A Systematic Review of Factors Influencing the Maintenance Management of Public Hospitals in Nigeria

Public hospitals are essential for providing healthcare services to the population, especially in developing countries. However, many public hospitals in Nigeria face challenges in maintaining their buildings and facilities, which can affect the quality and safety of healthcare delivery. This study uses the PRISMA guidelines to conduct a systematic review of the factors influencing the maintenance management of public hospitals in Nigeria. A comprehensive search of relevant databases, such as Scopus, Web of Science, PubMed, Google Scholar, and other reliable journals, was conducted in February 2023, resulting in 406 articles. After applying the inclusion and exclusion criteria, 39 articles were selected for data extraction and analysis. The data analysis involved descriptive statistics, thematic analysis, and meta-analysis. The results showed that the factors influencing the maintenance management of public hospitals in Nigeria can be categorized into six groups: statutory requirements, design stage, construction stage, budget for maintenance tasks, managing maintenance unit activities and user’s perception regarding maintenance management. The meta-analysis revealed that the lack of an adequate budget for maintenance was the most significant factor affecting the maintenance performance of public hospitals in Nigeria. The study also identified some gaps and limitations in the existing literature and suggested directions for future research. The study concluded with some recommendations for improving the maintenance management of public hospitals in Nigeria. Keywords: Maintenance management; public hospitals; Nigeria; systematic review; meta-analysis DOI: 10.7176/ADS/107-01 Publication date: September 30 th 2023