Educational Level and Medical Workers' Attitudes Towards Efficient Health Service Delivery in Nnewi Community, Anambra State
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This study investigated the relationship between medical workers' level of education and their attitude towards efficient and effective service delivery in Nnewi community, Anambra State. To guide the study the Social Cognitive Theory (SCT) developed by Bandura, Zimmerman and others was chosen as the theoretical framework. Five hundred and sixteen respondents were randomly selected and studied. Cluster sampling and stratified random sampling were adopted in the course of this study. Questionnaire was the major instrument for data collection and was supplemented by in-depth interview. The quantitative data collected were analyzed descriptively and inferentially and t-test statistic was used to test the hypothesis. Data from in-depth interviews were analyzed using thematic approach. The findings show that there is a statistically significant difference in attitude to effective healthcare delivery based on the level of 2 education of medical workers ( = (1; N=516) = 0.44, p = 0. 003), indicating that medical workers' attitude to efficient and effective healthcare delivery is related to their level of education. However, in-depth interview data indicate that power relations, between health workers and their patients, often emerge from the educational qualification differentials between the former and the latter and could easily become the basis of deep disagreements and sometimes conflict leading to negative health outcomes. Based on these findings the study calls for a mandatory inculcation of a reflexive mindset as part of the training regime of health workers to obviate continuing and future recurrence of conflicts arising from the transactional, socially constructed power differentials between health workers and their patients.
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Agrawal, P. K. (2009). How Much The Indigenous Women of Jharkhand, India are in Disadvantageous Condition: Indigenous Peoples: Asia. AIDS Care, 13(2), 243–50 Retrieved from: http://paa2009.princeton.edu/download.aspx?
Akpenpuun, J. R. (2014) Influence of Religious Beliefs on Healthcare Practice, International Journal of Education and Research, 2(4).
Alter, S. (2007). Could the Work System Method Embrace Systems Concepts More Fully? Information Resource Management Journal, 20(2), 33-43. 20 Vol. 10, No. 1, September, 2020 Ibom Journal of Social Issues
Altman, J., (2003). The Economic and Social Context of Indigenous Health, in Neil Thomson: The Health of Indigenous Australians. Oxford, UK: Oxford University Press.Anambra State Ministry of Health (2010). Anambra State Government: Strategic health development plan (2010-2015)
Bandura, A. (1978). The Self-System in Reciprocal Determinism, American Psychologist Journals, 33, 344-358.
Bandura, A. (1986). Social Foundations of Thought and Action: A social Cognitive Theory, Englewood Cliffs, N.J.: Prentice Hall.
Bandura, A. (1997). Self-efficacy: the exercise of control, New York: Freeman.
Barbbie, E. (2005). The basics of social research. Toronto: Thomson Wadsworth
Bjerregaard, P., Young, T.K., Dewailly, E., & Ebbesson, S.O.E. (2004). Indigenous Health in The Arctic: An Overview of The Circumpolar Inuit Population, Scand J Public Health, 32, 390– 395. doi: 10.1080/14034940410028398
Black R & Sward J (2009). Migration, Poverty Reduction Strategies and Human Development, Human Development Research Paper 2009/38, UNDP Cole A. Our medical common market. BMJ Careers. 2008; 336(7638):37–38.
Davis S.M. (1995). An investigation into nurses' understanding of health education and health promotion within a neuro-rehabilitation setting, Journal of Advanced Nursing 21, 951±959.Denmark, Bangladesh.
Gazali, W.A Muktar, F, & Mahamoud Gana, M.M (2012). Barriers to Utilization of Maternal Health Care Facilities Among Pregnant and Non-pregnant Women of Child Bearing Age in Maiduguri metropolitan Council, Continental J. Tropical Medicine 6 (1): 12- 21, 2012, Retrieved from: http://www.wiloludjournal.com
Goodman, J. C. & Musgrave, G. L. (1992). Patient power: Solving America's health care crisis, Washington, DC: CATO Institute.
Ham, C., Dixon, A. & Brooke, B. (2012). Transforming The Delivery of Health and Social Care: The Case for Fundamental Change; The King's Fund 11–13 Cavendish Square; ISBN:
Inman, J. (2013). Social Cognitive Theory; Basic Concepts and Understanding, Oregon State University
Islam, M.R., Islam, M.A. & Banowary, B. (2009). Determinants of Exposure to Mass Media Family Planning Messages among Indigenous People in Bangladesh: A Study on the Garo. Journal of Biosocial Science, 41, 221–229.
