An Assessment of Strategic Management Practices and Organizational Failure in Private Medical Laboratories and Allied Health Centers in South-East Nigeria
DOI:
https://doi.org/10.19166/ms.v6i1.10276Trefwoorden:
Business Failures, Medical Diagnostics Centers, Business Management, South-East, NigeriaSamenvatting
Despite rapid growth in Nigeria’s private medical diagnostic and allied health sector, many centers in South-East Nigeria continue to experience high failure rates driven by financial constraints, regulatory pressures, infrastructural deficits, technological demands, and broader socioeconomic challenges. This study investigates these multidimensional factors to inform policy development, strategic decision-making, and the long-term sustainability of private healthcare enterprises in the region. Adopting a historical research design, data were collected from ten purposively selected medical diagnostic centers in South-East Nigeria through the review of archival documents, institutional records, and relevant online sources. Content analysis was employed to identify recurring patterns and key themes. The findings indicate that facility closures are primarily associated with regulatory non-compliance, financial instability, and workforce attrition. Key challenges include operating without appropriate licensing, failure to adhere to quality management standards, shortages of essential supplies, high operational costs, particularly for electricity and equipment, and difficulties in retaining skilled personnel due to brain drain. These interrelated factors undermine operational efficiency and expose facilities to regulatory sanctions, financial losses, and reputational risks. The study further reveals that systemic weaknesses, including regulatory gaps, limited access to sustainable financing, and inadequate human resource capacity, threaten the viability of private healthcare providers in the region. It is recommended that policymakers strengthen regulatory enforcement, expand sustainable financing options, and implement targeted workforce retention strategies. This study contributes to the literature by contextualizing healthcare management challenges within a regional Nigerian framework.
Referenties
Adeloye, D., David, R. A., Olaogun, A. A., Auta, A., Adesokan, A., Gadanya, M., Opele, J. K., Owagbemi, O., & Iseolorunkanmi, A. (2018). Health workforce and governance: The crisis in Nigeria. Human Resources for Health, 16, 1–12. https://doi.org/10.1186/s12960-018-0305-4
Ajayi, B. (2025). Enugu State enforcement action against unregistered medical facilities: Regulatory perspectives. Nigerian Health Review, 12(1), 5–12.
Akinola, S., Bello, M., & Eze, R. (2023). Brain drain and health workforce depletion in Southeast Nigeria. African Journal of Health Workforce, 7(2), 44–58.
Allison, P. (2024). ISO 15189 non-attainment and laboratory quality in West Africa. Laboratory Medicine International, 15(2), 88–101.
Altman, E. I. (2018). A fifty-year journey: Corporate default prediction. Journal of Credit Risk, 14(4), 1–27. https://doi.org/10.21314/JCR.2018.252
Attoh, D., Mensah, J., & Boateng, R. (2022). Barriers to ISO 15189 accreditation in Nigerian medical laboratories: A qualitative assessment. African Journal of Laboratory Medicine, 11(1), 15–33. https://doi.org/10.4102/ajlm.v11i1.1533
Barney, J. B. (1991). Firm resources and sustained competitive advantage. Journal of Management, 17(1), 99–120. https://doi.org/10.1177/014920639101700108
Becker, G. S. (1964). Human capital: A theoretical and empirical analysis, with special reference to education. University of Chicago Press.
Bertalanffy, L. V. (1968). General system theory: Foundations, development, applications. George Braziller.
Bowen, G. A. (2009). Document analysis as a qualitative research method. Qualitative Research Journal, 9(2), 27–40.
Braithwaite, J., Churruca, K., Long, J. C., Ellis, L. A., & Herkes, J. (2018). When complexity science meets implementation science: A theoretical and empirical analysis of systems change. BMC Medicine, 16(1), 63–75. https://doi.org/10.1186/s12916-018-1059-z
Braun, V., & Clarke, V. (2019). Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, 11(4), 589–597. https://doi.org/10.1080/2159676X.2019.1628806
Chukwu, O. (2022). Political uncertainty, regulatory inconsistency, and private healthcare sustainability in Nigeria. Nigerian Journal of Health Policy, 8(1), 23–38.
Chukwuma, A., & Ataguba, J. E. (2023). Health insurance coverage and out-of-pocket expenditure in Nigeria: Current status and policy implications. Health Policy and Planning, 38(4), 450–462. https://doi.org/10.1093/heapol/czad018
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). SAGE.
DiMaggio, P. J., & Powell, W. W. (1983). The iron cage revisited: Institutional isomorphism and collective rationality in organizational fields. American Sociological Review, 48(2), 147–160.
