Submit your papersSubmit Now
For Enquiries: [email protected]
IIARD LogoIIARD

Administrative Processes and Service Delivery in Selected Primary Healthcare Centers in Port Harcourt City Local Government Area, 2015 – 2025

Loretta, O. Otugoh Owabie O. Enyinda, .

Abstract

The impacts of administrative processes on service delivery in the public service have remained an age long issue among practitioners and scholars. However, a disturbing scenario of these issues bothers more on the extent the administrative processes touches on service delivery in the public healthcare sector. This study examined administrative processes and service delivery in selected primary healthcare centers in Port Harcourt City Local Government Area between 2015-2025. The study is anchored on the system theory as its theoretical persuasion. The descriptive survey design was employed as a methodological approach for the study. Sample size of the study is 360 respondents representing 100% of the population. Data were collected via the use of a 4-point modified Likert scaled questionnaire, this was supplemented by information gleaned from interviews and documented materials. Collected data were analyzed by the application of simple percentages and qualitative content analysis while hypotheses were tested at 0.05 significance level using the Chi-square. The study revealed among others that; the administrative processes at the primary healthcare centers created problems such as long waiting hours, excessive paper work, communication gaps and lengthy approval processes. Accordingly, the study concluded among others that the major challenge to service delivery at the primary healthcare centers in Port Harcourt City Local Government Area is as a result of poorly structured administrative processes. Thus, the study recommends among others that; the local government authorities should adopt automated facilities at the primary health centers in line with periodic training and retraining of workers at the healthcare centers with the view to enhancing service delivery.

