Abstract
This study examined the effectiveness of the relationship between the Oyo state government and its local governments in providing primary healthcare service delivery. This study seeks to examine and offer evidence-based insights into how these levels of government cooperation, coordination, and communication affect the provision and quality of primary healthcare services. This study adopted a descriptive survey research design. The study is an in-depth inquiry using a structured questionnaire and interview session. Data collected were analysed using descriptive methods. Structural Functionalism is adopted as the framework of analysis of this work. The findings showed that the relationship between the state governments is effective in the recruitment, training, and placement of primary healthcare workers. The study therefore concludes that a relationship exists between the state governments in providing primary healthcare service. The study guides policymakers in making policies in health sectors, especially in Oyo state.
References
Abimbola, S., Negin, J., Jan, S., Martiniuk, A. (2017). Institutional analysis of health system governance. Health Policy and Planning, 32(9), 1333-1344. https://pubmed.ncbi.nlm.nih.gov/28981658/
Adeyemi, O. (2013). Local government and the challenges of service delivery: The Nigeria experience. Journal of Sustainable Development in Africa, 15(7), 84-98. https://www.researchgate.net/publication/370832981_LOCAL_GOVERNMENT_AND_THE_CHALLENGES_OF_SERVICE_DELIVERY_THE_NIGERIA_EXPERIENCE
Adeyemo, D. O. (2005). Local government and health care delivery in Nigeria: A case study. Journal of Human Ecology, 18(2), 149-160. https://doi.org/10.1080/09709274.2005.11905822
Akande‑Sholabi, W., Iluyomade, A., Ilesanmi, O. S., Adisa, R. (2023). Perception and Use of Herbal Medicines Among Clients Visiting Selected Community Pharmacies in Ibadan, Nigeria. African Journal of Biomedical Research, 26(1), 1-10. https://africanjournalofbiomedicalresearch.com/index.php/AJBR/article/view/258
Alenoghena, I., Aigbiremolen, A. O., Abejegah, C., Eboreime, E. (2014). Primary health care in Nigeria: strategies and constraints in implementation. International Journal of Community Research, 3(3), 74-79. https://www.ajol.info/index.php/ijcr/article/view/107665
Alma-Ata (1978). Primary Health Care Report of the International Conference on Primary Health Care Alma-Ata, USSR. https://www.unicef.org/media/85611/file/Alma-Ata-conference-1978-report.pdf
Arodiwe, E., Arodiwe, I., Okoronkwo, I., Okoye, J., Onu, U., Ulasi, I., Ijoma, C. (2023). Investigating household catastrophic health expenditure and coping mechanisms in patients with chronic kidney disease in Enugu, Nigeria: a single centre experience. Annals of Clinical & Biomedical Research, 4(2), 351. https://doi.org/10.4081/acbr.2023.351. https://africa.pagepress.net/acbr/article/view/351
Ataguba, J. (2010). Health care financing in South Africa: Moving towards universal coverage. Continuing Medical Education, 28(2), 74. https://journals.co.za/doi/abs/10.10520/EJC63771
Azevedo, M. J. (2017). The State of Health System(s) in Africa: Challenges and Opportunities. Historical Perspectives on the State of Health System in Africa, 2, 1-73. https://link.springer.com/chapter/10.1007/978-3-319-32564-4_1
Awa, E. O. (2021). The federal government in Nigeria. University of California Press. https://www.ucpress.edu/books/federal-government-in-nigeria/hardcover
Bawa, S., McNab, C., Nkwogu, L., Braka, F., Obinya, E., Galway, M., Shuaib, F. (2019). Using the polio program to deliver primary health care in Nigeria: implementation research. Bulletin of the World Health Organization, 97(1), 24. https://search.bvsalud.org/aimafro/resource/en/biblio-1259927
Behera, B. K., Prasad, R., Shyamhavee (2022). Healthcare Strategies and Planning of Social Inclusion and Development. Elsevier, 221-239. https://sdgresources.relx.com/book-chapters/healthcare-strategies-and-planning-social-inclusion-and-development-volume-2-social
Chukwudi, C. E., Gberevbie, D. E., Abasilim, U. D., Imhonopi, D. (2019). IPOB Agitations for Self-Determination and the Response of the Federal Government of Nigeria: Implications for Political Stability. Academic Journal of Interdisciplinary Studies, 8(3). https://doi.org/10.36941/ajis-2019-0016
Chukwudi, C. E., Ojo, S. S (2023). Civil Society Organisation and Sustenance of Democratisation in Nigeria. African Journal of Politics and Administrative Studies (AJPAS). 16(1), 18-33. https://doi.org/10.4314/ajpas.v16i1.2
Chukwudi, C. E., Owoh, E. E. (2024). An assessment of the impacts of community development initiatives in Awgbu Town in Anambra State, Nigeria. Research Journal in Advanced Humanities, 5(4), 388-406. https://doi.org/10.58256/tjgan262. https://royalliteglobal.com/advanced-humanities/article/view/1679
Delaney, T. (2015). The Functionalist Perspective on Sport from Routledge Handbook of the Sociology of Sport Routledge Accessed on: 18 Oct 2023. https://www.routledgehandbooks.com/doi/10.4324/9780203404065.ch3
