Maintenance practices in Nigeria’s public health-care buildings: a systematic review of issues and feasible solutions

Ebekozien, Andrew

doi:10.1108/jfm-08-2020-0052

Cited by 12 publications

(23 citation statements)

References 39 publications

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“…This is to protect the lives of users and properties during fire occurrence. Findings agree with Olanrewaju and Abdul-Aziz (2014), Ebekozien (2020), and Salleh et al (2020). They affirmed that hospitals are vital infrastructure that should always remain harmless and operational.…”

Section: Findings and Discussionsupporting

confidence: 58%

“…This can better be appreciated via fire safety measures evaluation of the facilities. This will lead to enhance hospital building performance improvement (Oseni et al , 2018; Ebekozien, 2020). Thus, this paper evaluates fire-safety measures that should be deemed necessary when designing a healthcare facility.…”

Section: Fire Safety Management and Measures In Healthcare Facilitiesmentioning

confidence: 99%

“…Qien et al . (2011), Shokouhi et al (2019) and Ebekozien (2020) found that building fire is one of the major threats to the safety of building inhabitants, including hospital buildings. Hence, the need for preventive mechanisms via fire safety to mitigate the devastation of a fire outbreak on infrastructure.…”

Section: Introductionmentioning

confidence: 99%

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An assessment of fire safety measures in healthcare facilities in Nigeria

Ebekozien

Aigbavboa

Ayo-Odifiri

et al. 2020

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PurposeThe occurrence of fire accidents in hospital buildings has become a serious challenge and more serious in developing nations. The purpose of this paper intends to assess fire safety measures in Nigerian hospital facilities. The significance of this study is to ensure that the design and construction of hospital facilities enhance the safety of users and properties.Design/methodology/approachThe data were collected via a case study and questionnaire survey and administered to the facility users. The study survey is to assess the respondents' perception of fire safety measures in hospital facilities and suggest possible policy measures that will be employed to enhance safety.FindingsThis paper found that 91% of the respondents have awareness of fire safety measures in hospital facilities. Electrical faults and combustible materials were identified as the frequent causes of fire occurrences in hospital facilities. This can be averted where flammable materials and electrical appliances are correctly installed, and safety rules enforced. Findings show that safety rules are lax in public than standard private hospitals.Research limitations/implicationsThis paper is limited to fire safety measures in Nigerian healthcare facilities. Future research is needed to evaluate the level of compliance from design, construction and post-construction of precautionary fire safety measures in hospital facilities in Nigeria.Practical implicationsThis paper recommended that designers and hospital administrators should improve on fire safety measures via the development of fire safety management plan and education. Thus, enforcement of fire safety measures in hospital facilities as specified in building codes should be implemented and monitored during and after the design of the hospital buildings. Findings provide valuable lessons on how to improve the fire safety measures in healthcare facilities across the states and other developing countries with similar healthcare situations.Originality/valueThis paper demonstrates that the stakeholders, especially government agencies concern with approval and enforcement of fire safety measures in healthcare facilities need to reawaken to her responsibility because of the lax implementation across the states.

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Section: Findings and Discussionsupporting

confidence: 58%

Section: Fire Safety Management and Measures In Healthcare Facilitiesmentioning

confidence: 99%

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An assessment of fire safety measures in healthcare facilities in Nigeria

Ebekozien

Aigbavboa

Ayo-Odifiri

et al. 2020

Self Cite

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“…The relevance of hospital building maintenance plays out during the recent global Covid-19 pandemic. Therefore, maintenance of hospital buildings is germane to sustaining the functionality of all building systems and components within the hospital facilities (Ebekozien, 2020). This, in turn, may enhance the performance of services by creating an environment conducive for hospital users.…”

Section: Introductionmentioning

confidence: 99%

Maintenance of public hospital buildings in Nigeria – an assessment of current practices and policy options

