Educational Level and Medical Workers' Attitudes Towards Efficient Health Service Delivery in Nnewi Community, Anambra State
Keywords:
Nigeria, Medical work, Health workers' attitudes, Efficient health service delivery, Health workers' level of educationAbstract
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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