Strategic Management Deficiencies and Business Failure Among Private Medical Diagnostic Centers in Enugu, Nigeria
DOI:
https://doi.org/10.19166/ms.v6i1.10275Kata Kunci:
Business Failure, Healthcare Entrepreneurship, Diagnostic Centers, Organizational Failure, Healthcare SectorAbstrak
Private medical diagnostic centers play an increasingly important role in Nigeria’s healthcare delivery system, particularly in filling service gaps created by limited public health infrastructure. Despite their growing relevance, many of these facilities experience early business failures, especially in urban healthcare markets such as Enugu State. However, limited empirical attention has been given to the strategic and operational factors responsible for the collapse of private diagnostic laboratories in Nigeria. This study therefore examines the strategic management deficiencies associated with business failure among private medical diagnostic centers in Enugu State. The study adopted a historical case-based research approach, analyzing ten defunct diagnostic centers that operated between 2015 and 2025. Data were derived from archival reports, regulatory records, and secondary literature, and analyzed using qualitative content analysis. Findings reveal that business failure resulted from interconnected regulatory, operational, financial, and market-related challenges. Key factors included regulatory non-compliance, weak quality management systems, poor financial planning, high operational costs driven by energy and foreign exchange pressures, and increased competition within the healthcare market. The COVID-19 pandemic further exposed resilience gaps in many facilities. The study concludes that strengthening regulatory compliance, improving financial management practices, and adopting digital diagnostic technologies are essential for enhancing the sustainability of private diagnostic centers. The study contributes to healthcare entrepreneurship literature by providing a systems-based explanation of diagnostic facility failure in a developing economic context.
Referensi
Abubakar, I., Dalglish, S. L., Angell, B., Sanuade, O., Abimbola, S., Adamu, A. L., Adetifa, I. M. O., Colbourn, T., Ogunlesi, A. O., Onwujekwe, O., Owoaje, E. T., Okeke, I. N., Adeyemo, A., Aliyu, G., Aliyu, M. H., Aliyu, S. H., Ameh, E. A., Archibong, B., Ezeh, A., ... Zanna, F. H. (2022). The Lancet Nigeria Commission: Investing in health and the future of the nation. The Lancet, 399(10330), 1155–1200. https://doi.org/10.1016/s0140-6736(21)02488-0
Ademolu, A. (2024). Regulatory compliance and sustainability of private health facilities in Nigeria. Journal of Health Policy and Management, 12(1), 45–58.
Adeoye, O., Adebiyi, A., Adedire, O., & Ojo, O. (2025). Healthcare entrepreneurship and diagnostic service delivery in Nigeria: Emerging trends and challenges. African Journal of Health Economics, 14(1), 1–18.
Akinwale, O. P., & Grobler, A. (2019). Innovation and business sustainability in developing economies: Evidence from SMEs. South African Journal of Business Management, 50(1), 1–12. https://doi.org/10.4102/sajbm.v50i1.1473
Amankwah-Amoah, J. (2018). Why are so many African companies uncompetitive on the global stage? Insights from the global airline industry. International Business Review, 27(2), 337–347. https://doi.org/10.1016/j.ibusrev.2017.09.003
Bertalanffy, L. V. (1968). General system theory: Foundations, development, applications. George Braziller.
Booth, A., Sutton, A., Clowes, M., & James, M. M. (2022). Systematic approaches to a successful literature review (3rd ed.). SAGE.
Caldwell, L., Bapat, A., Drumright, L. N., Lambourne, J., Jimenez-England, F. G., Aries, J., Eccersley, L., Hallam, S., Montoto, S., Oakervee, H., Riches, J., & Agrawal, S. G. (2022). Cessation of ciprofloxacin prophylaxis in hemato-oncology patients. Clinical Infectious Diseases, 75(1), 178–179. https://doi.org/10.1093/cid/ciab1000
CASP. (2018). CASP qualitative checklist. https://casp-uk.net/casp-tools-checklists/
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). SAGE.
Daft, R. L. (2021). Organization theory and design (13th ed.). Cengage Learning.
De Biase, I., Gherasim, C., La'ulu, S. L., Asamoah, A., Longo, N., & Yuzyuk, T. (2020). Clinical laboratories: Laboratory evaluation of homocysteine remethylation disorders and classic homocystinuria: Long-term follow-up using a cohort of 123 patients. Clinica Chimica Acta, 509, 126–134. https://doi.org/10.1016/j.cca.2020.06.014
De Francesco, D., Bagkeris, E., Wang, X., Dickinson, L., Underwood, J., Babalis, D. S., Vera, H., Winston, A., Sachikonye, M., Mallon, P. W. G., Williams, I., Khoo, S., Post, F. A., Sabin, C. A., Boffito, M., & POPPY Study Group. (2021). Associations between plasma nucleoside reverse transcriptase inhibitors concentrations and cognitive function in people with HIV. PLoS ONE 16(7), 1–10. https://doi.org/10.1371/journal.pone.0253861
Ekobena, S. Y. F., Coulibaly, A. E., Keita, M., & Pedro, A. (2021). Potentials of the African continental free trade area: A combined partial and general equilibrium modeling assessment for Central Africa. African Development Review, 33(3), 210–224. https://doi.org/10.1111/1467-8268.12594
Elechi, C. (2025). Healthcare sustainability in developing nations: Internal and external determinants. International Journal of Health Services, 55(2), 112–127.
Eze, N. M., Nwosu, I. L., & Eze, S. O. (2019). Operational challenges facing laboratory professionals in Nigeria: Policy and infrastructure perspectives. African Journal of Laboratory Medicine, 8(1), 1–18.
