EFFECT OF PERSONNEL MANAGEMENT ON THE PERFORMANCE OF HEALTH SECTOR IN BORNO STATE

EFFECT OF PERSONNEL MANAGEMENT ON THE PERFORMANCE OF HEALTH SECTOR IN BORNO STATE

1.1  Background To The Study

Borno State is one of the  North Eastern State in Nigeria with its capital in Maiduguri created  in 1976. The state has a population growth rate of about 3.0%, with a current population estimated at about 4.5 million (2006 census). The children under five are estimated at about 907,224 (20% of the total population).The main economic activities of the people are farming and fishing living below the poverty level.  The mortality indices in Borno state is regarded as one of the worst in the country. Estimate shows that Infant Mortality stands at 109/1000LB1 while under five Mortality is estimated at 222/1000LB1. The Maternal Mortality ratio is taken as 545/100000LB2. Health facility Within the Health Sector consist of 1 fully equipped Hospital with a combined bed capacity of 3430 beds,  32 General Hospitals,  and 1 Specialized Hospital other health facility consist of  federal institutions  located in Maiduguri. This includes Neuropsychiatry Hospital, 100-bed capacity and the Police Hospital, 30 bed capacities. The University of Maiduguri Teaching Hospital has 1000-bed capacity. There are also about 449 PHC facilities owned by LGAs which include 48 health center,140 health clinics,195 Dispensaries and health post  ,34 maternal and child clinics , 36 private health clinics and 3

Missionary/NGO owned clinics. The major factor hindering effective health care delivery include among others Inadequate Human Resources which result to lack of efficient coordination of health intervention program in the state .BORNO STATE GOVERNMENT STRATEGIC HEALTH DEVELOPMENT PLAN (2010-2015)

. Consequently the research seeks to investigate the effect of personnel management on the performance of the health sector in Borno state.

1.2  Statement of the Problem

The Borno State Government had embarked on the construction and rehabilitation of health facilities in the state .This is in line with its objective of providing   increase access to healthcare for its citizens. However, conscious effort must be made through effective planning to achieve its health care delivery objective. Consequently, the challenges of  human resources would

therefore need to be addressed .Currently available records indicate the inadequacy of

Human Resources needed for the realization of the effective for Health care delivery in the state. The Borno state health records shows that  key health personnel under the state public service consist of 235 Community Health Officers, about 1236 nurses & midwives,74 doctors, 13 pharmacists,  18 medical lab scientists . These human resource statistics reveals the gross  insufficiency of  health care personnel required to achieve the needed effective health care delivery for the about 4.5m state population .and forms part. The situation reveals that many health care facilities do not have Doctors, sufficient nurses and midwives, pharmacist and or medical lab scientist. Apparently  many of this health care facilities do not have

adequate and the right mix of human resources for effective health care delivery especially, at the middle-level and providing health care to the rural population is obscured  due to lack and insufficient health personnel required to effectively provide primary healthcare services .

Therefore the greatest challenge for the Borno  state government is to address this

Imbalance, in a systematic manner and on a sustained basis. Consequently the strategic plan of the Borno state government is to increase the level of the workforce on an annual basis from the present level of 10% which is below 25% by WHO standard to the level of 60% by 2015. This precipate the need for the evolution of the plan to recruit new health personnel to fill in the gaps for critical health personnel in the state which will include doctors, community health officers pharmacists, midwives and nurses and   significantly, a general  staff re-training and

Re-orientation exercise aimed improving the state of all health workers in the state. BORNO STATE GOVERNMENT STRATEGIC HEALTH DEVELOPMENT PLAN (2010-2015)

Consequently the problem confronting the research is to appraise the Effect of personnel management on the performance of health sector in borno state.

EFFECT OF PERSONNEL MANAGEMENT ON THE PERFORMANCE OF HEALTH SECTOR IN BORNO STATE