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Adebayo, S O (1991) A study of the maintenance management of public buildings in Nigeria, Unpublished PhD Thesis, , University of Lagos.

Adenuga, O A (2008) Evaluation of maintenance management practice in public hospital, buildings in South-West, Nigeria, Unpublished PhD Thesis, , University of Lagos.

• Type: Thesis
• Keywords: skills; health care; hospital; plant and equipment; communication; funding; government; maintenance management; outsourcing; preventive maintenance; quality control; Nigeria; organizational structure; regression analysis; workshops
• ISBN/ISSN:
• URL: https://www.proquest.com/docview/2700781551
• Abstract:
  The research investigated the state of maintenance management of public hospital buildings in South-west, Nigeria, and in the process, identified factors militating against their effective contribution to health care delivery.A total of 552 questionnaires comprising 206 for maintenance staff and 346 for users of public hospital buildings were collected and used for study. The survey covered 46 public hospitals representing 40% of the total number of existing public hospitals in South-west, Nigeria. The study comprises all the 11 federal governments owned hospitals and 35 selected state government owned in South-west, Nigeria based on stratified random sampling technique. Data collected were analyzed using mean item score, Analysis of variance (ANOVA), Spearman-rank correlation coefficient, Pearson correlation test and Multiple regression analysis where appropriate.Findings of the study revealed that in public hospitals in South west, Nigeria, the staff strength of the maintenance departments is inadequate and the maintenance staffs are inexperienced in hospital maintenance management. Majority of the users of public hospital buildings do not have access to any formal training on effective use of hospital facilities. The state of maintenance of hospital buildings are found to be above average in performance, while the structures and fabrics were highly rated in performance and in their physical condition, while the services are poorly rated.The study also revealed that there exist maintenance policies. Training through workshops and seminars are the major types of training given to the maintenance operatives which are found to be inadequate. Also motivation is lacking in most maintenance organizations. Preventive maintenance system is found to be the predominant maintenance strategy practiced by most of the maintenance departments in public hospitals in South-west, Nigeria.Majority of the maintenance departments of public hospitals use wide managerial span of control for their organizational structure. However narrow managerial span of control was rated better than wide managerial by the maintenance staff. The most important skills considered necessary for effective maintenance manager in executing maintenance operations in public hospitals according to the study are professional experience, intelligence, good communication, good qualification and human relation skili. Users of hospital buildings rated the quality of work done by the maintenance departments, the functionality of the buildings and the attitude of maintenance staff very high.Test of hypotheses revealed that between federal and state owned hospitals, there is a significant difference in the physical condition of building elements and services. There is no correlation between defects reported by the users and the repairs carried out on them by the maintenance departments. Also there is no significant relationship between preventive, corrective and condition-based maintenance strategies when maintenance efficiency is considered. There exists a significant difference between wide and narrow managerial span of control when maintenance organization efficiencies are rated. There is inadequacy of fund for maintenance management programme in public hospitals in Southwest, Nigeria. There are no variations in the work performed by the use of in-sourcing and outsourced labour in executing maintenance operations. However, maintenance staff rated the use of in-source better in that it produces higher quality and better quality control of services, reduction in cost.The study came out with two models whereby the level of funding and the performance of the buildings can be predicted, also defects reported by the users and defects repaired by the maintenance department can also be predicted.Based on the above findings, the study recommends that more funds should be allocated in the budget for improving the state of maintenance management of hospital buildings and services. Preventive maintenance systems should be encouraged within hospitals maintenance systems; adequa e provision should be made to ensure that facility plant and equipment are inspected regularly. For better performance, narrow managerial span of control should be encouraged in hospital organizational structure while the use of outsourcing and in source should be adequately monitored since some activities may favour either of the two. Management should ensure that the head of maintenance department has the required maintenance managers' attitude success factors before appointing them rather than being political in their selection, Management should ensure that both the Managaement and all the staff are given adequate training for effective ue of buildings and services.

Ajayi, O O (2016) Maintenance management of prison facilities in South-West, Nigeria, Unpublished PhD Thesis, , University of Lagos (Nigeria).

Ijaola, I A (2017) Training practices and task performance of professionals in construction firms in Lagos and Abuja, Nigeria, Unpublished PhD Thesis, , University of Lagos.

Iroroakpo, G I (2007) A comparative study of direct labour and design-tender-construct procurement systems in Nigeria, Unpublished PhD Thesis, , University of Lagos (Nigeria).

Oko, J A (2008) Ethical behaviour of Nigerian building industry professionals in the procurement of building projects, Unpublished PhD Thesis, , University of Lagos.

Onukwube, H N (2008) Construction professionals motivation and job performance: A comparison of indigenous and expatriate construction contractors in Nigeria, Unpublished PhD Thesis, , University of Lagos.

Onukwugha, V C (1991) Optimising the constructional and technological aspects of management for mass housing schemes in Nigeria, Unpublished PhD Thesis, , University of Lagos.

Zubairu, S N (1998) Maintenance of government office buildings in Nigeria: A post-occupancy evaluation approach, Unpublished PhD Thesis, , University of Lagos.