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The place of human resource management in Lagos state healthcare delivery: a statistical overview

MOJ Public Health
Maxwell Obubu,1 Nkata Chuku,1 Alozie Ananaba,1 Firdausi Umar Sadiq,2 Emmanuel Sambo,1 Oluwatosin Kolade,1 Tolulope Oyekanmi,1 Kehinde Olaosebikan,1 Oluwafemi Serrano3

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Background: Behind every great system is an organized team; this is especially true in the healthcare industry, where a dedicated human resources team can effectively recruit employees, train staff, and implement safety measures in the workplace. The importance of human resources in the healthcare industry cannot be overstated, with benefits ranging from providing an orderly and effectively run facility to equipping staff with the most accurate and up-to-date training. Proper human resources management is critical in providing high-quality health care. A refocus on human resources management in healthcare requires more research to develop new policies. Effective human resources management strategies are greatly needed to achieve better outcomes and access to health care worldwide.
Methods: This study leveraged Noi Polls census data on Health Facility Assessment for Lagos state. One thousand two hundred fifty-six health care facilities were assessed in Lagos state; numbers of Health workers were documented alongside their area of specialization. Also, demographic characterizations of the facilities, such as LGA, Ownership type, Facility Level Care, and Category of the facility, were also documented. Descriptive statistics alongside cross tabulation was done to present the various area of specialization of the health workers. Multiple response analysis was done to understand the distribution of human resources across the health facilities. At the same time, Chi-square and correlation tests were conducted to test the independence of various categories recorded
while understanding the relationships among selected specialties.
Results: The study revealed that Nurses were the most common health specialist in the Lagos State health facilities. At the same time, Gynecologists and General surgeons are the two medical specialists mostly common in health facilities. Midwives are the second most common health specialist working full time, while Generalist medical doctors make up the top three health specialists working full time. Nurses and Midwives had the highest number in Lagos state, while Pulmonologists were currently the lowest human resource available in Lagos state health care system. It was also noted that health facility distribution across Lagos’s urban and rural areas was even. In contrast, distribution based on other factors such as ownership type, Facility level of care, and facility category was slightly skewed.
Conclusion: The distribution of health workers in health facility across LGA in Lagos State depend on Ownership type, Facility level of care, and category of the facility.


healthcare facilities, human resources for health, healthcare delivery, Lagos state, SDGs on health, multiple response analysis