Ebekozien

Duru

Dako

2021

JFM

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Purpose The recent COVID-19 pandemic has exposed the declining conditions of many of the hospital buildings, especially in developing countries. Past studies have shown inadequate maintenance practices but how far regarding Nigerian public hospital buildings is yet to receive empirical research. This paper aims to investigate the underlying issues leading to inadequate maintenance practices and proffers policy options to improve Nigerian public hospital buildings via an unexplored dimension. Design/methodology/approach The study used a mixed research design method involving both qualitative and quantitative data. First, results from the qualitative phase were analysed and verified at the quantitative phase through a well-structured questionnaire, developed from the qualitative findings across hospital maintenance experts (work/maintenance department, health-care provider, design team and health-care building/service contractor) in Abuja, Lagos and Benin City. Findings Insufficient funds for maintenance works, absence of planned maintenance programmes, inadequately trained personnel, etc., emerged as the maintenance inadequacies in the public hospital buildings across the cities covered. The paper categorised the cause of inadequate maintenance practices of public hospital buildings into six groups: statutory requirements, design stage, construction stage, budget for maintenance task, managing maintenance unit activities and user’s perception regarding maintenance management. Research limitations/implications This paper is limited to maintenance practices of Nigerian public hospital buildings. Future research is needed to evaluate factors that will enhance outsourcing maintenance and the use of the 4th industrial revolution (building information modelling for refurbishment and building automation systems) amongst others in maintenance practices of public hospital buildings. Practical implications As part of the practical implication, the government and hospital administrators should make provision for adequate funding and accountability of annual maintenance budgetary allocation. Also, the government should establish a national maintenance policy for public infrastructure with an emphasis on preventive maintenance and contractor’s reputation, outstanding pedigree, technical and financial soundness during build maintenance contract award, etc., were recommended. Originality/value This paper reveals that the stakeholders, especially hospital administrators, policymakers and political office holders that are concern with maintenance budget, approval and disbursement concerning maintenance practices in public hospital buildings need to reawaken to her responsibility because of the inadequate implementation across the cities covered.

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“…Space syntax concept is one of these techniques that help designers analyse the design configuration to know how the design would work and predict the users’ behaviours (Dalton, 2003; Haq and Zimring, 2003). Technological developments joined with the modern hospital environment and complex facilities require hospital designers and managers to use new approaches of increasing the hospitals’ comfort, life cycle, security and energy efficiency (Ebekozien, 2020).…”

Section: Introductionmentioning

confidence: 99%

Wayfinding in hospital landscape: syntactical analysis of planting design in hospitals in Kerman, Iran

Zabihi

Safizadeh

Marzbali

2021

JFM

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Purpose Hospital landscape is not a useless space within hospital buildings anymore. It is considered as a supportive area providing mental and physical peace. However, the planting design of the hospital landscape and the way it should be in order to not disrupt wayfinding performance is neglected. This paper, which is a case study, aims at investigating the effects of planting design in Kerman hospitals’ landscapes on the users’ wayfinding using space syntax techniques. Design/methodology/approach This research focuses on the effects of planting design on the users’ wayfinding in hospitals. In so doing, library research, computer simulation and analysis with the University College London (UCL) Depthmap software, and comparison techniques are used. Based on axial maps, the measures of integration, connectivity and intelligibility are considered for analysing the wayfinding process of individuals. Findings The findings show that planting configurations in the hospital landscape can affect individuals’ wayfinding. Integrated and regular planting design in addition to combining planted areas with the hospital buildings can pave the way for intelligible space and easier wayfinding. Originality/value According to the authors’ knowledge, the current study is the first to use the space syntax techniques in the health-care landscape architecture in terms of planting design and wayfinding. As wayfinding is an important issue in health-care spaces, the study findings can greatly help the health-care building designers and the related organizations to pay attention to the hospital landscape as much as hospital indoors.

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Maintenance practices in Nigeria’s public health-care buildings: a systematic review of issues and feasible solutions

Cited by 12 publications

References 39 publications

An assessment of fire safety measures in healthcare facilities in Nigeria

An assessment of fire safety measures in healthcare facilities in Nigeria

Maintenance of public hospital buildings in Nigeria – an assessment of current practices and policy options

Wayfinding in hospital landscape: syntactical analysis of planting design in hospitals in Kerman, Iran

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