms for easy references and analysis. It will also show answers to questions relating to the research questions for this research study. The researcher employed simple percentage in the analysis.
CHAPTER FIVE
SUMMARY, CONCLUSION AND RECOMMENDATION
Introduction
It is important to ascertain that the objective of this study was to ascertain impact of poor maintenance of government hospitals in Edo north senatorial district. In the preceding chapter, the relevant data collected for this study were presented, critically analyzed and appropriate interpretation given. In this chapter, certain recommendations made which in the opinion of the researcher will be of benefits in addressing the challenges of poor maintenance of government hospitals
Summary
This study was on impact of poor maintenance of government hospitals in Edo north senatorial district. Three objectives were raised which included: To compare the management maintenance system between private and public hospital, to ascertain impact of poor maintenance of government hospital in Edo state and to determine the effectiveness of maintenance management system in hospital. In line with these objectives, two research hypotheses were formulated and two null hypotheses were posited. 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
Conclusion
The results revealed that maintenance staff does not have access to formal training program on maintenance techniques, planning and policy. This is due to the paucity of budget and lack of adequate attention from the hospitals’ top management. Public hospital buildings are health services and places; therefore, high priority and attention should be given from the government and towards maintenance improvement in all hospital building. Maintenance staff should adopt proactive approach to reduce the occurrences of defects which will eventually improve the physical and functional public hospital services. Adequate funding should be provided for the running of maintenance operations.
Recommendation
It is recommended to change the work style (rearrange the human resources, set new standards to receive the maintenance requests). It is also recommended to conduct comprehensive standard training for the maintenance team, medical staff, administrative staff and the management to be aware of the facility management principles. Time scheduled plan is required to make a data collection survey for all the assets of the hospitals and their extensions, and convert it to maps with a full database
References
- Loosemore, M.N. and Hsin, Y. (2001). Customer focused benchmarking for facilities management, Facilities 19 (13/14)
- Oladejo, E.I. (2014). Evaluation of Challenges of facilities management in tertiary healthcare institutions in South East Nigeria. Published Ph.D. Dissertation, Nnamdi Azikiwe University Awka, Anambra State, Nigeria.
- Oladejo, E.I., Umeh, O.L., and Ogbuefi, J.U. (2015). An examination of impact of tertiary healthcare facility design on user needs and satisfaction in South East Nigeria. Journal of Environmental and Earth Science, 5 (5) ww.iiste.org
- Shohet, I.M. (2003). Key performance Indicators for maintenance of healthcare facilities. Facilities 21(1/2)
- Al-Zubaidi, H. (1993) maintenance Modelling of Major hospital complex, Published Ph.D Thesis, Department of Mathematics and Computer Science, University of Salford, Uk
- Adenuga, A., Odusami, T. and Faremi, O. (2007) Assessment of factors affecting maintenance management of public hospital buildings in Lagos state Nigeria, The construction and building research conference of the Royal Institution of Chartered Surveyors, Available from: http://www.rics.org/site/download_feed.aspx?fileID=3339…PDFSimilar[Accessed on 3/2/2012]. [2]
- Ahzahar, N., Karim, N., Hassan, S. and Eman, J. (2011) A study of contribution factors to building failures and defects in construction industry, Procedia Engineering, Vol. 20, pp. 249 – 255. [3]
- Al Zubaidi, H. (1997), Assessing the demand for building maintenance in a major hospital complex, Property Management, Vol.15, No. 3, pp. 173–183. [4]
- Al-Khatam, J. (2003) Buildings maintenance cost, Dhahran, Saudi Arabia, Unpublished (MSc) thesis, King Fahd University of Pertoleum & Minerals. [5]
- Bin Hashem, A., (2006) Maintenance management and services case study Perkeso building`s in Penisular of Malaysia, Unpublished MSc. thesis, University Technology of Malaysia.
- Chanter, B. and Swallow, P. (2006) Building maintenance management, Blackwell Publishing Ltd., UK. [7]
- Ching, H., Shen-Wen, C., Chien-Hung, L., Po-Ta, H., Yi-Ting, S. and Huei-Ru, S. (2011) A Study for the evacuation of hospital on fire during construction, Procedia Engineering, Vol.11 ,pp.139– 146. [8]
- Cobbinah, P. (2010) Maintenance of buildings of public institutions in Ghana case study of selected institutions in the Ahanti region of Ghana, Unpublished (MSc) thesis, Kwame Nkrumah University of Science and Technology, Kumasi, Available from:http://dspace.knust.edu.gh:8080/jspui/bitstream/123456789
