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 Format: MS-WORD   Chapters: 1-5

 Pages: 120   Attributes: COMPREHENSIVE RESEARCH

 Amount: 3,000

 Sep 09, 2019 |  09:51 am |  1879


Title Page                                                                                

Approval Page                                                                                   




Table of Contents                                                                    




1.1     Background to the Study                                    

1.2     Statement of the Problem                                    

1.3     Objectives of the Study                                        

1.4     Research Hypotheses                                                    

1.5     Scope of the Study                                                                  

1.6     Significance of the Study                                                        

1.7     Limitation of the Study                                                 

1.8     Definition of Key Terms                                                 




2.1              Human Resources Procedures on Health Service Delivery      

2.2              Tuberculosis Care and Treatment                                 

2.3              Human Resources Strategies for Tuberculosis Care and Treatment in Nigeria                                                    

2.4              Concept of Health Service Delivery                      

2.5              Challenges of Effective Management of Tuberculosis in Nigeria        

2.6              Efforts of Partners and Tiers of Government in Overcoming the Challenges                                               

2.7              Summary of Literature Review                                      


3.1        Research Design                                                           

3.2        Research Population                                                     

3.3        Area of the Study                                                 

3.4        Sample of the Study                                            

3.5        Method of Data Collection                                   

3.6        Administration and Retrieval of Questionnaire    

3.7        Method of Data Analysis                                               



4.1        Data Presentation                                                         

4.2        Test of Hypotheses                                                        




5.1        Summary                                                            

5.2        Conclusion                                                          

5.3        Recommendations                                                         


Appendix I                                                           

Appendix II                                                          


Human resources procedures is the application of wide variety of expertise towards ensuring that right people are involved in the right job, at the right time, cost and place for the right purpose; bearing in mind the effective and efficient achievement of organizational purpose. Impact of human resources procedures cut across all stratum of endeavour. Health service delivery is not an exception. Human resources is non-negotiable aspect of goods production and service delivery. Since “health is wealth”, how human resources affects health service delivery deserves to be researched. Care and treatment of tuberculosis as a menace to health service delivery comes to the fore in over viewing how effectively efficiently human resources procedures have affected Nigeria over the years with reference to Lokoja Local Government Area of Kogi State. The researcher intends to collect data from both primary and secondary sources with the application of descriptive research questionnaires and formulation of research hypotheses, which would be tested through chi-square method. The data obtained from field survey would be analysed in tabular form. The research will come out with useful recommendations that will further increase the effectiveness and efficiency of human resources procedures on health service generally and tuberculosis care and treatment particularly. 



1.1    Background to the Study

Over the past three decades, Nigeria, among many other nations globally has had her medical health threatened by the menace of tuberculosis. Efforts have been made, and are still ongoing, with the objective of reducing and ultimately eliminate the incidence of this life threatening disease in the Nigerian society.

Knowing fully well that not much can be done without the right hands on the job, there is a quest to affirm how effective the efforts put in place to curb tuberculosis have been over the years. Are there needs for needs for radical change in the human resource procedures? What improvements can be made on the seemingly good strides to deliver better, and eventually best health care services in this regard? There is always room for improvement as long as the best is yet to be. It is glaring that while mortality and mortality rates have reduced considerably, Nigerians cannot sing “uhuru” yet until the entire populace is rid of incidences of tuberculosis and propensity for it. When the Nigerian society is totally free from tuberculosis, our present and future generations will experience better health and garner experience that will be useful in squashing other life threatening disease conditions such as HIV, leprosy, Buruh Ulcer and other infections. Other countries will also find such breakthrough helpful.

It is against this backdrop that this project seeks to consider the impact of human resource procedures on health service delivery so far in the care and treatment of tuberculosis cases in Nigeria.         

          The impact of human resource procedures on health service delivery in Nigeria cannot be over-emphasised because it has revolutionalized how health service delivery points operate in this twenty first century.

          Recently, human resource procedures have increased the efficiency of health care providers. As more documentation and electronic management are put in place, with former manual procedures being computerized, there has been high reduction in job stress; more saving of time and increased level of accuracy in the service delivery of health personnel.

          Since the health sector of the economy contributes immensely to the socio-economic development of the nation by offering qualitative health services needed by the teeming populace, Nigerian health care providers need to satisfy their numerous clients and patients, as well as meet up with gold standards locally and globally, first and foremost for local community, stakeholders as well as the international partners who have vested interest in seeing a healthier Nigeria.

          It is therefore imperative for all relevant stakeholders in Nigerian health sector, to invest more on human resource procedure, that will equip health care providers with adequate expertise and experience for improved care and treatment generally and tuberculosis in particular.


1.2    Statement of the Problem

          Despite the great impact of human resource procedures on health service delivery, tuberculosis care and treatment in Nigeria is still accompanied by some challenges.

          One of the basic challenges of tuberculosis care and treatment in Nigeria is unpredictability of funding. Over the years, international partners have borne the brunt of financing the care and treatment of tuberculosis and have in a way made it free, that is, patients are tested and treated free of charge. The Nigerian government at all levels (federal, state and local) have had to support as counterpart by supplying personnel in the form of civil servants of the three levels of government in departments of public health under the Ministry of Health, as well as ad hoc staff who are engaged on contract or other temporary basis and remunerated accordingly.

          However, recent trends in global economy is already adversely affecting this “free” treatment. Recession is making it more and more inconvenient for foreign partners to commit as much resources as they were doing previously.

