Date of Conferral





Public Health


Warren McDonald


The increasing mortality rates in tertiary healthcare hospitals in developing countries, such as Nigeria, have given growing concerns about the quality of healthcare services delivered in these hospitals. The purpose of this study was to examine the challenges of quality healthcare delivery in tertiary healthcare hospitals in North Central Nigeria, using a quantitative method. A total of 255 respondents, comprising medical, paramedical staff, and patients, from 3 tertiary hospitals were included in the study. The Healthcare Quality Assessment Questionnaire was used to collect data. Chi-square and analysis of variance were used to test the hypotheses. Results of the study showed that the major challenges confronting the delivery of quality healthcare services in the studied health facilities were the inadequate but fairly good condition of medical equipment, inadequate staff training, fairly good salaries, delayed diagnostics and treatment procedures and long wait times of patients. Also, the chi-square statistics indicated a significant association between medical facilities and the quality of healthcare services of tertiary hospitals (p = 0.034). The analysis of variance results indicated no significant difference in the challenges confronting tertiary healthcare hospitals with the delivery of quality healthcare services in the study area. The study shall affect social change by gathering information needed to formulate public policies on quality improvements in tertiary health facilities. It is therefore recommended that the government of Nigeria and hospital boards take steps to improve on healthcare service delivery in the tertiary hospitals.