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AN APPRAISAL: LOCAL GOVERNMENT AND HEALTH CARE DELIVERY

CHAPTER ONE

INTRODUCTION

1.1     Background to the study

Local governments are potentially effective instrument for rural transformation and delivery of social services i.e. health care delivery. This is because of local governments proximity to the people and the relative ease with which they can communicate with the local jurisdiction. The constitution guarantees the existence of system of democratically elected local councils and each State must enact legislation to establish same and provide for their structure. The project topic health care delivery in the local government is worth research considering the position of local government in any democratic society. This position seems to be particularly true of the democratic situation in Nigeria especially since it has been argued that the worst democratic system of government is better than the most benevolent military system of government.

Democracy is thus a form of governments in which the highest premium is placed on the participation of the individual in government. Local government system within the three tiers of government brings governance to the citizen at the grass roots. This is mutadis in agreement with the doctrine of federalism, which is enshrined in the Nigeria constitution. See section of the Nigeria constitution 1999, Ebere D, The Federal Republic of Nigeria (International Association or centres for federal studies) pp. 1-2

Oshilaya Owolabi S. et etal, Democracy and the Rule of law in Nigeria. The role of the Judiciary (F.H.L, Press 2008) to the effect that, there exists three tier of government, the federal, states and local governments. Thus, in this project I shall consider local government as an organ of third tier of government within the Nigeria federal structure outside the central government that are concern with administrative function in the grass root. This is to bring out clearly the essential features of local governments as competent institution in the discharge functions constitutionally assigned in their own right.

Chapter one of the project is devoted to the general introductions to the project topic “Local Government and Health Care delivery in Nigeria”. Chapter two of the project examines the definitions of local government as well as the concept of health care within local government  system is examined with reference to its constitutionally assigned functions part of which is the provision of primary health care to the people at the grass root. Chapter three of the project examines the third tier of governance in Nigeria. The structure and function of local government will be examined in this chapter. The federal, the States, the executive section 5(1) and section 8(2) and section 7 for local government. The Nigeria constitution 1999 (the constitution shall simply refer to as the constitution). See Akanole J.O, Introduction to the constitution of Nigeria 1999 (MIJ publishers).

1.2       Statement of the Probllem

Health care delivery is a very essential function which the Local Government is expected to give the people at the grass root and which delivery ought to be adequate, efficient and consistent. The Local Government is very suitable for this function considering its proximity in its closeness to the people. The project work hope to contribute to the existing literature as the topic by exploring the developments in the most recent times of the government desire to tackle the menace of variety of sickness prevalent in our society. The study of health care delivery in the Local Government therefore is based on the constitutional involvement of basic necessities to the populace particularly with regard to health.

1.3       Aims and objectives

This project work intends to dwell into the assessment of Local Government as a legal entity in the democratic government of Nigeria, this is with the view to determine the extent and limit to which it is duty bound to provides proper health care delivery to the citizen within its constitutional limitation. Thus the specific aims of the project include:

1.  To examine Local Government as an aims of government in Nigeria commencing with:

Highlighting some scholarly proffer definitions of Local Government.

Provision of immunization of children against polio, manegitris, cough e.t.c.

The historical evolution of Local Government system as a legal entity in Nigeria.

2.  To highlight the constitutionally vested duties, responsibilities, and obligations of Local Government administration.

3.  To highlight the structural arrangement of Local Government including its revenue generation and means. This is important considering the enormous fund required to executive health care delivery to the populace.

4.  To examine and highlight Local Government powers and duties in the provision of primary health care delivery in Nigeria, and the legal basis.

5.  To highlight by way of conclusion, the summary of all discourse provide some suggestions to further improve the Local Government’s ability in providing health care delivery to local people.

1.4     Scope of study

Proper Local Government administration in the Nigeria political society is very important in the achievement of good governance, sustenance of democracy and equal distribution of democratic dividend to Nigerians. It is instructive to emphasis the fact without scintilla of doubt Local Government is closer to the people at the grass root and their participation in democratic governance cannot be taken for granted. Thus, the project work is limited in scope to the examination at the health care delivery as one of the many responsibilities constitutionally vested on Local Government in Nigeria. The project will critically examine the several duties of Local Government from historical origin, legal basis, and most importantly the provision of health care to the people at the grass root.

TABLE OF CONTENT

CHAPTER ONE

General introduction
Table of contents
Table of cases
Table of statutes
Abstract
1.0 Introduction
1.1 Background to the study
1.2 Aims and objectives of study
1.3 The scope of the study
1.4 Research methodology
1.6 Literature review
1.7 Conclusion

CHAPTER TWO

2.0 Introduction
2.1 Defunctive perspectives of local government
2.2 Historical evolution of local government
system in Nigeria
2.3 Status of local government in the scheme of
governance in Nigeria.
2.4 Conclusion

CHAPTER THREE

Local Governance as a third tire of Governance in Nigeria
3.0 Introduction
3.1 Basic Constitution provisions on Local
Government in Nigeria
3.2 The structure and functions of Local
Government in Nigeria
3.3 The sources of Local Government
Revenue in Nigeria
3.4 A case study on Ilorin East Local Government
3.5 Conclusion

CHAPTER FOUR

Primary Health Care Delivery By Local Government
4.0 Introduction
4.1 Definition and theory of primary health care
4.2 Historical exploration of primary health care in Nigeria
4.3 Delivery of primary health care in Nigeria
4.3.1 Components of primary health care
4.3.2 Decentralization of primary health care in Nigeria
4.4 Conclusion

CHAPTER FIVE

5.0 Introduction
5.1 Summary
5.2 Conclusion
5.3 Recommendations/suggestions.

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