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Enhancing Private Healthcare Effectiveness in Lagos State, Nigeria: An Overview of the Effect of Quality Improvement Initiatives and Implications for Sustainable Healthcare Delivery

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Health 2024年第2期16卷 93-104页

作者： Nnenna Mba-Oduwusi Ifesinachi Eze Tochukwu Osuji maxwell obubu Tolulope Oyekanmi Oluwatosin Kolade Ozioma Oguguah Jane Martins Nkata Chuku Alozie Ananaba Rodio Diallo Firdausi Umar Sadiq Emmanuella Zamba Abiola Idowu InSiGHt Health Consulting Limited Ikeja Nigeria Health Systems Consult Limited Abuja Nigeria Bill & Melinda Gates Foundation Abuja Nigeria Lagos State Health Management Agency (LASHMA) Lagos Nigeria Health Facility Monitoring and Accreditation Agency (HEFAMAA) Ikeja Nigeria

Background: Nigeria, a nation grappling with rapid population growth, economic intricacies, and complex healthcare challenges, particularly in Lagos State, the economic hub and most populous state, faces the challenge of ensuring quality healthcare access. The overview of the effect of quality improvement initiatives in this paper focuses on private healthcare providers in Lagos State, Nigeria. The study assesses the impact of donor-funded quality improvement projects on these private healthcare facilities. It explores the level of participation, perceived support, and tangible effects of the initiatives on healthcare delivery within private healthcare facilities. It also examines how these initiatives influence patient inflow and facility ratings, and bring about additional benefits and improvements, provides insights into the challenges faced by private healthcare providers in implementing quality improvement projects and elicits recommendations for improving the effectiveness of such initiatives. Methods: Qualitative research design was employed for in-depth exploration, utilizing semi-structured interviews. Private healthcare providers in Lagos involved in the SP4FP Quality Improvement Project were purposively sampled for diversity. Face-to-face interviews elicited insights into participation, perceived support, and project effects. Questions covered participation levels, support perception, changes observed, challenges faced, and recommendations. Thematic analysis identified recurring themes from interview transcripts. Adherence to ethical guidelines ensured participant confidentiality and informed consent. Results: Respondents affirmed active involvement in the SP4FP Quality Improvement Project, echoing literature emphasizing private-sector collaboration with the public sector. While acknowledging positive influences on facility ratings, respondents highlighted challenges within the broader Nigerian healthcare landscape affecting patient numbers. Respondents c

关键词： Private Healthcare Quality Improvement Projects Donor-Funded Initiatives Healthcare Delivery Lagos State Nigeria

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An Empirical Assessment of the Impact of Nigerian all Share Index, Market Capitalization, and Number of Equities on Gross Domestic Product

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Open Journal of Statistics 2018年第3期8卷 584-602页

作者： obubu maxwell Obiora-Ilouno Happiness Uzuke Chinwendu Alice Ikediuwa Udoka Chinedu Department of Statistics Nnamdi Azikiwe University Awka Nigeria

A stock exchange is an exchange where stock brokers and traders can buy and sell shares of stock, bonds, and other securities. All listings are included in the Nigerian Stock Exchange All Shares index. In terms of market capitalization, the Nigerian Stock Exchange is the third largest stock exchange in Africa. Objectives: The paper assesses the impact of Nigerian Stock Market (all share index, market capitalization, and number of equities) on Gross domestic product (Economic Growth). Materials and Methods: Regression analysis and ordinary least square technique were employed. Result and Discussion: The series was stationary at 1%, 5%, and 10% α level;the residuals were normally distributed but not serially correlated at 5% α level. All Share Index, Market Capitalization and Total Number of listed Equities have a joint and individual significant effect on Economic Growth (Gross Domestic Product) with Total Number of listed Equities having a negative (opposite) linear relationship with the Gross Domestic Product. The Durbin-Watson statistics (R2 = 0.9910 = 1.3686) suggest that the model is not spurious and it is devoid of positive and negative autocorrelation (DW = 1.3686 > dl = 1.07 and DW = 1.5033 ?-?du = 2.17). Therefore, it can produce meaningful result when used for forecasting a positive relationship between gross domestic product, all share index and market capitalization with a 99.1% R-square value. Significant Positive connection between all share index, market capitalization, the number of equities and gross domestic product suggests that government policies and bills aimed towards rapid development of the capital market should be initiated.

