Introduction: Private diagnostic imaging centers contributes significantly to strengthening healthcare delivery, though its establishment and management in low-resource settings are with significant financial and operational constraints. However, there is limited empirical evidence documenting these challenges from the perspective of radiographer-entrepreneurs in Nigeria. Objective: To explore the operational and financial challenges involved in establishing and managing private diagnostic imaging centers in Enugu State, Nigeria. Materials and Methods: This study employed a qualitative design using semi-structured interviews with ten owners of private diagnostic imaging centers in Enugu State, selected through purposive sampling. Data were collected through face-to-face interviews, with detailed field notes documented during and after each session. The data were analyzed using thematic analysis to identify recurrent patterns and key themes. Results: Four major themes emerged: (1) financial barriers to establishment, particularly difficulties in raising startup capital; (2) persistent operational challenges, including poor power supply, low patient throughput, and equipment maintenance constraints; (3) systemic issues, including informal referral practices and regulatory demands; and (4) reliance on personal savings as the primary source of capital. Financial constraints were identified as the central factor underlying both establishment and ongoing operational challenges. Conclusion: Private diagnostic imaging centers in Enugu State operate within a resource-constrained environment where financial limitations significantly affect both establishment and sustainability. Addressing structural financing barriers and operational inefficiencies may improve the viability of such centers.
Onwuzu et al. (Sun,) studied this question.
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