AN ASSESSMENT OF MAINTENANCE MANAGEMENT PRACTICE OF PUBLIC HOSPITAL BUILDING.
(A CASE STUDY OF FEDERAL MEDICAL CENTRE KEFFI)
ABSTRACT
TABLE
OF CONTENTS
CHAPTER
ONE INTRODUCTION
1.1
Introduction
- - - - - - - 1
1.2
Statement
of Problem - - - - - - 3
1.3
Need
for the study - - - - - - 4
1.4
Aim
and Objective - - - - -
5
1.5
Research
Methodology - - - - -
6
1.6
Scope
and De-limitation of the Study - - -
7
CHAPTER
TWO: LITERATURE REVIEW
2.1
Introduction
- - - - - - - 8
2.2
Definition
of buildings - - - - -
8
2.3
Definition
of maintenance - - - - -
10
2.4
Types
of maintenance - - - - - - 14
2.5
The
value of preventive maintenance - - -
20
2.6
Components
of maintenance - - - -
20
2.7
Aims
of maintenance - - - -
22
2.8
Factors
influencing decision to undertake maintenance
24
2.9
Maintenance
Practice - - - - - - 27
2.10
Physical
causes of poor maintenance in public hospital building - - - - - - - -
27
2.11
The
public hospital building maintenance department
28
2.12
The
functions of the maintenance department - 29
CHAPTER
THREE: RESEARCH DESIGN
3.1 Data collection - - - - - -33
3.1.1 Data analysis - - - - - - -34
CHAPTER
FOUR: DATA PRESENTATION AND ANALYSIS
4.1
Data
Analysis - - - - - - -35
CHAPTER
FIVE
5.0
Summary,
Conclusion and Recommendation - - 90
5.1
Summary
- - - - - - - 52
5.2
Recommendation - - - 53
5.3
Conclusion - - - - - - - 54
5.4
Questionnaire
- - - - - - 56
Reference - - - - - - -
CHAPTER ONE
1.0
INTRODUCTION
Maintenance
management of hospital buildings is one of the complex subjects in the field of
facilities management (shohet, 2005) contributing to this is the complex nature
of hospitals buildings the delicate mechanical and electrical systems and
inadequate maintenance budgets. The qualities of physical environment in which
patients receive care affect patient recovery rate, staff satisfaction, and
organisation productivity. Such effect can be positive or negative (Malkin and Wiley
1992).
Public
hospitals are usually large buildings that have significant impact on the
environment, and the economy of the surrounding community the physical surroundings
in hospital constitute health problems in public health delivery (Dilani, 1999).
Patients in a healthcare facility are often fearful and uncertain about their
health, their safety and their isolation from normal social relationships.
The
performance of hospital buildings and their components depends to a large
extent on continuous and planned periodical maintenance (Shohet 2003). Maintenance
is the art of controlling the rate at which structure deteriorate towards a
state of unservicability and collapse (smith, 2003).
Government
owned hospitals are confronted with unique challenges that threaten their
existence, through an examination of the history, characteristics, and
structure of public hospitals it is found that such institutions by their
nature lack the capacity to complete in a market- driven economy (stobzenberg,
2002). This deficiency is further found to originate from the institutions
inherent government structure, which promotes inefficiencies and inflexibility
through the imposition of bureaucratic impediments to operational
effectiveness. according to Onifade(2003),
Installed health facilities are as old as the hospitals themselves. Some of the
medical equipments are unserviceable and need outright replacement.
The
need for maintenance arises because buildings inevitably deteriorate with time
due to effect of various causes. In Nigeria maintenance is given very
little priority. A more progressive attitude should be to conserve the existing
building stock through proper maintenance because it is a major national asset
(Hutton and Lloyd, 1993). Therefore the principal proposition of this research
is on an assessment of maintenance management practices in public hospital
building in Nigeria
and in the process identify the essential skills for maintenance managers for
executing an assessment of maintenance programme in a hospital built
environment. The colonial architecture in some of the old hospitals, which were
tither to famous for their sturdiness and functionality, has now become less
attractive because of the neglect of building maintenance. Over crowding has
also led to deterioration of these facilities, patients in a healthcare
facility are often fearful, uncertain about their health and society.
1.2 Statement of the problem
Government owned hospital are confronted with unique
challenges that threaten their existence in Nigeria installed health facilities
are as old as the hospitals themselves some of the medical equipment are
unserviceable and need out right replacement.
