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Performance Evaluation of Primary Health Care (PHC) Buildings

Performance Evaluation of Primary Health Care (PHC) Buildings

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DEDICATION

This research material, titled “Performance Evaluation of Primary Health Care (PHC) Buildings” is dedicated to God for His boundless grace and guidance. It is also a tribute to all computer enthusiasts whose contributions made my research journey smoother and enriched my documentation process, making the experience truly fulfilling.



ACKNOWLEDGEMENT

I am profoundly grateful to everyone who contributed to the successful completion of this project. I am especially grateful to my Supervisor (Name), the Head of Department (Name), and the Lecturers in the Department of Quantity Surveying (QS) for their invaluable guidance and support. I also acknowledge the contributions of authors and scholars whose works on Performance Evaluation of Primary Health Care (PHC) Buildings provided essential insights. Special thanks go to my study area (and any funding organizations, if applicable) for their financial assistance. I am equally thankful to stakeholders, including mentors, teachers, and colleagues, for their encouragement and support. Finally, I deeply appreciate my family and friends for their patience and unwavering support throughout this journey. Your contributions have been instrumental in making this research a reality.



TABLE OF CONTENTS

PRELIMINARY PAGES

CHAPTER ONE

INTRODUCTION

    CHAPTER TWO

    LITERATURE REVIEW

    • 2.1 Introduction
    • 2.2 Conceptual Review
    • 2.3 Theoretical Framework
    • ⋮
    • 2.4 Empirical Studies
    • 2.5 Research Gaps
    • 2.6 Summary of Literature Review

    CHAPTER THREE

    RESEARCH METHODOLOGY

    • 3.1 Introduction
    • 3.2 Research Design
    • 3.3 Population of Study
    • 3.4 Sampling and Sampling Technique
    • 3.5 Validation of Research Instrument
    • 3.6 Method of Data Collection
    • 3.7 Method of Data Analysis
    • 3.8 Questionnaire Administration
    • 3.9 Ethical Consideration
    • 3.10 Statistical Analysis

    CHAPTER FOUR

    DATA ANALYSIS, RESULT AND DISCUSSION

    • 4.1 Introduction
    • 4.2 Presentation and Analysis of Data
    • 4.3 Re-statement of Research Questions
    • 4.4 Test of Hypotheses
    • 4.5 Discussion of Findings

    CHAPTER FIVE

    SUMMARY, CONCLUSION AND RECOMMENDATION

    • 5.1 Introduction
    • 5.2 Summary of Findings
    • 5.3 Conclusion
    • 5.4 Recommendation
    • 5.5 Suggestion for Further Study

    REFERENCES

    APPENDIX A - “QUESTIONNAIRE”


    ABSTRACT

    Existing studies have established that the physical characteristics of buildings have significant influence on occupants' satisfaction. However, studies has shown that the conventional ways that public hospital buildings in Nigeria are designed have contributed to stress, depression and anxieties because of loss of privacy, control over eating and sleeping times, and noise. And in addition contributed to dangers, allergies and other acquired infections called Hospital Acquired Infections (HAI) to patients and staff.

    This study assessed the performance of Primary Healthcare Centre (PHC) buildings which is identified to be the appropriate settings to tackle over 90% of the major causes of morbidity and mortality due to its proximity to about two-thirds of Nigerians. The objectives of this study were to; identify those standard performance criteria of healthcare buildings that aids healing of patients and positively influence users of PHC buildings; evaluate the perception of users on the performance of PHC buildings and outline appropriate steps to remedy the identified gaps to match up with the global standards.

    This was a descriptive cross-sectional study conducted in six PHC buildings across the six area councils of the Federal Capital Territory (FCT), Nigeria. A purposive sampling technique was used to select a total of 334 samples (patients, medical staff and visitors') from the target population. Data were collected with the aid of an adapted version of – Achieving Excellence Design Evaluation Toolkit (AEDET) questionnaires. Both descriptive and inferential statistics were used to present simple mean, standard deviation and test for statistical significance of the results. Ten criterion, categorized into three criteria namely; functionality, build quality and impact were identified as the required standards for healthcare building performance. They aid in the healing of patients, improve the productivity of medical staff and attract patronage from visitors.

    The results show that users' perception on the functionality and build quality of the PHC buildings which concerns the extent to which it facilitates or inhibits the activities of the medical staff who carry out the functions inside and around the building was poor. Also, the staff and patient environment which was addressed byimpact was assessed to be poor. In view of these, patients in PHC buildings do not have privacy during their stay for treatment and cannot be alone with others to have private discussions because of the multiple bed system that is currently run. The toilets, bathrooms and other facilities for the use of staff, patients and visitor are not befitting and dignified enough to attract patronage. The study recommends that the National Primary Healthcare.

    Development Agency's (NPHCDA) Minimum Standards for Primary Healthcare and the Ward Minimum Healthcare Package upon which the design of PHC buildings in Nigeria is based should be updated and reviewed to reflect modern trends in healthcare architecture.


    Performance Evaluation of Primary Health Care (PHC) Buildings

    CHAPTER ONE

    1.0 Introduction

    1.1 Background of the Study

    A completed building with its facilities and services must be fit for the purpose. Meaning that it should be able to perform its functions in the manner that will ensure satisfaction to its occupants (Ilesanmi, 2010; Hinde, 2012). Although buildings are constructed for different purposes (housing, school, health, etc.), their performance either excellent or poor can be seen from the eyes of its users (Ilesanmi, 2010; Jiboye, 2012). The design quality of a building have been found to influence its functions (Haciric, 2008; Ibrahim, 2011; Jiboye, 2012). For example, a well-designed school has shown to improve the teaching and learning process of teachers and students thereby improved educational achievements (Khan and Kotharkar, 2012; Khalila, Kamaruzzamanb, Baharumb, and Husina, 2015). Also, a well-designed hospital has shown to help in quick patients' recovery, have positive impact on medical staff and visitors (Abbas and Ghazali, 2010; Ibrahim, 2011; Dandajeh, 2011).

    A number of reasons have been provided on why buildings perform poorly in meeting users' needs and expectations. The major reason was lack of adequate knowledge of users' changing needs and preferences by architects and other professionals who design, construct and maintain these buildings. And the panacea to improve the overall performance of buildings is to explore and understand users' needs, expectations and aspirations through regular performance evaluation by means of Building Performance Evaluation (BPE) or Post Occupancy Evaluation (POE) (Natasha & Abdul Hadi, 2008; Ibema, Opoko, Adeboye, and Amole, 2013).

    …

    CHAPTER TWO

    2.0 Literature Review

    2.1 Introduction

    This chapter focuses on the review of related literature. A literature review includes the current knowledge as well as theoretical and methodological contributions to a particular topic. It documents the state of the art with respect to the topic you are writing. It surveys the literature in the topic selected. In this research work the literature review includes the conceputal review, theoretical framework, the review of related literature …

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