Effect of Health Workers Strikes on Quality of Care in Health Institution in Cross River State, Nigeria

Abstract:
The focus of this study is to examine the effect of labour strikes
on patient’s quality of care in health facilities. However, the objective can be
achieved by answering the research question which is “does labour strike affects
quality of care in health institutions? The study is
a cross-sectional descriptive study of 508 respondents from the outpatient, laboratory
and pharmacy departments, Ante-Natal, Post-Natal and ART clinics of the 7 secondary
health institutions spread across 3 senatorial districts in the state between January
and February 2018 using multistage method. Data were collected using a semi structured
closed- and open-ended questionnaire divided into different sections. Raw data were
entered EpiData™ and exported for analysis using the SPSS software version 20. The
data were cleaned and validated for use. Frequency tables were produced and associations
between categorical variables were determined using chi squared test at a significance
level of P<0.05.
The
negative effects of strikes are highly felt generally among all patients with no
statistical significant difference whether employed, unemployed or retired (P>0.05).
However, the significant effect of health workers’ strike on quality of care is
that strikes increases death rates. The result showed that regardless of patient’s
education level, patients are fully aware that one of the effects of health worker
strikes is increase in death rate with P value >0.05. Labour strike also increases
misuse of drugs, expiry and wastages of drugs and laboratory reagents. In conclusion,
the higher the level of education, the higher the awareness that labour strikes
affect the duty of health workers and have effect on patient’s attendance, poor
healthcare indicators and cause patients’ dissatisfaction.
Keywords: Health
Workers Strikes, Quality of Care, Patient Satisfaction and Secondary Health Institutions.
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