The
state of maintenance and the physical surroundings in public hospitals
buildings are present health problems in public health acre delivery, patients
in a healthcare facility are uncertain about their safety. This deficiency is
further found to originate from the institutions inherent government structure,
which promotes inefficiencies and inflexibility through the imposition of
bureaucratic impediments to operational effectiveness. The quality of the
maintenance manager is another factor found to be affecting the execution of
maintenance operations in public buildings. This has a direct impact on staff
performance, productivity, satisfaction and turnover, management is a living
force and it is the force that gets things done to acceptable standards.
1.3 The need for
the study.
Many
Nigeria
public hospitals are often inadequately maintained, windows, doors, and others
building elements are facilities frequently show evidence of maintenance and repair.
Some public hospitals have not seen any signs of maintenance since they are constructed;
this has resulted to such buildings to be dilapidated and abandoned. in view of
these, it has been considered necessary to study the maintenance of public
hospital buildings in Nigeria.
The study is important in the since that it would not only contribute to
knowledge and theory will also contribute to good maintenance practice in the
public buildings in Nigeria
as a whole.
1.4 Aim.
The
aim of the research is to assess the maintenance management practice of public hospital
building in Nigeria,
to achieve this aim the following objective were pursued.
1.4.1 Objectives
-
To investigate the current state of maintenance of public hospital in the study
area.
- To
determine the factors responsible for the mismanagement of the public hospital
building in the study area.
- To
determine an alternate measure of maintenance practice on the public hospital building.
1.5 Reasearch
methodology.
For
the purpose of these study which reviews relevant literature was done on the basis of which
information were gathered and is been used to structure a research questionnaire
for the survey other sources of information related to the topic were obtained through
verbal interview.
1.6 Scope and de-limitation.
v
The study focus on the
maintenance management public hospital buildings, the current condition of maintenance
management and the strategies to be adopted in improving maintenance management
in the study area.
v
De-limitation of the study is
an assessment of maintenance management of health care and the facility used in
the hospital.
CHAPTER TWO
LITERATURE
REVIEW
2.0
INTRODUCTION.
This
chapter reviews literature on the issues of an assessment of maintenance
management practice of public hospital building in Nigeria, it is cover secondary
aspect assessment of maintenance management and the factors affecting the maintenance
in the public hospital building in federal medical centres with the method will
need to carry out the assessment of maintenance in the (F.M.C) keffi.
2.1
Defination
of building
A
building is an edifice erected by art, and fixed upon or over the soil composed
of stones, brick, wood, or other proper substances connected together, and
design for use in which it is so fixed (Wikipedia) according to Cobbinah 2010.
building are require to provide a conducive and safe environment for various
human activities this essentially is the question of function the extent to
which the building provide the required environment for the required activity
is a major of functionality of the building ( Oladapo 2005) according to (
Olumide Adenuga ) maintenance management of hospital buildings is one of the
complex subjects in the field of facilities management ( Shohet 2005) contributing
to this, is the complex nature of hospital buildings, the delicate mechanical
and electrical systems and inadequate maintenance budgets. Hospitals are the
most complex of building types ( Veliment 2000) each hospital is comprise of
one wide range of service and functional units such as diagnostic and treatment
function, hospitality function, and the fundamental inpatient care or bed related
function.
Hospital
building as a healing indoor environment needed in healthcare to prevent
infection control. Describe the hospital building to be the healthcare
environment that should measurable improve patient outcome reduce or eliminate
environmental stressors, support positive distractions, enable social support
and give a sense of control the goal of every health institution is to provide
patient care and produce medical and health man power.
Hospital
buildings are places were care and cure should be available to the public, but
due to lack of maintenance public hospital building have become a place were
people working in the build environment ( Iyagba 2005) according to Olumide
Adenuga vital documents of this public hospital building have not been spared
due to poor or non maintenance of the building the dilapidated nature of the
public hospital building facility has also left the properties of the occupants
at the mercy of the weather. These problems, arising out of the present
situation as far as maintenance of building in the public sector is concerned
lowers morale of the labour force and goes a long way to reduce the efficiency
of the personal.
In
view of these it has been considered necessary to study the maintenance of
public hospital building in Nigeria
to identify the factors contributing to the current states of building.
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