Keywords

PrimaryAdministrativeHealthcareService deliveryLocal government

References

Abasilimi, U. D. & Edet, L. (2015). E-governance and its implementation challenges in the Nigerian Public Service. Acta Universitatis Dambius, 7(1), 30-42 Abubakar, H. I. (1992). The Philosophy and Rationale for Civil Service (Re-Organization) Decree No 43, 1988 in Yahava, A.D and Akinvele, C.T. (Ed) New Trends in Personnel Management. A Book of Readings, ASCON, Badagry, Lagos 2 Achimuju, P. (2010). Determinants of internet use in a rural Nigerian village. The Journal of Adeyeye, M. & Aladesanmi, T. (2010). Aligning ICT for service delivery in Nigerian local government. Adamolekun, L. & Kithinja, K., (2005). Public Administration Reforms in Public Administration in Africa Main Issues and Selected Country Studies Ladipo Adamolekun (ed) 4. Adebayo A. (1981). Principles and Practice of Public Administration in Nigeria. Chechester John Wiley and Sons Ltd. Adebayo, A. (2001). Principles and Practice of Public Administration. Ibadan: Spectrum Books. Adedeji, A. (1994). Alternative for Africa. Journal of Democracy, John Hopkins University Press. Adetoye, D. (2002). Accountability, Transparency and Efficiency in the Nigerian Public Service. In Omotoso, F. (Ed), Contemporary Issues in Public Administration Ibadan: Bolabay Publications. Aghayere, V. O. & Alimi, M. K. (2009). Ethnics, Standard and Accountability in Government. Ekpoma: Ambrose Alli University. Akindele, S. (1987). Synthesizing Bureaucracy and Democracy. A Revisit Afrika Spectrum. Atugus, A., Barker, S. & Kandampully, J. (2007). An exploratory study of service quality in the Malaysian public service sector. International Management. 24(2), 177-190. Babarinde, K. (2010). Multicultural Education through Technology: a Response to Challenges of Globalization in Africa, In Afolayan, M.O (ed) Multiculturalism in the Age of Mosaic: Essay in Honour Rudolph. G. Wilson Nova Science Publisher. Bedeian A.G. (1986). Management Theories. Chicago. The Dry Den Press. Blau & Meyer (1971). Bureaucracy in Modern Society. New York, Random House. Bonnie A, & Kehinde, B. (2007). Public Service and Delivery in Developing Societies: The Nigerian Experience. J. Soc. Sci. 15(2), 105-110. Brannen, A. (2001). E-governance in California: Providing services to citizens through the Internet. Speictrum 74(2), 7. Brysland, A. & Curry, A. (2001). Service Improvements in Public Services Using SERVQUAL, Managing Service Quality, 1(6), 389-401. Business Day Editorial (2012). Nigeria's Changing Debt Profile, Business Day, Monday, December 10, p 14. Campbell, A. K. (1972), Old and new public administration in the 1970s. Public. Chadwick, A. & May, C. (2003). Interaction between states and citizens in the age of the internet: E-government in the United States, Britain and the European Union. Governance: An International Journal of Policy Administration and Institutions, 16,271-300. Cole, A. G. (2002). Personnel and Human Resource Management. London Publishers Onitsha. Croft, L. (1996). Management and Organization. Bankers Books Ltd. saharareport.com. Retrieved January 18 2017, from http://www.shara report.com David, E. (1959). Organizational Theory and Mechanism of Public Service Delivery. 15-25. Baltimore MIT Press. jpaswr Davies E. O., Nsiegbe, G. & Duru, C. C. (2022). Administrative Processes and Primary Health Care Delivery in Ngo-Okpala Local Government Area of Imo State. Quest Journals. Journal of Research in Humanities and Social Science, 10(7) pp 28-38. Davies, E. O., Nsiegbe, G. & Abubakar, E. A. (2018). Information and Communication Technology and Bureaucratic Processes in Nigeria: A Study of Rivers State University, 2013-2024. RJIP: Journal of Social Sciences. 2(4). Pp. 604-634. Drucker, P. (2007). Governance. Harvard Business Review, 45(2), 82-98. Easterly, W & Levine, R. (1997). Africa's Growth Tragedy: Policies and Ethnic Divisions. Quarterly Journal of Economics, 112 (4), 1203-50. El-Rufai, N. (2011). Reforming our Dysfunctional Public Service. El-Rufai, N. (2012). Corruption and Wasteful Spending: Why the Cost of Governance is Unsustainable in Nigeria: the Way Forward, Paper Presented at the Biennial Conference of the Nigeria Hand of Editors in Benin City, December 6. Idada, W. (2016) Rethinking Transparency and Accountability as Inevitable Strategy for Good Governance and National Development in Nigeria. Journal of Strategic and Development Studies, 1(1), 4-10. Ikhilae, E. (2012). The Great Corruption Battle Debate: Government should do more says Lawyers, The Nation, Friday, December 7, 6. Inyang, B. J. (2008). Human resource capacity building: An imperative for effective performance in the public service. MRI. Journal, 2(1), 50-54. Jean, E. (2007). Service Delivery, a Challenge for Local Governments. VNG International: The Hague, the Netherlands. Journal of Quality & Reliability Yeni, J., (2007). Perspectives and Reflections on Nigerian Civil Service Reforms Servcon and Smedeon Communications Ltd Abuja. Jubalola, A & Babalola, B. (2009). 