Assessment of Administrative Challenges Confronting Community Health Practitioners at Primary Health Centres in Oyo, Oyo State, Nigeria
DOI:
https://doi.org/10.64348/zije.2026333Abstract
The study investigated administrative challenges confronting CHPs at primary health centres in Oyo, Oyo State. A descriptive research design of the survey type was used. The population of the study comprised all registered CHPs working at the PHCs in the four local government areas in Oyo, Oyo State. The total population for the study was 144 staff. A purposive sampling technique was used to select the sample size of 144. A validated structured questionnaire was used for data gathering. The reliability coefficient of 0.72 was obtained through spilt-half method using Spearman-Brown Rank Order. All the research questions were answered and presented using frequency and percentage. The study revealed that, favouritism 84(73.7%), lack of proper accountability 82(71.9%), not being pre-informed before posting students on practical 104(91.2%), no thorough supervision of students on practical 99(86.8%), denial of both departmental 101(88.6%) and facility headship 93(81.6%) despite being qualified were among the most administrative challenges confronting CHPs. The study concludes that, CHPs were confronted with toxic leadership, weak students’ clinic support and power tussles at PHCs in Oyo, Oyo State. It was recommended that there is a need for a continuous leadership training programme for CHPs to be organized by the state executive of the Association of Community Health Practitioners of Nigeria. The leadership of CHPs at the local government level should liaise with the head of the department to initiate a committee/unit for the effective management of students’ practicals; and appeal to the concerned authority to adhere to the scheme of service in decision-making about PHC headship.
References
Australia, H. (2011). National clinical supervision support framework: health workforce Australia. Retrieved on March 29, 2024 from http://www.ntrtn.com.au/sites/default/files/hwa-national-clinical-supervision-supportframework-201110.pdf.
Bahrami, M. , Keshvari, M., Rafiei, M. , Sivertsen, N. & Cert, G. (2019). Effective factors for development of gerontological nursing competence: a qualitative study. The Journal of Continuing Education in Nursing, 50(3), 127–133
Brown, J., Lweis, L., Ellis, K., Stewart, M., Freeman, T. & Kaperski, M. J. (2011). Conflict on inter-professional primary health care teams- can it be resolved? J. Interprof Care. 25(1), 4-10. Doi.10.3109/13561820.2010.497750. DOI: https://doi.org/10.3109/13561820.2010.497750
Cruess, R. L., Cruess, S. R., Boudreau, J. D., Snell, L. & Steinert, Y. A. (2015). Schematic representation of the professional identity formation and socialization of medical students and residents: A guide for medical educators. Acad Med. 90:718–25. DOI: https://doi.org/10.1097/ACM.0000000000000700
Essoil, S., Houdali, G., Mansouri, A., Mansoury, O., Adarmouch, L., Amine, M. & Sebbani, M. (2024). Clinical supervision of medical students in primary health care services: general practitioners’ perspectives in Morocco. Journal of Advances in Medical Education professionalism, 12(1): 18-27. doi:10.30476/JAMP.2023.100060.1868.
