Emerging Trends Adaptability in the Professional Training and Practice of Primary Health Care (PHC) Workers in the Achievements of Sustainable Health Development in Delta State.
CHAPTER ONE
Objectives of the Study
This study aims to achieve the following specific objectives:
- To assess the level of adaptability of primary healthcare workers in Delta State to emerging trends in the healthcare industry.
- To examine the factors influencing the adaptability of primary healthcare workers to emerging trends in healthcare in Delta State.
- To determine the impact of primary healthcare workers’ adaptability to emerging trends on the achievement of sustainable health development goals in Delta State.
CHAPTER TWO
LITERATURE REVIEW
Conceptual Review
Primary Healthcare (PHC)
In the realm of healthcare, Primary Healthcare (PHC) represents a fundamental concept that serves as the cornerstone of effective healthcare delivery (Constitution of the World Health Organization, 2019). PHC can be defined as a comprehensive, community-based approach to healthcare that prioritizes essential healthcare services, emphasizing accessibility, affordability, and the active participation of individuals and communities in their health (Declaration of Alma-Ata, 2018). Its principles encompass equity, community participation, intersectoral collaboration, and a focus on prevention, making PHC a holistic and inclusive approach to healthcare (A/RES/70/1, 2015).
The significance of PHC in healthcare systems cannot be overstated. It plays a pivotal role in achieving universal health coverage, which is a key component of the Sustainable Development Goals (Tangcharoensathien et al., 2021). PHC serves as the first point of contact between individuals and the healthcare system, offering a range of essential services, from preventive care to the management of chronic conditions (Hone et al., 2018). This accessibility ensures that healthcare is within reach for all, regardless of socio-economic status, geographic location, or other determinants of health (Starfield, 2021).
Furthermore, PHC acts as a critical component in addressing major infectious diseases, which are central to global health priorities (Holmes et al., 2017). It serves as the frontline defence against outbreaks and pandemics, emphasizing the importance of a robust and adaptable PHC system. Additionally, PHC can facilitate the control of noncommunicable diseases (NCDs) through targeted interventions and early detection (Tackling NCDs, 2017). By addressing both infectious diseases and NCDs, PHC contributes significantly to improving overall population health (Bartlett et al., 2019).
In summary, the introduction to Primary Healthcare (PHC) defines its core principles as a comprehensive and community-based approach to healthcare. This approach emphasizes equity, community participation, and intersectoral collaboration while focusing on prevention. The significance of PHC in healthcare systems lies in its pivotal role in achieving universal health coverage, ensuring accessibility, and addressing major health challenges, from infectious diseases to noncommunicable diseases, ultimately contributing to improved population health (Declaration of Alma-Ata, 2018; Tangcharoensathien et al., 2021; Starfield, 2021; Holmes et al., 2017; Tackling NCDs, 2017; Bartlett et al., 2019).
CHAPTER THREE
METHODOLOGY
Introduction
This chapter outlines the methodology employed in conducting the research and provides a detailed account of the research design, population, sampling technique, sample size, sources and methods of data collection, data analysis, validity, reliability, and ethical considerations. The chosen methodology aims to investigate the impact of training and professional development on the adaptability of primary healthcare (PHC) workers in Delta State, Nigeria. The research design, data collection, and analysis methods align with the study’s objectives and research questions, allowing for the collection of relevant and reliable data.
Research Design
The research design adopted for this study is quantitative in nature, aiming to facilitate a systematic collection and analysis of numerical data. Quantitative research, as outlined by Anderson, Fontinha, and Robson (2020), involves the rigorous examination of numeric information to uncover patterns, establish relationships, and identify statistical associations. This research design was chosen because of its inherent capacity to provide empirical evidence concerning the correlation between the training initiatives received by primary healthcare (PHC) workers and their levels of adaptability within the healthcare context.
Within the quantitative research framework, this study will employ a cross-sectional survey design. This design involves the collection of data at a single point in time from a substantial sample of respondents (Creswell & Creswell, 2018). By utilizing this approach, the study aims to capture a snapshot of the current state of training and adaptability levels among PHC workers in Delta State, Nigeria. The selection of this design is pivotal as it allows for the examination of a diverse group of PHC workers who are situated across various locations within Delta State. This diversity is critical for obtaining a comprehensive understanding of the training programs’ efficacy and their impact on the adaptability of PHC workers serving a broad spectrum of healthcare needs in the region. Ultimately, the quantitative research design, encompassing a cross-sectional survey, aligns with the research objectives, offering valuable insights into the relationship between training and adaptability in the context of PHC workers.
Population of the Study
The target population for this study comprises primary healthcare workers in Delta State, Nigeria. The choice of this population is justified by the need to understand the adaptability levels of healthcare workers directly involved in delivering primary healthcare services to the local population. Delta State is a diverse region, and its PHC workers serve a broad spectrum of healthcare needs. Therefore, studying this population of healthcare workers is essential for gaining insights into the impact of training and development on their adaptability in the face of diverse healthcare challenges (Eisenhardt, 2015).
