History of Health Care Administration in Nigeria

According to Mumen (2009), the modern health
practice in Nigeria originated from British Army Medical service which served
British Colonies and protectorate. The British colonial gun boat diplomacy
resulting in the formation of West African Frontier Force (WAFF) which needed
medical services for her soldiers and the British masters required health
services for colonial soldiers. These medical services were later extended to
local communities new government stations.

The colonial medical services were later extended to
colonial service officers, their wards and relatives and communities before it
was extended to native community after Second World War. Lord Laggard
development plan had first hand plan for health for colonial Nigeria which enables
the Anglo-Saxon government to plan for effective health administration in
Nigeria. A ten-year programme was designed as a catechism for subsequent health
care programme for the people of Nigeria.
Akpala (2010) stated that the first and second
development plan, in health sector, was designed to correct, some injustice and
deficiencies that existed in health administration in Nigeria. The third
National development plan was a deliberate attempt to draw up a comprehensive
national health policy, dealing with issues of manpower development, provision
of comprehensive health services based on basic health care service scheme,
disease control, and efficient utilization of health resources medical
research, health planning and management.
Akinsola (2009) stated that 1978 saw the adoption
of Alma-Ata declaration which emphasized community based participation. This
means that the people in the grassroot must participate firmly in the provision
of services at village level and street level through planning implementing and
managing the system through collective endeavour, it ramified self-reliance,
and treated healthcare as an element of development. This means that community need
not wait until a doctor is available before health services can be delivered.
In addition Osemota (2007) stated that healthcare
services in Nigeria have evolved through a series of historical development,
succession of policies, introduced by each government. Traditional birth
attendants also existed as a means of delivery of healthcare services to the
people. 1988 reorganization of the federal civil service presented an excellent
opportunity for the crystallization of internal reorganization of healthcare
system in Nigeria. This reform were targeted at professionalization of
ministries, it provided for three mandatory departments, personnel and
management, finance and supplies, planning research and statistics.
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