关键词： Nigerian Stock Market Gross Domestic Product Market Capitalization All Share Index Augmented Dickey-Fuller Test Breusch-Godfrey Test Serial Correlation Lm Test

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Generalized Kumaraswamy Generalized Power Gompertz Distribution: Statistical Properties, Application, and Validation Using a Modified Chi-Squared Goodness of Fit Test

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Applied Mathematics 2022年第3期13卷 243-262页

作者： obubu maxwell Ibeakuzie Precious Onyedikachi Khaoula Aidi Chijioke Igwe Akpa Nacira Seddik-Ameur Department of Statistics Nnamdi Azikiwe University Awka Nigeria Health Systems Consult Limited Abuja Nigeria Laboratory of Probability and Statistics LaPS University BadjiMokhtar Annaba Algeria Nigerian Centre for Disease Control Abuja Nigeria

A new six-parameter continuous distribution called the Generalized Kumaraswamy Generalized Power Gompertz (GKGPG) distribution is proposed in this study, a graphical illustration of the probability density function and cumulative distribution function is presented. The statistical features of the Generalized Kumaraswamy Generalized Power Gompertz distribution are systematically derived and adequately studied. The estimation of the model parameters in the absence of censoring and under-right censoring is performed using the method of maximum likelihood. The test statistic for right-censored data, criteria test for GKGPG distribution, estimated matrix Ŵ, Ĉ, and Ĝ, criteria test Y2n, alongside the quadratic form of the test statistic is derived. Mean simulated values of maximum likelihood estimates and their corresponding square mean errors are presented and confirmed to agree closely with the true parameter values. Simulated levels of significance for Y2n (γ) test for the GKGPG model against their theoretical values were recorded. We conclude that the null hypothesis for which simulated samples are fitted by GKGPG distribution is widely validated for the different levels of significance considered. From the summary of the results of the strength of a specific type of braided cord dataset on the GKGPG model, it is observed that the proposed GKGPG model fits the data set for a significance level ε = 0.05.

关键词： Power Gompertz Generalized Kumaraswamy-G Modified Chi-Squared the Goodness of Fit Censoring

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The Place of Human Resource Management in Lagos State Healthcare Delivery: A Statistical Overview

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Health 2023年第3期15卷 251-265页

作者： maxwell obubu Nkata Chuku Alozie Ananaba Rodio Diallo Firdausi Umar Sadiq Emmanuel Sambo Oluwatosin Kolade Tolu Oyenkanmi Kehinde Olaosebikan Oluwafemi Serrano Health Systems Consult Limited (HSCL) Abuja Nigeria Bill and Melinda Gates Foundation Abuja Nigeria Lagos State Health Management Agency (LASHMA) Lagos State Nigeria

Background: Behind every great system is an organized team;this is especially true in the healthcare industry, where a dedicated human resources team can effectively recruit employees, train staff, and implement safety measures in the workplace. The importance of human resources in the healthcare industry cannot be overstated, with benefits ranging from providing an orderly and effectively run facility to equipping staff with the most accurate and up-to-date training. Proper human resources management is critical in providing high-quality health care. A refocus on human resources management in healthcare requires more research to develop new policies. Effective human resources management strategies are greatly needed to achieve better outcomes and access to health care worldwide. Methods: This study leveraged NOI Polls census data on Health Facility Assessment for Lagos State. One thousand two hundred fifty-six health care facilities were assessed in Lagos State;numbers of Health workers were documented alongside their area of specialization. Also, demographic characterizations of the facilities, such as LGA, Ownership type, Facility Level Care, and Category of the facility, were also documented. Descriptive statistics alongside cross tabulation was done to present the various area of specialization of the health workers. Multiple response analysis was done to understand the distribution of human resources across the health facilities. At the same time, Chi-square and correlation tests were conducted to test the independence of various categories recorded while understanding the relationships among selected specialties. Results: The study revealed that Nurses were the most common health specialist in the Lagos State health facilities. At the same time, Gynecologists and General surgeons are the two medical specialists mostly common in health facilities. Midwives are the second most common health specialist working full time, while Generalist medical doctors make up