Islam, R., & Sheikh, M.A. (2010). Cultural and Socio-economic Factors in Health, Health Services and Prevention For Indigenous People, Antrocom Online Journal of Anthropology, 6, ( 2) 263-273
Jesus ES, Marques LR, Assis LCF, Alves TB, Freitas GF, & Oguisso T (2O10). Prejudice in Nursing: Perception of Nurses Educated in Different Decades”, 44(1), 164-70
Jewkes, R., Abrahams, N. & Mvo, Z. (1998). Why Do Nurses Abuse Patients? Reflections from South African Obstetric Services, Social Science & Medicine, 47(11), 1781-1795.
.Karkee, R., Lee, A.H. & Binns, C.W (2013). Bypassing Birth Centres for Childbirth: An Analysis of Data From a Community-Based Prospective Cohort Study in Nepal, Health Policy Plan. doi: 10.1093/heapol/czt090.
Kast, F., and Rosenzweig. J. (1973). Contingency views of organization and management. 21 Vol. 10, No. 1, September, 2020 Ibom Journal of Social Issues
Macleod-Clark J., Latter S. & Maben J. (1992). Health Education and Health Promotion in Nursing: A Study of Practice in Acute Settings. Department of Health; HMSO, London.
Mahmud, (2006). Life and Struggles of the Mro People in Bangladesh 34(1), 79-88.
Marchie, C.L, (2012). Socio-cultural Factors as Correlates of Maternal Mortality in Edo Marmot, M., (2005). Social Determinants of Health Inequalities, Lancet, 365: 1099-104. http://www.who.int/social_determinants/resources/indigenous_health_adelaide_report
Marmot, M., (2007). Achieving Health Equity: From Root Causes to Fair Outcomes, Published
Mensah K, Mackintosh M & Henry L (2008). The Skills Drain of Health Professionals From The Developing World: A Framework For Policy Formulation, Medact, London
Montuori, L. A. (2000). Organizational Longevity Integrating Systems Thinking, Learning and Conceptual Complexity, Journal of Organizational Change Management, 13(1), 61-73.
Murphy, M. (2006). Adult mortality in the former Soviet Union. In R.G. Rogers and E.M. Crimmins, eds., International Handbook of Adult Mortality. Dordrecht: Springer, pp. 83-100.
National Center for Health Statistics (n.d). Unpublished Estimates From The 1992 and 2000 National Home and Hospice Care Surveys, Hyattsville, Maryland.
Nnebue, C. C, Ebenebe, U .E, Nwabueze, S. A, Obi-okaro, A. C, Ubajaka, F. C & Ilika, A. L (2014). Constraints to Utilization of Maternal Health Services at The Primary Health Care Level in Nnewi, Nigeria; Orient Journal of Medicine 26,3-4
Rafi, M., (2006). Small Ethnic Groups of Bangladesh: A Mapping Exercise, Dhaka: Panjeree Publications Ltd.
Raghupathy, S., (1996). Education and The Use of Maternal Health Care in Thailand, Soc. Sci.
Raikes, A. (1992). Gender, PHC and The Production Of Health-Care Services - Issues For Womens Roles In Health Development For The Next Decade, Ids Bulletin-Institute Of Development Studies, 23(1), 19-28.
Rajeswari, R., Chandrasekaran, V., Suhadev, M., Sivasubramaniam, S., Sudha, G. & Renu, G. (2002). Factors Associated With Patient and Health System Delays in The Diagnosis of Tuberculosis in South India, International Journal of Tuberculosis & Lung Disease, 6(9), 789-95.
Renate, A., Brigitte, B. de Brouwer, 1., Anneke, L. Francke & Delnoij, D. (2014). How Nurses and Their Work Environment Affect Patient Experiences of The Quality of Care: A Qualitative Study, BMC Health Services Research
Rosenstock, I.M. (1974). Historical Origins of The Health Belief Model, Health Education Monographs, 2, 328–335.
Skutnabb-Kangas, T., (1999). Education of Minorities', in J. A. Fishman (ed.) Handbook of language & ethnic identity, Oxford University Press.
Skyttner, L. (1996). General Systems Theory: An Introduction, London: Macmillan Press, Ltd.
Ugal, DB, Uschie, BF, Uschie, M, & Ingwu, J, (2012). Utilization of Facilities and Maternal Health Outcome Among Urban Dwellers of Obudu and Ogoja Local Government Areas of Cross River state, Nigeria