CHAPTER FOUR
DATA PRESENTATION, ANALYSIS AND DISCUSSION
Data Presentation
CHAPTER FIVE
SUMMARY, CONCLUSION AND RECOMMENDATIONS
Summary of Findings
The findings of this research shed light on the perceptions, beliefs, and factors related to the adaptability of primary healthcare workers in Delta State to emerging trends in the healthcare industry. The study aimed to provide a comprehensive overview of the current state of primary healthcare in the region, identify areas of strength and improvement, and offer insights that can inform strategies for enhancing adaptability and achieving sustainable health development goals.
One of the key findings from the study is that a significant proportion of respondents (57.4%) perceived primary healthcare workers in Delta State as having a good level of adaptability to emerging trends in the healthcare industry. This positive perception suggests that a substantial portion of the primary healthcare workforce is responsive and flexible in the face of industry changes. Such adaptability is crucial in a rapidly evolving healthcare landscape, where new technologies, treatment methods, and patient expectations continuously emerge. However, it is noteworthy that 18.5% of respondents disagreed with this statement, highlighting the existence of challenges or areas where adaptability may need improvement. These findings indicate a degree of variability in perceptions regarding the adaptability of primary healthcare workers, and it is essential to explore the factors contributing to this divergence further.
The study delved into the factors believed to influence the adaptability of primary healthcare workers in Delta State, and the findings were revealing. A majority of respondents (76.9%) agreed that factors such as access to resources, organizational support, and continuous education play a significant role in shaping adaptability. This finding underscores the significance of external factors in enhancing the adaptability of healthcare professionals. It suggests that interventions targeting these factors could contribute to strengthening adaptability among primary healthcare workers. Access to resources, including the latest medical equipment and technologies, can empower healthcare workers to embrace new practices and techniques. Organizational support, in terms of leadership and management practices, can create an environment conducive to learning and change. Continuous education and professional development programs can equip healthcare workers with the necessary knowledge and skills to adapt effectively to emerging trends.
The availability and effectiveness of training and development programs emerged as a critical aspect of the study. While 75.9% of respondents agreed that there are adequate training programs to support adaptability, 13.9% were uncertain, and 10.2% disagreed. This indicates some level of ambiguity or concern regarding the existing training initiatives. These findings highlight the need for a closer examination of training programs, including their content, accessibility, and impact on the adaptability of healthcare workers. Adequate training programs are essential to keep healthcare workers up-to-date with the latest developments in their field and to equip them with the necessary skills to implement new practices effectively. The presence of uncertainty and disagreement regarding training programs suggests that there may be variations in the quality and accessibility of such programs within the healthcare system.
Conclusion
In conclusion, the results of the hypotheses tested in this study provide valuable insights into the relationship between the adaptability of primary healthcare workers in Delta State to emerging trends in healthcare and various factors, including professional training, access to resources, organizational support, and continuous education.
The findings indicate that there is a significant positive relationship between the level of adaptability of primary healthcare workers and their professional training. This suggests that investing in training programs and continuous education can enhance the adaptability of healthcare workers, which is essential in a rapidly changing healthcare landscape.
Furthermore, the study highlights the importance of factors such as access to resources and organizational support in influencing the adaptability of healthcare workers. These external factors play a crucial role in shaping healthcare professionals’ ability to embrace new practices and technologies.
Overall, the study’s results underscore the need for strategic interventions that prioritize training, resource allocation, and fostering a supportive organizational culture to enhance the adaptability of primary healthcare workers in Delta State. These measures are vital for ensuring that the healthcare system remains responsive to emerging trends and capable of delivering high-quality care to the population.
Recommendations
Based on the findings of this study, the following recommendations are put forward:
- Invest in Comprehensive Training Programs: Healthcare authorities in Delta State should prioritize the development and implementation of comprehensive training programs for primary healthcare workers. These programs should cover both technical skills and adaptability to emerging trends in the healthcare industry.
- Promote Continuous Education: Encourage primary healthcare workers to engage in continuous education and professional development activities. This can be achieved through partnerships with educational institutions and organizations offering relevant courses and workshops.
- Enhance Resource Allocation: Healthcare facilities and organizations should allocate resources strategically to support primary healthcare workers in staying updated with emerging trends. Investments in modern medical equipment, technology, and infrastructure are crucial to improving healthcare adaptability.
- Foster a Supportive Organizational Culture: Healthcare institutions should cultivate a culture that encourages innovation, experimentation, and adaptability. Leaders and managers should promote an environment where healthcare workers feel empowered to suggest and implement changes.
- Collaborate and Share Best Practices: Establish platforms for primary healthcare workers to collaborate and share best practices. Peer learning and knowledge exchange can accelerate the adoption of emerging trends and innovative practices.
- Evaluate and Update Policies: Policymakers should regularly assess and update policies related to healthcare worker training and adaptability. These policies should be aligned with the dynamic nature of the healthcare industry.
