THE CHALLENGES AND STRATEGIES TO ACHIEVING A REALISTIC HEALTH CARE IN PLATEAU STATE, NORTH CENTRAL NIGERIA.

Abstract

This study examined the challenges and strategies for achieving a realistic healthcare system in Plateau State, North Central Nigeria, using a survey research design. The population includes healthcare professionals, policymakers, administrators, and patients, with 400 participants selected through purposive sampling. Structured questionnaires were utilized to gather quantitative data on participants' perceptions of healthcare challenges and strategies. Findings reveal that while healthcare facilities in Plateau State are moderately equipped (Mean = 3.99, SD = 1.144) and essential drugs are fairly available (Mean = 3.73, SD = 0.816), significant gaps persist in affordability (Mean = 2.23, SD = 1.327), government support (Mean = 2.10, SD = 1.219), and professional training (Mean = 2.60, SD = 1.456). Additionally, 59.2% of respondents were female, and the majority (37.2%) were within the 35–44 age group, reflecting active health service users and providers. Strategies identified for improvement include increased investment in healthcare infrastructure (Mean = 3.90, SD = 1.181), expanded financial aid and subsidy programs (Mean = 4.05, SD = 0.347), continuous professional development (Mean = 3.84, SD = 1.188), strengthening medication supply chains (Mean = 3.86, SD = 1.204), and robust policy and advocacy interventions (Mean = 4.01, SD = 1.090). The study concludes that a multifaceted approach, combining financial, infrastructural, and policy initiatives, is essential for enhancing healthcare access and quality in Plateau State. Targeted interventions in these areas can lead to substantial improvements, ensuring more equitable and effective healthcare delivery for all residents.