1.1 Introduction
Local governments are potentially effective instrument for rural transformation and delivery of social services i.e. health care delivery. This is because of local governments proximity to the people and the relative ease with which they can communicate with the local jurisdiction. The constitution guarantees the existence of system of democratically elected local councils and each State must enact legislation to establish same and provide for their structure.
The project topic health care delivery in the local government is worth research considering the position of local government in any democratic society. This position seems to be particularly true of the democratic situation in Nigeria especially since it has been argued that the worst democratic system of government is better than the most benevolent military system of government.
Democracy is thus a form of governments in which the highest premium is placed on the participation of the individual in government. Local government system within the three tiers of government brings governance to the citizen at the grass roots. This is mutadis in agreement with the doctrine of federalism, which is enshrined in the Nigeria constitution. See section of the Nigeria constitution 1999, Ebere D, The Federal Republic of Nigeria (International Association or centres for federal studies) pp. 1-2
Thus, in this project I shall consider local government as an organ of third tier of government within the Nigeria federal structure outside the central government that are concern with administrative function in the grass root. This is to bring out clearly the essential features of local governments as competent institution in the discharge functions constitutionally assigned in their own right.
As a prelude to other parts of this study, this chapter will discuss the background upon which this study was initiated, the statement of problems that led to this study, the Aim and Objectives of the study. Others are Significance of the study, Scope of work, Limitations of the Study and Definition of technical terms.
1.2 Background to the Study
Health care delivery is a very essential function which the Local Government is expected to give the people at the grass root and which delivery ought to be adequate, efficient and consistent. The Local Government is very suitable for this function considering its proximity in its closeness to the people. The project work hope to contribute to the existing literature as the topic by exploring the developments in the most recent times of the government desire to tackle the menace of variety of sickness prevalent in our society.
The study of health care delivery in the Local Government therefore is based on the constitutional involvement of basic necessities to the populace particularly with regard to health.
1.3 Aims and Objectives of Study
This aim of the study is to assessment of Local Government as a legal entity in the democratic government of Nigeria, this is with the view to determine the extent and limit to which it is duty bound to provides proper health care delivery to the citizen within its constitutional limitation. In achieving this aim, the following objectives were set out;
- To examine Local Government as an aims of government in Nigeria commencing with highlighting some scholarly proffer definitions of Local Government and the historical evolution of Local Government system as a legal entity in Nigeria.
- To highlight the constitutionally vested duties, responsibilities, and obligations of Local Government administration.
- To highlight the structural arrangement of Local Government including its revenue generation and means. This is important considering the enormous fund required to executive health care delivery to the populace.
- To examine and highlight Local Government powers and duties in the provision of primary health care delivery in Nigeria, and the legal basis.
- To highlight by way of conclusion, the summary of all discourse provide some suggestions to further improve the Local Government’s ability in providing health care delivery to local people.
1.4 Scope of Study
Proper Local Government administration in the Nigeria political society is very important in the achievement of good governance, sustenance of democracy and equal distribution of democratic dividend to Nigerians.
It is instructive to emphasis the fact without scintilla of doubt Local Government is closer to the people at the grass root and their participation in democratic governance cannot be taken for granted. Thus, the project work is limited in scope to the examination at the health care delivery as one of the many responsibilities constitutionally vested on Local Government in Nigeria.
The project will critically examine the several duties of Local Government from historical origin, legal basis, and most importantly the provision of health care to the people at the grass root.
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