Health Сare of the Russian FederationHealth Сare of the Russian FederationЗдравоохранение Российской Федерации0044-197X2412-0723Federal Scientific Center for Hygiene F.F.Erisman69130910.47470/0044-197X-2025-69-3-240-245nzbxlzHEALTH CARE ORGANIZATIONОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯResearch ArticleModern managerial features of the healthcare system in NigeriaСовременные организационные особенности системы здравоохранения НигерииOgujubaSolomon N.ОгуджубаСоломон Ннаэмекаnnaemekasolomon@gmail.comBelloTaye O.БеллоТайе Олусолаtayebello782@gmail.comRasskazovaValentina N.РассказоваВалентина Николаевнаrasskazova.vn@dvfu.ruShmelevaValeria D.ШмелеваВалерия Дмитриевнаshmeleva.vd@dvfu.ruFar Eastern Federal UniversityФГАОУ ВО «Дальневосточный федеральный университет»30062025693VOL 69, NO3 (2025)ТОМ 69, №3 (2025)240245240920252025https://journals.eco-vector.com/0044-197X/article/view/691309

Introduction. Access to quality and affordable healthcare services by the people living in Nigeria faces numerous dynamic challenges, including shortages of medical personnel and equipment, and poor access to healthcare facilities by the population in remote areas.The purpose of the study is to assess the healthcare system in Nigeria based on various methods of analysis and a scientific review of the literature, revealing its strengths, weaknesses, and opportunities that the healthcare sector has, and offer recommendations for improving access to qualitative and affordable healthcare by its citizens.Materials and methods. An analysis of the prevalence of diseases and causes of mortality in the population was conducted from the World Bank databases, the website of the World Health Organization, the Ministry of Health of Nigeria and other scientific literature obtained from Internet sources. Information-analytical, statistical research methods, and system analysis were used.Results. The conducted review revealed an increase in the emigration of specialists from the country, exacerbating the shortage of medical personnel; insufficient funding, and irrational distribution of available resources in the Nigerian healthcare system; outdated material and technical service of basic healthcare funds; shortage of medicines and consumables; insufficient provision of the healthcare system with medical information and communication technologies; low impact of government initiatives including the National Health Insurance Scheme (NHIS) on the quality and accessibility of healthcare for all segments of the population.Research limitations. The study is based on secondary official data that may not reflect regional differences within Nigeria.Conclusion. The conducted analysis of the state of development of the healthcare system in Nigeria can serve as a basis for developing recommendations for the implementation of health programs and policies aimed at ensuring accessible, timely and quality healthcare for all segments of the population of the country.Compliance with ethical standards. The study does not require submission to the biomedical ethics committee.Contribution of authors: Ogujuba S.N. — concept and design of the study, statistical analysis, writing the text, responsibility for the integrity of all parts of the article, approval of the final version of the article; Bello T.O. — collection and processing of data, writing the text, compilation of a list of references; Rasskazova V.N. — writing text, editing; Shmeleva V.D. — editing.Funding. The study had no sponsorship.Conflict of interest. The authors declare no conflict of interest.Received: January 14, 2024 / Revised: April 15, 2024 / Accepted: May 30, 2024 / Published: June 30, 2025

Введение. Получение качественных и доступных медицинских услуг населением в Нигерии сталкивается с многочисленными динамичными проблемами, включающими дефицит медицинского персонала и оборудования, низкий доступ к медицинским учреждениям населения отдалённых от центра страны местностей.Цель исследования — оценить систему здравоохранения в Нигерии на основе различных методов анализа и научного обзора литературы, раскрывая её сильные и слабые стороны и возможности, которыми обладает сектор здравоохранения и предложить рекомендации по улучшению получения качественной и доступной медицинской помощи населением страны.Материалы и методы. Проведён анализ распространённости заболеваний и причин смертности населения из баз данных Всемирного банка, сайта Всемирной организации здравоохранения, Министерства здравоохранения Нигерии и другой научной литературы, полученной из интернет-источников. Применяли информационно-аналитический, статистический методы исследования и системный анализ.Результаты. Проведённый обзор выявил увеличение эмиграции специалистов из страны, усиливая дефицит медицинского персонала; недостаточное финансирование и нерациональное распределение имеющихся ресурсов в нигерийской системе здравоохранения; устаревшую материально-техническую базу основных фондов здравоохранения; дефицит медикаментов и расходных материалов; недостаточную оснащённость системы здравоохранения медицинскими информационными и коммуникационными технологиями; низкое влияние правительственных инициатив, таких как Национальная система медицинского страхования на качество и доступность оказания медицинской помощи для всех слоёв населения.Ограничения исследования. Исследование основано на вторичных официальных данных, которые могут не отражать региональные различия внутри Нигерии.Вывод. Проведённый анализ состояния развития системы здравоохранения Нигерии может служить основой для разработки рекомендаций по реализации программ и политики здравоохранения, направленных на обеспечение доступной, своевременной и качественной медицинской помощи для всех слоёв населения страны.Соблюдение этических стандартов. Исследование не требует представления в комитет по биомедицинской этике.Участие авторов: Огуджуба С.Н. — концепция и дизайн исследования, статистический анализ, написание текста, ответственность за целостность всех частей статьи, утверждение окончательного варианта статьи; Белло Т.О. — сбор и обработка данных, написание текста, составление списка литературы; Рассказова В.Н. — написание текста, редактирование; Шмелева В.Д. — редактирование.Финансирование. Исследование не имело спонсорской поддержки.Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.Поступила: 14.01.2024 / Поступила после доработки: 15.04.2024 / Принята к печати: 30.05.2024 / Опубликована: 30.06.2025

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