Assessment Of The Provision Of Health Care Delivery In Esan Central Local Government

Abstract

This study assessed healthcare delivery in Esan Central Local Government Area of Edo State. A descriptive survey design was adopted, and data were collected using a structured questionnaire from 270 respondents selected from staff and residents. The reliability coefficient was 0.78. Data were analyzed using mean and standard deviation. Findings revealed that the extent of healthcare service delivery was high for basic services such as immunization and maternal care. Availability and adequacy of primary healthcare facilities were moderate; basic equipment was available but essential drugs and vaccines were inadequate. Service quality was moderate, with staff competence rated high but long waiting times reducing overall quality. Healthcare delivery positively impacted residents’ well-being, improving maternal health and reducing common diseases. However, the role of local government in managing and funding primary healthcare was weak, particularly in funding, maintenance, and personnel provision. Major challenges included inadequate funding, shortage of health personnel, poor infrastructure, and lack of essential drugs. The study concluded that although healthcare services are available and positively affect well-being, significant gaps remain in facility adequacy, service quality, and local government commitment. It was recommended that the Edo State government increase funding for primary healthcare, ensure consistent supply of essential drugs and vaccines, empower local governments with greater financial autonomy, and conduct regular supervision to improve accountability and service delivery.