The rate of increase in size and numbers of all these institutions are only match by the rate of decline in our health status. So, are this institution design to improve our health status?
My assessment is that these institution were not designed in the first place based on sound philosophy of health but are merely accidental inheritance and poorly copied organizations that did not benefit from thorough assessment of their role in our lives.
Why would FMOH be responsible for management of tertiary hospitals for example? the FMoH does not have a better financial system/capacity compared to this institutions, it does not have better managers neither does it have better technical competence? so, what is the advantage of having this institutions finances, board appointments, other procurements run from far away Abuja? And what is the business of FMoH providing services anyway? who are these services meant for and why? There is no where the targets of these hospitals have been defined and there is no system in place to know if these targets are been served. will have to stop here and continue later