关键词： Healthcare Facilities Human Resources for Health Healthcare Delivery Lagos State SDGs on Health Multiple Response Analysis

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Lagos State Hospital Waste Management Practices: A Descriptive Overview with Stakeholders’ Role and Key Recommendations

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Journal of Environmental Protection 2023年第2期14卷 108-125页

作者： maxwell obubu Nkata Chuku Alozie Ananaba Firdausi Umar Sadiq Sadiq Emmanuel Sambo Oluwatosin Kolade Tolulope Oyekanmi Kehinde Olaosebikan Oluwafemi Serrano Health Systems Consult Limited (HSCL) Abuja Nigeria Bill and Melinda Gates Foundation Abuja Nigeria Head of Operations Lagos State Health Management Agency (LASHMA) Lagos State Nigeria

Background: Waste generation and its disposal is an essential issue in the sustainability of the environment and the planet’s future. Waste management is essential across sectors, likewise the health sector. Therefore, there is a need to employ extra care and attention to handling waste generated from healthcare facilities to avoid the dangers of poor biomedical waste management. We carried out this study to examine the waste management practice in healthcare facilities in Lagos State. Methods: The study was a descriptive survey carried out in one-thousand two hundred and fifty-six (1256) healthcare facilities in Lagos State. Nine hundred sixty-nine (969) of these facilities are located in urban areas, while two hundred and eighty-seven (287) are rural. The facilities studied are government/public health facilities (15.45%), private-for-profit facilities (82.88%), NGOs, Mission/Faith-Based medical facilities (1.67%). The data collected were analyzed using descriptive statistics. Specifically, we utilized bar charts, frequency, and percentage. Result: The result shows that 98.4% (1236) of the studied facilities are registered with the Lagos State Waste Management Authority (LAWMA), while 1.6% (20) are not registered. 98.5% (191) of the 194 government-owned facilities, 98.5% (1025) of the 1041 private-for-profit facilities, and 98.2% (20) of the 21 NGOs/faith-based health facilities are registered with Lagos State Waste Management Authority. The result also shows that 94% of the healthcare facilities studied in Lagos State use color-coded waste bags to segregate waste at the point of origin. 58.7% of the facilities use red-colored bags, 33.3% use yellow-colored bags, 10.7% use black-colored bags, and 1.3% use brown biohazard bags for segregating Infectious waste. Also, 34.2% of the health facilities in Lagos state use red-colored bags, 36.9% use yellow-colored bags, 11% use black-colored bags, and 4.1% use brown-colored bags to segregate their hazardous waste. Conclus

关键词： Waste Generation Hospital Waste Management Stakeholder Roles Healthcare Facilities Lagos State Lagos Waste Management Authority

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Lagos State Hospital Waste Management Practices: A Descriptive Overview with Stakeholders’Role and Key Recommendations

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Journal of Environmental Protection（环境保护） 2023年第2期

作者： maxwell obubu Nkata Chuku Alozie Ananaba Firdausi Umar Sadiq Emmanuel Sambo Oluwatosin Kolade Tolulope Oyekanmi Kehinde Olaosebikan Oluwafemi Serrano

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The Place of Human Resource Management in Lagos State Healthcare Delivery:A Statistical Overview

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Health（健康） 2023年第3期

作者： maxwell obubu Nkata Chuku Alozie Ananaba Rodio Diallo Firdausi Umar Sadiq Emmanuel Sambo Oluwatosin Kolade Tolu Oyenkanmi Kehinde Olaosebikan Oluwafemi Serrano

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