Essien, U., Adeyemi, O., & Eze, K. (2025). Out-of-pocket health spending and diagnostic service utilisation in Southeast Nigeria. Health Economics Review, 15(1), 10–18. https://doi.org/10.1186/s13561-025-00456-7
Eze, P., Agu, U. J., Nweke, C. J., Agu, C. F., & Eze, I. A. (2020). Health workers availability and geographic distribution in Nigeria. Human Resources for Health, 18(1), 40–49. https://doi.org/10.1186/s12960-020-00490-3
Flick, U. (2018). An introduction to qualitative research (6th ed.). SAGE.
Howell, M., & Prevenier, W. (2001). From reliable sources: An introduction to historical methods. Cornell University Press.
Johnson, G., Whittington, R., Scholes, K., Angwin, D., & Regnér, P. (2017). Exploring strategy: Text and cases (11th ed.). Pearson.
Kraaijenbrink, J., Spender, J.-C., & Groen, A. J. (2010). The resource-based view: A review and assessment of its critiques. Journal of Management, 36(1), 349–372. https://doi.org/10.1177/0149206309350775
Krippendorff, K. (2018). Content analysis: An introduction to its methodology (4th ed.). SAGE.
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions. PLOS Medicine, 6(7), 1–6. https://doi.org/10.1371/journal.pmed.1000097
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. SAGE.
Mellahi, K., & Wilkinson, A. (2004). Organisational failure: A critique of recent research and a proposed integrative framework. International Journal of Management Reviews, 5–6(1), 21–41. https://doi.org/10.1111/j.1460-8545.2004.00095.x
Miles, M. B., Huberman, A. M., & Saldaña, J. (2020). Qualitative data analysis: A methods sourcebook (4th ed.). SAGE.
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2019). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLOS Medicine, 6(7), 1–12.
Nafukho, F. M., Hairston, N., & Brooks, K. (2020). Human capital theory: Implications for human resource development. Human Resource Development International, 7(4), 545–551.
Neuendorf, K. A. (2017). The content analysis guidebook (2nd ed.). SAGE.
Obansa, S. A. J., & Orimisan, A. (2021). Health care financing in Nigeria: Prospects and challenges. Mediterranean Journal of Social Sciences, 4(1), 221–236.
Opeyemi, A., Adeyemi, T., & Obi, C. (2024). Equipment maintenance incapacity and biomedical engineering supply chain failures in Nigerian diagnostic services. Journal of Medical Engineering and Technology, 48(2), 78–90.
Patton, M. Q. (2015). Qualitative research and evaluation methods (4th ed.). SAGE.
Peters, D. H. (2014). The application of systems thinking in health: Why use systems thinking? Health Research Policy and Systems, 12(51), 1–6. https://doi.org/10.1186/1478-4505-12-51
Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
Ritchie, J., Lewis, J., Nicholls, C. M., & Ormston, R. (2013). Qualitative research practice: A guide for social science students and researchers (2nd ed.). SAGE.
Sarrami-Foroushani, P., Travaglia, J., Debono, D., & Braithwaite, J. (2014). Implementing strategies in consumer and community engagement in health care: Results of a large-scale, scoping meta-review. BMC Health Services Research, 14(402), 1–16. https://doi.org/10.1186/1472-6963-14-402
Scott, R. W. (2014). Institutions and organizations: Ideas, interests, and identities (4th ed.). SAGE.
Scott, V., Gilson, L., & Schneider, H. (2020). Regulatory non-compliance and structural impossibility in West African private healthcare. Health Policy and Planning, 35(9), 1125–1136. https://doi.org/10.1093/heapol/czaa093
Small and Medium Enterprises Development Agency of Nigeria. (2022). National MSME survey report 2022. Small and Medium Enterprises Development Agency of Nigeria.
Stake, R. E. (2005). Qualitative case studies. In N. K. Denzin & Y. S. Lincoln (Eds.), The SAGE handbook of qualitative research (3rd ed., pp. 443–466). SAGE.
Teece, D. J. (2018). Dynamic capabilities as (workable) management systems theory. Journal of Management & Organization, 24(3), 359–368. https://doi.org/10.1017/jmo.2017.75
Thornhill, S., & Amit, R. (2003). Learning about failure: Bankruptcy, firm age, and the resource-based view. Organization Science, 14(5), 497–509. https://doi.org/10.1287/orsc.14.5.497.16761
Umar, A., Bello, S., & Suleiman, I. (2025). Scale and acceleration of medical professional emigration from Nigeria, 2019–2023. Nigerian Medical Journal, 66(1), 1–10.
Welcome, M. O. (2020). The Nigerian healthcare system: Need for integrating adequate medical intelligence and surveillance systems. Journal of Pharmacy and Bioallied Sciences, 3(4), 470–478.
Yin, R. K. (2018). Case study research and applications: Design and methods (6th ed.). SAGE.
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