- Monitor and Measure Adaptability: Implement regular assessments and surveys to monitor the adaptability levels of primary healthcare workers. This data can guide targeted interventions and measure the impact of training and development programs.
- Encourage Research and Innovation: Support research initiatives focused on healthcare adaptability and emerging trends. Encourage healthcare workers to engage in research projects and pilot innovative solutions to healthcare challenges.
Contribution to Knowledge
This study contributes significantly to the field of healthcare and primary healthcare worker adaptability to emerging trends in several ways. First, it provides empirical insights into the adaptability levels of primary healthcare workers in Delta State, Nigeria, offering a valuable assessment of their readiness to embrace and integrate emerging trends in healthcare. This empirical evidence is particularly important in the Nigerian context, where healthcare systems face unique challenges and opportunities.
Additionally, the study identifies and examines the factors influencing adaptability among primary healthcare workers. By uncovering these determinants, such as access to resources and organizational support, the research enriches our understanding of the complexities within the healthcare system. This knowledge can inform targeted interventions and strategies to enhance adaptability among primary healthcare workers, thereby improving the overall healthcare system’s responsiveness to emerging trends.
Furthermore, the study highlights the pivotal role of training and continuous professional development in enhancing adaptability. This underscores the importance of robust educational programs that equip primary healthcare workers with the necessary skills and knowledge to navigate evolving healthcare landscapes effectively.
From a policy perspective, the research findings have practical implications for policymakers. They can use this study to design and implement policies aimed at fostering a culture of adaptability within the primary healthcare workforce. Such policies may include resource allocation strategies to support training initiatives and the creation of organizational cultures that encourage adaptability.
The study’s revelation of a positive link between healthcare adaptability and improved health outcomes underscores the broader significance of adaptability in achieving sustainable health development goals. It emphasizes how enhancing adaptability can lead to more effective healthcare delivery, ultimately benefiting the health and well-being of the population.
Finally, this research advances theoretical understanding by applying established theories such as Complexity Theory, Diffusion of Innovation Theory, and Human Resource Development Theory to the context of healthcare adaptability. These theoretical foundations provide a framework for interpreting the study’s findings and contribute to the growing body of literature on healthcare systems’ adaptability to emerging trends.
References
- A/RES/72/271. (2018). Improving global road safety. In: Seventy-second United Nations General Assembly, New York, 18 Apr 2018. New York: United Nations. Available from: https://www.unece.org/fileadmin/DAM/road_Safety/Documents/UN_Road_Safety_Trust_Fund_launch_event_April_2018/GA_resolution_A_RES_72_271_N1810643.pdf [cited 2020 Aug 12].
- Avritzer, L. (2019). Participatory institutions in democratic Brazil. Washington, DC: Woodrow Wilson Center Press.
- Bartlett, S., Haslam, D., Bush, S., & Haddad, D. (2019). Elimination through collaboration: success factors in a global consortium. Int Health, 11(1), 24–29. https://doi.org/10.1093/inthealth/ihy054
- Bennett, S., Glandon, D., & Rasanathan, K. (2018). Governing multisectoral action for health in low-income and middle-income countries: unpacking the problem and rising to the challenge. BMJ Glob Health, 3(4) Suppl 4, e000880. https://doi.org/10.1136/bmjgh-2018-000880
- Chaudhury, N., Hammer, J., Kremer, M., Muralidharan, K., & Rogers, F. H. (2020). Missing in action: teacher and health worker absence in developing countries. J Econ Perspect, 20(1), 91–116. https://doi.org/10.1257/089533006776526058
- Collins, S., Dent, N., Binns, P., Bahwere, P., Sadler, K., & Hallam, A. (2020). Management of severe acute malnutrition in children. Lancet, 368(9551), 1992–2000. https://doi.org/10.1016/S0140-6736(06)69443-9
- Constitution of the World Health Organization. (2019). Geneva: World Health Organization. Available from: https://apps.who.int/gb/bd/pdf_files/BD_49th-en.pdf#page=7 [cited 2020 Aug 17].
- Danhoundo, G., Nasiri, K., & Wiktorowicz, M. E. (2018). Improving social accountability processes in the health sector in sub-Saharan Africa: a systematic review. BMC Public Health, 18(1), 497. https://doi.org/10.1186/s12889-018-5407-8
- Declaration of Astana. (2018). Global Conference on Primary Health Care. Geneva: World Health Organization. Available from: https://www.who.int/docs/default-source/primary-health/declaration/gcphc-declaration.pdf [cited 2020 Aug 12].
- Declaration on the TRIPS agreement and public health. (2001). Geneva: World Trade Organization. Available from: https://www.who.int/medicines/areas/policy/tripshealth.pdf [cited 2020 Aug 12].
- Dolea, C. (2020). Increasing access to health workers in remote and rural areas through improved retention: global policy recommendations. Geneva: World Health Organization. Available from: https://www.who.int/hrh/retention/guidelines/en/ [cited 2020 Aug 12].
