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CO-ORDINATION OF GOVERNMENT PROGRAMMES: A STUDY OF KADUNA STATE HEALTH MANAGEMENT BOARD

ABSTRACT

The major concern of this study has been to

examine the nature and level of co-ordination in

terms of effectiveness or otherwise of health service

programmes offered by the Kaduna State Health Management

Board. It also attempts to determine the factors that

mostly affect co-ordination of health service programmes

of the Board, and how such factors influence the

efficient delivery of services to the people.

The health of the people depends on the quality and

quantity of the health services provided by the government,

which in turn depend on effective management of the

agency or machinery responsible for the discharge of these

services.

The study essentially employed the questionnaire

and interview methods for data collection. A stratified

random sampling was used in selecting the subjects

because the sample was not homogenous. Using this

technique a total of 225 respondents were sampled for

this study. The technique used in analyzing data are

the statistical frequency distribution and simple

percentages. The major hypotheses tested revealed that

there is ineffective co-ordination of health services

by the Board. Our analysis also indicated that

co-ordination could be seen from the perspective of

internal and external or vertical and horizontal

dimensions.

On the factors the mostly affect co-ordination

it was revealed that a combination of variables affect

co-ordination in the Board. And the combined effects

of delegation, informal groups activities and

political forces were negative. In the study therefore

efficient and satisfactory delivery of health services

to the teeming population has been an illusion.

Finally, suggestions for improvement were made and in

this way the government will endeavour to fulfil its

social responsibility for the sake of good life.

TABLE OF CONTENT

Title page- – – – – – – – – i

Approval page – – – – – – – -ii

Dedication – – – – – – – – -iii

Acknowledgement – – – – – – – -iv

Abstract – – – – – – – – – -v

Table of content – – – – – – – -vi

CHAPTER ONE

INTRODUCTION – – – – – – – -1

1.0 Background of the study – – – – -1

1.1 Statement of the problem – – – – -5

1.2 Purpose of the study – – – – – -6

1.3 Significance of the study – – – – -8

1.4 Research questions – – – – – -9

1.5 Scope of the study – – – – – – -10

CHAPTER TWO

LITERATURE REVIEW – – – – – – -11

CHAPTER THREE

Research methodology – – – – – – -39

Design of study – – – – – – – -40

CHAPTER FOUR

Presentation, analysis and interpretation of data – -48

CHAPTER FIVE

Summary of findings – – – – – – -60

Conclusion – – – – – – – – -61

Recommendations – – – – – – – -62

Suggestions for further research – – – – -64

References – – – – – – – – -65

Appendix I – – – – — – – – -68

Questionnaire. – – – – – – – -69

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