Cullati, S., Bochatay, N., Maitre, F., Laroche, T., Muller-Juge, V., Blondon, K. S., Perron, N. J., Baiwa, N. M., Vu, N. V., Kim, S., Savoldelli, G. L., Hudelson, P., Chopard, P. & Nendaz, M. R. (2019). When team conflicts threaten quality of care: a study of health care professionals’ experiences and perceptions. Mayo Clin Proc. Innov Qual Outcomes, 3(1): 43-51. doi:10.1016/j.mayocpiqo.2018.11.003 DOI: https://doi.org/10.1016/j.mayocpiqo.2018.11.003
Druetz, T. (2018). Integrated primary health care in low- and middle-income countries: A double challenge. BMC Medical Ethics, 19, 48. 10.1186/s12910-018-0288-z DOI: https://doi.org/10.1186/s12910-018-0288-z
Durowade, K. A,, Kadiri, I. B., Durowade, S. B., Sanni, T. A., Ojuolape, M. A. & Omokanye, L. O. (2020). Leadership styles versus health workers' job satisfaction, relationships, correlates and predictors in tertiary hospitals in Ekiti state, southwest Nigeria. Nigeria Journal of Clinical Practice 23(12): 1702-1710. doi: 10.4103/njcp.njcp_525_18 DOI: https://doi.org/10.4103/njcp.njcp_525_18
Greer, L. L. & Van Kleef, G. A. (2010). Equality versus differentiation: the effects of power dispersion on group interaction. Journal of Applied Psychology. 95, 1032-1044. doi.10.1037/a0020373. DOI: https://doi.org/10.1037/a0020373
Haraldseid, C., Friberg, F. & Aase, K. (2015). Nursing students’ perceptions of factors influencing their learning environment in a clinical skills laboratory: A qualitative study. Nurse Educ Today.35:e1–6. DOI: https://doi.org/10.1016/j.nedt.2015.03.015
Ibama, A. S. & Dennis, P. (2016). Role of community practitioners in national development. The Nigeria situation. International Journal of Clinical Medicine, 7: 511-518. DOI: https://doi.org/10.4236/ijcm.2016.77056
Lasater, K., Nielsen, A. E., Stock, M. & Ostrogorsky, T. L. (2015). Evaluating the clinical judgment of newly hired staff nurses. J Continu Educ Nurs, 46:563–71. DOI: https://doi.org/10.3928/00220124-20151112-09
Lawal, J., Weaver, S., Bryan, V. & Lindo, J. L. (2015). Factors that influence the clinical experience of nursing students at a Carribbean school of nursing. Journal of Nursing Education and Practice, 6(4). doi: https://doi.org/10.5430/jnep.V6n4p32. DOI: https://doi.org/10.5430/jnep.v6n4p32
Law Insider (2024). Clinical placement definition. Retrieved on April 24, 2024 from https://www.lawinsider.com/dictionary/clinical-placement
Purfarzad, Z., Bahrami, M., Keshvari, M., Rafiei, M., Sivertsen, N. & Cert, G. (2019). Effective factors for development of gerontological nursing competence: a qualitative study. The Journal of Continuing Education in Nursing, 50(3), 127–133 DOI: https://doi.org/10.3928/00220124-20190218-08
Mohammed, E. N. A., Onavbavba, G., Wilson, D. O. & Adigwe, O. P. (2022). Understanding the nature and sources of conflict among healthcare professionals in Nigeria: a qualitative study. Journal of Multidiscip Healthc, 15:1979-1995. doi:10.2147/JMDH.S374201. DOI: https://doi.org/10.2147/JMDH.S374201
Ngui, A. (2024). Weak leadership: how bad leaders undermine success. Retrieved March 2024 from https://itdworld.com/blog/leadership/weak-leadership/.
Office of the Medical Education (2024). Student supervision policy. Retrieved March 29, 2024 from https://medicine.buffalo.edu/offices/ome/current/policies/studentsuperv.hm l
Rajeswaran, L. (2017). Clinical experiences of nursing students at a selected institute of health sciences in Bostwana. Health Science, 10(6). DOI: https://doi.org/10.21767/1791-809X.1000471
Reich, M., Javadi, D. & Ghaffar, A. (2016). Introduction to the special issue on effective leadership for health systems. Health System Reform, 2(3), 171-175. DOI: https://doi.org/10.1080/23288604.2016.1223978
Robertson, H. D., Elliot, A. M., Burton, C., Iversen, L., Muchie, P., Porteous, T. & Matheson, C. (2016). Resilience of primary healthcare professionals: A systematic review. British Journal of General Practice, 66(647), e423–e433. 10.3399/bjgp16X685261 DOI: https://doi.org/10.3399/bjgp16X685261
Tingvoll, W. A., Saeterstrand, T. & Mcclusky, L. M. (2016). The challenges of primary health care nurse leaders in the wake of New Health Care Reform in Norway. Biomedical Central Nursing, 15(1): 66. DOI: https://doi.org/10.1186/s12912-016-0187-x
Van Bunderen, L., Greer L. L. & Van Knippenberg, D. (2018). When inter team conflict spirals into intrateam power struggles: the pivotal role of team power structures. Acad. Manag. J. 61, 1100-1130. doi.10.5465/amj.2016.0182. DOI: https://doi.org/10.5465/amj.2016.0182
Walsh University (2023). What are nursing clinical? Benefits and what to expect. Retrieved March 25, 2024 from https://online.walsh.edu/news/what-are-nursing- clinicals.