10 years of Democracy: NASS Spends N523.4 billion to make to 532 Laws, Sunday Punch, June 7.8 2025. Kabiru, F., Theuri, M. & Misiko, S. (2018). The Influence of Planning on the Organizational Performance of Agricultural State-owned Corporations in Kenya. International Academic Journal of Human Resources and Business Administration, 3(1),68-80. Konne, C. N., Ikpoko-Ore-E. I. & Alegbeleye, G. O. (2021) Influence of Health Records Management Practices on Quality Health Care Service Delivery in Public Health Facilities in Rivers State, Nigeria. International Journal of Social Sciences and Humanities Reviews.11(1), 204-216. Krislov, R. (1974). Administrative Discretion and Active Representation. An Expansion of System Theory. England. Cambridge University Press. Lawal, T. (2014). Local Government and Rural Infrastructural Delivery in Nigeria. International Journal of Academic Research in Business and Social Sciences, 4(4),139-147. Leni, W., Victoria, C., Maia, K., & Dan, H. (2012). Common Constraints and Incentive Problems in Service Delivery. Overseas Development Institute: London. Retrieved from: https://www.odi.org/sites/odi.org.uk/files/odi-assets/publications-opinion- files/7791.pdf Litwin, G. H. & Stringer, R. A. (2008). Strategies to curb rising cost of governance Boston: Harvard University, Graduate School of Economics, P.S. Naidu, S. P. (2005), Public Administration: Concepts and Theories. New Age Int New Delhi.7. Nnamani D. O, & Chilaka F. C. (2012). Economic Reforms and Social Service Delivery In Nigeria 1999-2007: Issues And Options. Arabian J. Bus. Manage. Rev. 2(4):9-23. Nsiegbe, G., Onya, R. & Ogbuji, B. (2025). Human capital development and organizational efficiency : A study of the Rivers State Civil Service, 2010-2025. RSIP: The Journal jpaswr of Social Sciences. 2(10). Pp.1225-34123. Nsiegbe, G. & Odum, V. U. (2025). Workers Management and Service Delivery in Nigeria’s Federal Airports Authority. International Journal of Social Sciences and Management Research. 11(9). Pp 316-330. Nti, J. (1996). Civil Service Reform Priorities and Strategies: An overview of African Experience. Nwabueze, B. O. (1985). Nigeria's Presidential Constitution 1979-1983: The Second Experiment in Constitutional Democracy, New York: Longman. Nwachukwu C. C. (2004). Management Theory and Practice. African First Publishers Limited. Onitsha Nwachukwu, I. (2012) 'Reducing Cost of Governance' Business Day, Tuesday, December 8.1 Ofuebe, C. (1999). Strands in Nigeria Development and Administration. Port Harcourt. Somi Press. Ogbuagu, U., Ubi, P. & Effioma, L. (2014). Corruption and Infrastructural Decay: Perceptible Evidence from Nigeria. Journal of Economics and Sustainable Development, 59(10), 20-26. Ojiabor, O. (2012). Sambo's Taste Hikes Cost of VP's Home to N 16 Billion, The Nation, Monday, December 24,1,6. Okoli F. C. (2004). Theory and Practice of Public Organizations. John-Jacobs Classic Publishers Enugu. Okoli, F. C. (1980). The Dilemma of Premature Bureaucratization in the New States of Africa, xxii (2). Okoli, F. C. (1999). Administrative Theory and National Development. Macmillan Press Enugu Okon, E. (2008). Public Service Reforms and the concept of Service Compact with all Nigerians (SERVICOM) in Nigeria Beyond 2007: Issues, Perspectives and Challenges. Saliu, H.A. et al (ed). Okpi, A. (2012). Lashing Cost of Governance: Exploring the Part-Time Legislature Option, Cool geopolitical, Sunday, April 8, 9-10. Oladesu, E. (2009). National Assembly: A Decade of Controversies, disputes and banana. Olaopa. T. (2008). Theory and Practice of Public Administration and Civil Service reforms in Nigeria. Ibadan Spectrum books Ltd. Olowu, D. (2002a). Accountability and Transparency. In Ademolekun, L. (Ed), Public Administration in Africa. Ibadan: Spectrum Books Limited. Olowu, D. (2002b). Public Service Delivery. In Adamolekun, L. (Ed), Public Administration in Africa. Ibadan: Spectrum Books Limited. Olowu, D. (2008). Public Service Delivery in Public Administration in Africa. Main Issues and Selected Country Studies Adamolekun L. (ed). Safari Books, Channels Island. United Kingdom.11. Oluokun, A. & Utonwen, A. (2011). Wastes in Government could Ultimately Bring Nigeria Down, Saturday Guardian, February 11, 40-41. Olusanya O, Awotungase S & Ohadebere C (2012) Effective Planning and organizational Productivity (A Case Study of Sterling Bank Nigeria PLC), Journal of Humanities and Social Sciences. Onah F. (2003). Human Resources Management. Falladu Publishing Company Enugu. Onah, R. (2005). Public Administration. Nsukka Great AP Publishing Press Onwukwe, D. (2013). Scourge of Ghost Workers, Daily Sun, Monday February 18, pp 1. 53 Osuji, O. (1985). Human Resource Management in Industrial and Business Organziation, Enugu. Fourth Dimension Publishing Co Ltd. jpaswr Oyedele S. O (2015). The Nigerian Public Service Delivery under Civil Rule. J. Public Admin, Finane. Law. Issue 7:33-43. Pollitt, C., & Bouckaert, G. (2011). Public Management Reform: A Comparative Analysis New Public Management, Governance, and the Neo-Weberian State. Oxford: Oxford University Press. Pratt, K. & Bennet, D. (1979). Elements of Personnel Management. London. GEE and Co Publishers. Premium Times Editorial (2012). Presidential Committee asks Government to Scrap 102 Agencies, April 16, P. Research @ Business Day online.com (2012) Awards of Contracts by the Federal Government of Nigeria. Quah, S. T. (1988). Administration Reform: A conceptual Analysis in the Philippines. Journal of Public Administration vol. xx,1 cited in Nze, F.C. Administrative Reforms in Two Political Cultures: A comparative Study of Nigeria and the U.S. in the Nigerian Journal of Public Affairs, XII (1) Newspapers. Rodrik, D. (2008). The World Bank Publication Washington DC, USA. Ruckus, M. (2001). E-governance and developing countries: Introduction and examples Research Report, 3. April 2001. Sally, C. S. (197). Strategic Human Resource Management and Collaboration, 285-290, Saltimore. Sharma, M. P., Sadana, B. L. & Harpreet, K. (2011). Public Administration in Theory and Practice. New Delhi: KitabMahal Agencies. The Nation Editorial (2009). Democracy at 10(1). The Nation Editorial (20126). Laughable Pass Mark: PDP says Government is winning the Corruption Battle! The Nation, Friday, December 14, 19. The Nation Editorial (2012a). Expensive Campaign: N6.2 billion is too much to Publicise PIB The Nation.