ABSTRACT

This project work on the importance of community health administration and rural development was carried out to find out the importance community health administration in rural development and what are the adverse health implications when the community involvement is very minimal. It also try to find out what factors are responsible for its ineffectiveness during its implementation. While it also took a look at the method best suited for the checkmating and control of all factors and conditions that adversely affects the amdinistraiton.

1.2     DELIMITATIONS OF STUDY

This project work is meant to study the role of community health administration plays in the development of the people of Sagbama local government area, while it is limited to the literate and non-literate adult of the local government area.

The researcher is greatly constrained with time factor in terms of meeting up lectures, coupled with other financial problems as opposing factors to each other. Also the searching of materials did not prove easy, since materials on the subject matter are not easily gotten or accessed within the school environment.

However, the above constraints did not in any way invalidate this project work in any form.

1.3     OBJECTIVES OF THE STUDY

This project work is designed to meet the following objectives

1.  o establish the relationship between community health administration and rural development

2.  To identify ways by which the programme will be successful

3.  To identify ways by which the community will effectively participate in the programme

4.  to identify problems of poor access to healthcare in the rural areas.

5.  To suggest ways to integrate the private sector to participate in community health administration

6.  to identify challenges in the implementation of community health in the rural areas

7.  To identify public health problems associated with non-compliance by community members in the community health programme

8.  to identify factors that motivates or demotivates health workers to rural settings

9.  to identify problems of community administration

10.              to identify ways by which stakeholders, NGO’s and L.G can assist in community health adminsitraiton.

1.4     RESEARCH QUESTION

1.  Are there ways that the private sectors/NGO’s could be integrated into the community health administration?

2.  What are the challenges that hinders the successful implementation of the programme

3.  what are the strategies needed for the successful implementation of the programme?

4.  How can the community be motivated to effectively participate in the programme?

5.  Is the leverage of community health administration adequate?

6.  What are the motivating factors that attracts health workers to rural areas?

1.5     SIGNIFICANCE OF THE STUDY

This project work will help to inform three tiers of governments on ways by which healthcare services will be made readily available, affordable and easily accessible to the ever increasing rural populace.

To suggest ways the government could easily integrate the private sector in order to ensure a wider coverage of the programme.

This study will intend to identify the challenges that hinders the successful implementation of the programme. And  the management of such challenges being faced by the health workers.

The results and recommendations of this study might serve as a guide to the local authorities in promulgating laws relating to community health administration.

1.9  DEFINITION OF TERMS

1. Primary Health Care

This is an essential health care based on practical, scientifically sound and socially acceptable, methods and technology, made universally accessible to individuals and families in the community through their full participation and at a cost which the country can afford to maintain at ever stage of their development in the spirit of self-reliance and self determination, WHO (1980)

2. Community Mobilization

This is a process of encouraging and arousing the interest of members of ta given community to b actively involved in identifying their problems and planning for solutions to them, to ensure self-reliance and initiative.

3. Community diagnosis

This is the process of finding out the needs (problems) of a particular community with the assistance of members of the community.

4. Advocacy

Advocacy in primary health care simply means the process of creating awareness on certain whealth programmes

5. Health

This is defined as a state of complete physical, social and mental wellbeing of an individual and not mainly the absence of disease or infirmities, WHO (1999)

6. Community

Is defined as a specific group of people living in a defined geographical area, who share a common culture, values and norms and arranged in a social structure according to relationships over a period of time WHO, (1988).

7. Management

This is the organization and co-ordination of the activities of an enterprise in accordance with certain policies and in with

However, this project is divided into five(5) chapters, the chapter one gives a general overview of the topic, which includes background overview of the topic, which includes background of study historical background of study area, statement of problem, purpose and objectives of the study, signifcnace of study, delimitation and scope of study, research questions and definition of terminology used. Chapter two focuses on literature rreview. The researcher reviewed the work of experts and renounce authors that are related to the rsearch work. Chater three deals with the research methodology which includes research design, smapling techniques, sample size, determination, and instruments for data collection.

In the chapter four, the data were vividly presented and carefully analyzed, using the simple percentage table. While in chapter five the findings were discussed in relation to the literature review and analysis from chpter four. It also talks about the summary, conclusion and recommendations.

CHAPTER ONE

1.0  INTRODUCTION

The basic human needs of psychological needs, love needs, Esteem needs and self-actualization hinge on the availability of good health care delivery services. Although quality health is seen as one of the active ingredients for the development of any nation. Woyd, (2009).

It is pertinent to note that in Nigeria, inequality and poor accessibility to health care has been a persistent problem. This is so, because majority of the population lives in the rural areas. The sustainability and viability of country’s economy and social growth depends largely on a well vibrant health care sector. While health care needs is increasing, government expenditure on health services are declining. This expenditure has been described as being inadequate, insufficient, inequitable and unsustainable. Thus, the burden of paying for health care services, especially by the ever increasing rural populace, has been very difficult due to the fact that majority of the country’s citizens could not afford a good and quality health care service, Olubenga, (2010).

Ebuehi et al (2008), states that quality health is one of the active ingredients for the development of any nation. That a nation suffers economically, educationally, physically and socially if a greater percentage of its population, especially the work force is ill or mained. For example, persons suffering from AIDS, Tuberculosis, and terminal stage of cancers, may not be as productive as if is expected of them. Consequently, they may become liabilities to the rest members of the community. Wadinga A, (2007).

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