Presently, the agreement is to stop free treatment by 2020. This welcome development will push the whole burden on the Nigerian government, which obviously is not capable of going the whole hog in caring for and treating the teeming populace infected and offering free test to clients’ relations and others affected by this infectious disease.

The imminent epileptic funding is predictive of a collapse of the free tuberculosis care and treatment programme in Nigeria. As many citizens well know, not everyone infected, or affected by tuberculosis can conveniently afford the test and treatment.

Another challenge, which prompted the researcher to embark on this research work, is lack of adequate commitment on the part of some health care providers, who have not seen tuberculosis as a threat to not only their respective clients and patients, but a threat to the entire citizenry or populace. This is induced from the fact that some are not so passionately committed to the efforts being put in place to wipe out the menace of tuberculosis. Combating this dreaded disease requires all hands being on deck; seeing the care and treatment of infected and affected people as a calling not just a vocation for making a livelihood. If all there is to human resource (involved in health service delivery) is eking out a living from designated jobs.


1.3    Objectives of the Study

          Any purposeful research work must have some objectives to accomplish. The researcher intends to achieve these objectives:

  1. To examine the impact of human resource procedures on the health service delivery generally in Nigeria.
  2. To also ascertain how human resource procedures can improve care and treatment of clients and patients.
  3. To find out the challenges faced in the care and treatment of tuberculosis in Nigeria.
  4. To verify the effort of health care providers in solving the challenges identified earlier.
  5. To recommend how stakeholders can improve on qualitative care and treatment of tuberculosis cases.


1.4    Research Hypotheses

          These research hypotheses will serve as guide to the researcher in realising the objectives of the research work:

Hypothesis One

H0 (Null Hypothesis): Human resource procedures do not increase the effectiveness of health care providers.      

H1 (Alternative Hypothesis): Human resource procedures increase the effectiveness of health care providers.        

Hypothesis Two

H0 (Null Hypothesis): Human resource procedures cannot check inefficient tuberculosis care and treatment.

H1 (Null Hypothesis): Human resource procedures can check inefficient tuberculosis care and treatment.

          The analysis from this research will be subjected to statistical tools of tables and charts.

1.5    Scope of the Study

          The research work is on evaluation of the impact of human resource procedures on the effectiveness of tuberculosis care and treatment programme.

          Government hospitals at all levels (federal, state and local government) are health care service delivery points to the public (non-profit). Hence, to achieve their objective of service to the citizenry, they need to ensure wider coverage.

          The scope of this research work is specifically centred on how personnel of government hospitals partnering with Lokoja Local Government have enhanced the quality of tuberculosis detection, care and treatment recently. This research work covers 2016-2017.


1.6    Significance of the Study

          This research work is on the impact of human resource procedures on health service delivery (a case study of tuberculosis care and treatment in Nigeria).

          The research work will be of immense benefit to various stakeholders in the health sector generally and tuberculosis care and treatment providers.

          The research work will also serve as a source of vital information to facilitators of trainings and seminars geared towards eradicating tuberculosis, as well as health institutions, non-governmental agencies, etc involved in training health care provision for tuberculosis treatment.

          When the approved copy has been submitted to the library of Joint Professional Training Support (JPTS) International, this project can also serve as reference material to other researchers in the nearest future.

          The Department of Public Health of Lokoja Local Government will benefit from the research recommendations, on how the tuberculosis control can effectively satisfy the teeming population of Lokoja Local Government, especially as it hosts the Kogi State capital.

1.7    Limitation of the Study

          In the course of gathering the necessary materials for this project work, the researcher faced some challenges. Some of them are:

          The constraint of inadequate research tools like journals, textbooks, encyclopaedia that are recent and relevant to the study.

          Another challenge faced by the researcher is the time taken to consult the personnel actively involved in the tuberculosis eradication programme at facility level and local government secretariat level. This was due to the nature of the work of health care providers and officers, especially Electronic Data Unit, who are always out on fieldwork, to check for accuracy of data collected in monitoring and evaluating tuberculosis control programme. This makes it difficult for these officers to really create time for the researcher.

1.8    Definition of Key Terms

1. Human Resource: People’s skills and abilities engaged by firms, organizations, business entity or government to achieve predefined organizational objectives. Human resource department also deals with employing and training staff effectively and efficiently. It is the department responsible for managing resources related to employees. 

2. Health: This refers to the condition of a person’s physical or mental state or fitness. A measure of quality of life. The World Health Organization (WHO) defined health as a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity.

3. Service Delivery: This refers to a set of principles, standards, policies and constraints to be used to guide the designs, development, deployment, operation and retirement of services delivered by an organization (service provider) with a view to offering a consistent service experience to a specific user community. It is the manner in which businesses and users access information technology. 

4. Tuberculosis: A potentially serious infection or contagious disease in which swellings appear on the lungs and other parts of the body. It is caused by bacteria and spread from one person to another through tiny droplets released into the air via coughs and sneezes.

5. Human Resource Procedures: These refer to responsibilities and processes in relation to recruitment and employment arrangements, employee entitlements, workforce management, staff development and health, safety and wellbeing within given (or determined) workplaces. 

6. Impact: Powerful effect that something or a concept has on somebody or something or an organization.

7. Care: Process of providing or giving thought or attention to somebody or something to ensure needed health or protection with concerned interest as to avoid mistakes or damage or worse health condition. 

8. Treatment: Things done to cure an illness, injury or undesired condition. These include professional skills, planned procedure, drugs or therapy used in curing a diseased condition or reducing effect of a poor state of health. It is the manner in which someone behaves towards or deals with someone or something, medical care given to a patient for an illness.           

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