Ekwunife, O. I., Onubogu, C. U., Aribodor, O. B., Anigbogu, K. C., Ogwaluonye, U. C., Ekwunife, C. A., Nwaorgu, O. (2022). Approaching healthcare delivery through a new lens: a crowdsourcing challenge to identify health-related social innovations to increase universal health coverage in Nigeria. BMJ Innovations, 8(3), 207-215. https://innovations.bmj.com/content/8/3/207
Eneanya, A., N., Bello, M., A., Oladoyin, A., M., Fasanmade, O., O., Chukwudi, C., E. (2025). Leadership Development as the Key Anchor for Post-Covid-19 Pandemic, State Resilience and Sustenance inAfrica: A Study of Nigerian Health System Experience and Support for SDG 3. SDGsReview |Florida, USA, Vol. 5, e04742, pp. 01-17. https://doi.org/10.47172/2965-730X.SDGsReview.v5.n02.pe04742. https://sdgsreview.org/LifestyleJournal/article/view/4742
Gyuse, A. N., Ayuk, A. E., Okeke, M. C. (2018). Facilitators and barriers to effective primary health care in Nigeria. African Journal of Primary Health Care and Family Medicine, 10(1), 1-3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5843931/
Lumen (n.d). Introduction to Sociology. https://courses.lumenlearning.com/wm-introductiontosociology/chapter/structural-functional-theory/
Makoti, M. Z., Odeku, O. K. (2021). Co-operative Governance in South Africa: Impetus for Fostering Effective Inter-Governmental Relationships. African Journal of Public Affairs, 12(2), 43-60. https://journals.co.za/doi/10.10520/ejc-ajpa_v12_n2_a4
Muheeb, I. O. (2020). State Institutions and the Consolidation of Popular Government in Nigeria. Governance and Societal Adaptation in Fragile States, 65-94. https://link.springer.com/chapter/10.1007/978-3-030-40134-4_4
Muhibbu-Din, M. O. (2019). Assessing the roles of NGOs in health care services in Nigeria. Journal of Nation-Building and Policy Studies, 3(2), 163. https://journals.co.za/doi/abs/10.31920/2516-3132/2019/3n2a8
Olowu, D., Sako, S. (2002). Better governance and public policy: Capacity building for democratic renewal in Africa. Kumarian Press. https://opac.library.strathmore.edu/bib/90974?utm_source=chatgpt.com
Onalu, C., Agwu, P., Okoye, U., Agha, A. (2021). Mother-to-child transmission of HIV and utilization of preventive services in Anambra South Senatorial Zone, Nigeria: Practice considerations for social workers. International Social Work, 64(6), 857-871. https://journals.sagepub.com/doi/10.1177/0020872820901748
Onwujekwe, O., Agwu, P., Orjiakor, C. T., McKee, M., Hutchinson, E., Balabanova, D. (2019). Corruption in Anglophone West Africa health systems: A systematic review of its different forms, impacts and possible solutions. Health Policy and Planning, 34(7), 529-543. https://pmc.ncbi.nlm.nih.gov/articles/PMC6788210/
Onwujekwe, O., Orjiakor, C. T., Hutchinson, E., McKee, M., Agwu, P., Mbachu, C., Balabanova, D. (2020). Where do we start? Building consensus on drivers of health sector corruption in Nigeria and ways to address it. International Journal of Health Policy and Management, 9(7), 286. https://pmc.ncbi.nlm.nih.gov/articles/PMC7444438/?utm_source=chatgpt.com
Potts, R., Vella, K, Dale, A., Sipe, N. (2016). Exploring the usefulness of Structural Functional Approaches to analyze governance of planning systems. Sage, Planning Theory, 15(2), 162-189. https://eprints.qut.edu.au/77760/?utm_source=chatgpt.com
Pradhan, N. K., Ali Samnani, A. B., Abbas, K., Rizvi, N. (2023) Resilience of primary healthcare system across low- and middle-income countries during COVID-19 pandemic: a scoping review. Health Research Policy and Systems, Springer, 21(98). https://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-023-01031-4?utm_source=chatgpt.com
Turner, J. H. (2021). Critiques of Structural Functionalism: Overemphasis on Stability and the Neglect of Conflict and Power. Sociological Theory Review, 39(2), 112-130. https://knowledge.deck.no/psychology-and-sociology/social-theory/structural-functionalism/critiques-of-structural-functionalism/
Udenta, J., Udenta, N. (2019). The local government and challenges of primary healthcare delivery in Enugu State east local government area Nigeria. Journal of Contemporary Research in Social Sciences, 1(2), 38-54. https://learning-gate.com/index.php/2641-0249/article/view/21. https://learning-gate.com/index.php/2641-0249/article/view/21
Udom, A. C., Gberevbie, D. E., Osimen, G. U. (2025). Enhansing National Development in Nigeria: The Interplay Between Education and Social Orientation. Journal of Educational and Social Research, 15(2), 137-153. https://www.richtmann.org/journal/index.php/jesr/article/view/14224
UNICEF (2023). Goal 3: Good Health and Well-being; Ensure healthy lives and promote well-being for all at all ages. https://data.unicef.org/sdgs/goal-3-good-health-wellbeing/
Wirba, A.V. (2023). Corporate Social Responsibility (CSR): The Role of Government in promoting CSR. J Knowl Econ. https://doi.org/10.1007/s13132-023-01185-0
World Health Organization (2022, August 29). Universal Health Coverage. http://www.who.int
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