Fischer, F. (2021). Science and the COVID-19 recovery fund: The time for public health and international health diplomacy?!. Public Health in Practice, 2, 1–2. https://doi.org/10.1016/j.puhip.2021.100081
Francies, F., Makwela, M. H., & Dreyer, M. (2020). Challenges in laboratory quality management in sub-Saharan Africa. African Journal of Laboratory Medicine, 9(1), 12–20. https://doi.org/10.4102/ajlm.v9i1.1041
Grau, A. J., & Reig, A. (2018). Trade credit and determinants of profitability in Europe. The case of the agri-food industry. International Business Review, 27(5), 1079–1090. https://doi.org/10.1016/j.ibusrev.2018.02.005
Howell, M., & Prevenier, W. (2001). From reliable sources: An introduction to historical methods. Cornell University Press.
IAEA. (2014). Radiation protection and safety of radiation sources: International basic safety standards (Safety Standards Series No. GSR Part 3). IAEA.
ISO. (2022). ISO 15189:2022 — Medical laboratories: Requirements for quality and competence. ISO.
John, E. (2024). Healthcare market dynamics and private sector sustainability in Enugu State, Nigeria. Nigerian Journal of Health Sciences, 24(1), 30–42.
Kivunja, C., & Kuyini, A. B. (2017). Understanding and applying research paradigms in educational contexts. International Journal of Higher Education, 6(5), 26–41. https://doi.org/10.5430/ijhe.v6n5p26
Morrison, M. (2020). The international business environment: Global and local marketplaces in a changing world (5th ed.). Red Globe Press.
National Health Act. (2014). National Health Act, 2014 (Act No. 8 of 2014). Federal Republic of Nigeria Official Gazette.
Nkrumah, J. (2021). Procurement fragility and sustainability of diagnostic laboratories in sub-Saharan Africa: A cross-national analysis. African Journal of Laboratory Medicine, 10(1), 1–12. https://doi.org/10.4102/ajlm.v10i1.1295
Ogunniyi, A., Oguntunde, O., Adeniji, A., & Adetimirin, A. (2025). Private diagnostic centers in Nigeria: Post-COVID survival dynamics and research gaps. Health Systems and Reform, 11(1), 20–23.
Ogunyemi, O., & Oni, A. (2018). Financial mismanagement and business failure in the Nigerian healthcare sector. Journal of Health Management, 20(3), 281–295. https://doi.org/10.1177/0972063418782375
Okeke, C., Eze, I., & Onyekachi, B. (2022). Healthcare business failure: Profitability versus ethical care in Nigerian private facilities. Journal of Healthcare Management, 67(2), 95–110. https://doi.org/10.1097/JHM-D-21-00123
Olaniyi, O., & Akinlabi, B. H. (2020). Managerial inefficiency and business failure among small enterprises in Nigeria. Journal of Entrepreneurship and Business, 8(1), 15–27.
Oleribe, O. O., Momoh, J., Uzochukwu, B. S., Mbofana, F., Adebiyi, A., Barbera, T., Williams, R., & Taylor-Robinson, S. D. (2019). Identifying key challenges facing healthcare systems in Africa and potential solutions. International Journal of General Medicine, 12, 395–403. https://doi.org/10.2147/IJGM.S223882
Olorunfemi, D. A., & Adeleke, B. S. (2019). Sustainability challenges among private healthcare providers in Nigeria. International Journal of Healthcare Management, 12(4), 297–307. https://doi.org/10.1080/20479700.2017.1399396
Onyekwere, C., Ofori-Manteaw, K., & Uzoma, N. (2023). Health facility closure and healthcare access in West Africa: Lessons for private diagnostic laboratories. BMC Health Services Research, 23(1), 5–11. https://doi.org/10.1186/s12913-023-09411-3
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, 1–9. https://doi.org/10.1136/bmj.n71
Plsek, P. E., & Greenhalgh, T. (2001). The challenge of complexity in health care. BMJ, 323(7313), 625–628. https://doi.org/10.1136/bmj.323.7313.625
Porter, M. E. (2008). Competitive strategy: Techniques for analyzing industries and competitors. Free Press.
Scott, W. R., & Davis, G. F. (2019). Organizations and organizing: Rational, natural, and open systems perspectives (Updated ed.). Routledge.
Sholeye, O. O. (2021). Survival rates and failure determinants of healthcare microenterprises in Nigeria. Nigerian Medical Journal, 62(1), 14–22. https://doi.org/10.4103/nmj.nmj_203_20
Sturmberg, J. P. (2018). Health system redesign: How complexity science can inform a systems approach. Springer.
Thomas, J., & Harden, A. (2008). Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology, 8(45), 1–10. https://doi.org/10.1186/1471-2288-8-45
Tranfield, D., Denyer, D., & Smart, P. (2003). Towards a methodology for developing evidence-informed management knowledge by means of systematic review. British Journal of Management, 14(3), 207–222. https://doi.org/10.1111/1467-8551.00375
Ugoani, J. N. N. (2021). Leadership effectiveness and organisational performance in Nigerian private enterprises. International Journal of Economics, Commerce and Management, 9(3), 58–74.
Usman, A., Ibrahim, M., & Garba, S. (2024). Private healthcare provider failures in post-COVID Nigeria: Evidence from FMOH data. Nigerian Health Journal, 24(2), 88–101.
World Health Organization. (2019). Laboratory quality management system: Handbook. World Health Organization.
World Health Organization. (2021). Strengthening health systems to provide quality health services: WHO guidance. World Health Organization.
Yin, R. K. (2018). Case study research and applications: Design and methods (6th ed.). SAGE.
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Hak Cipta (c) 2026 Alexander Chinaza Aneke, Marcellinus Ihionu

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