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Nigeria remains the largest economy in Africa. However, its health sector is described as weak. It continues to battle several challenges ranging from poor health infrastructure, inaccessibility of good quality health care, corruption, substandard drugs circulating, poor funding, shortage of healthcare personnel, high cost of healthcare amidst poverty-stricken masses, among others. The outbreak of Covid-19 and the global oil price crash have further impacted Nigeria’s dwindling healthcare service delivery/indicators. This chapter thus takes stock of the status of the healthcare indicators, healthcare systems, and healthcare governance in Nigeria before and during the Covid-19 pandemic to decipher the impact of the damage caused by Covid-19 on the already weak Nigeria’s health sector. It discusses healthcare indicators, system constraints and responses, and the demand and supply of health care in Nigeria in the era of Covid-19. This chapter shows how Covid-19 has negatively and positively affected the healthcare sector in Nigeria. However, the negative impact remains overwhelming and has potentially grave consequences. This study thus develops a policy framework and time-tested strategy to recover Nigeria’s health sector while factoring in the present capabilities of Nigeria’s health sector. This study thus recommends that adequate infrastructure investment and welfare for healthcare workers are important for the recovery of Nigeria’s health sector.

Given the efficacy of a robust public healthcare system in handling public health emergencies, the rapid rate of COVID-19 pandemic infection in early-hit (advanced) countries with competent healthcare system is intriguing. The popular public health argument supports the strengthening of the healthcare system as a significant response strategy to minimize infection. Hence, this paper examines the catalysts that exacerbated the pandemic’s rapid spread in these countries despite the sound state of their healthcare system. Also, it assesses the condition of Nigerian public healthcare system in the lights of the novel COVID-19 pandemic and suggests the need for improvement and effective functioning.

This paper uses a documentary approach to establish the authors’ opinion on the subject matter under investigation.

Factors such as climate, temperature, and humidity levels played a key role in infection in the winter of 2020. These factors facilitated for the pandemic’s rapid spread in advanced countries. In peripheral countries like Nigeria, the public healthcare system is burdened by a lack of funding, an insufficiency in welfare and training for healthcare staff and facilities and other operational challenges. Hence, the effective management of COVID-19 outbreak in Nigeria relative to advanced countries was hindered by the inadequacies mentioned above.

This paper provides an understanding on the condition of public healthcare system in peripheral nations in relation to the healthcare system advisories from the World Health Organization (WHO) in the context of handling the pandemic outbreak. Also, it explains the catalysts that heightened the pandemic’s rapid spread in advanced countries despite the higher capacity of their healthcare system to manage health emergencies.

The purpose of this paper is to examine the determinants of health expenditure at the household level in Nigeria with specific focus on the household and individual unique characteristics. It presents some stylised facts about the Nigerian health system and its financing options. It went further to show that household is the major financial organ of healthcare in Nigeria. The study aims to expand the domain of household health expenditure by analysing at national, urban and rural levels.

It adopted Engel curve approach, which was estimated using ordinary least squares technique. The model was structured to take care of life-cycle implications by examining effects of age in years and age groups (0-9, 10-19, 20-39, 40-59 and 60+) on healthcare spending. Data were drawn from the 2010 Harmonised Nigeria Living Standards Survey (HNLSS) conducted by the National Bureau of Statistics and analyses were conducted nationally, for urban and rural locations.

The result shows that individual characteristics like age, religion, education and household characteristics like income, size and headship commonly influence healthcare expenditure in Nigeria significantly. The household-level variables possess stronger significant effects among the rural households while marital status and employment had differential effects in both urban and rural locations. It also confirmed that Nigeria engages in intergenerational transfer of healthcare by the working population to the young and older generations.

HNLSS was only limited to those who were sick or injured in the last two weeks preceding the survey, leaving out those whose sickness preceded the two weeks before the survey. Also, the scope of health expenditure is limited to curative care spending that exclude expenses on preventive care, rehabilitative care as well as other cost-saving services.

This paper fulfils an identified need to examine the determinants of household health expenditure at the national, urban and rural locations.

The need for continuous improvement in the quality of products and services calls for methodology and strategy that will enhance performance in businesses. When there is a reduction in waste during production, it will give room for a better product and services which at the same time improves the profits of the organization. On the other hand, technology is a means by which processes and skills are introduced into the production of goods and services to achieve organizational goals, and this has been proven effective during COVID-19 lockdown. Technology is more of a scientific investigation that brings transformation into business performance, mostly in the manufacturing industry. This study was ventilated through analysis of relevant themes and premised on the narrative discourse of the structures of the study. This chapter examined how Six Sigma, waste reduction methods and technology, brings change and success in the business performance in the manufacturing system. The chapter discusses the impact of technology and the application of Six Sigma in achieving sustainable business processes during COVID-19 in Nigeria's manufacturing system. The study concludes that Six Sigma is a veritable approach to elicit worthy results in any period especially during a pandemic when everything is no longer working perfectly. Six Sigma and disruptive technology have helped the majority of organizations to stay above board in accomplishing their business performance.

Health improves the proficiency and output generated by individuals. It also raises physical as well as mental abilities, which are required for the growth and advancement of any economy. Many infant diseases have been recognised via contemporary technology in a bid to tackle these diseases. However, children within the African continent (Including Nigeria) die en masse from diseases. This has made the government of Nigeria allocate sizeable part of the nation's budget to healthcare system. The allocation to health is, however, yet to translate to improved health condition for Nigerians. It does not measure up to the World Health Organization's (WHO) standards for apportioning budget to the health sector. This study also analyses empirically the impact of healthcare expenses on the mortality level of infants as well as Nigeria's neonatal mortality level.

The paper focuses on Nigeria. Vector auto regression model techniques, unit root tests and cointegration test were carried out using time series date for the period between 1986 and 2016.

The outcome has revealed that expenditure on healthcare possesses a negative correlation with the mortality of infants and neonates. The study discovers that if the Nigerian government raises and maintains health expenditure specifically on activities focused on minimising infant mortality, it will translate to reduction in infant mortality in Nigeria.

This paper has contributed exhaustively to solution to poor expenditure on healthcare, especially child mortality, in Nigeria.

Healthcare management efficiency has become a golden goal in the operations of modern healthcare organisations across zones and cultures. This study aims to investigate five dimensions of Ouchi’s theory Z approach, mutual organisational trust, long-term employment/job security, employee participatory decision-making, employee well-being and generalised career path, concerning healthcare efficiency in government tertiary hospitals during COVID-19 period.

The probability sampling strategy was adopted among 300 participants of the hospitals in the healthcare workforce of the study population. The study adopted multiple scales on the identified variables of theory Z and employed principal component analysis to evaluate the components of Ouchi’s Theory Z in relation to healthcare efficiency among the workforce of tertiary hospitals in Lagos State, Nigeria.

The outcome of this study shows that all the dimensions were significantly related to healthcare efficiency in the study hospitals. It depicts that mutual trust among employees has a positive influence on the efficiency of healthcare management in government tertiary hospitals, and long-term employment opportunity has a significant impact on the efficiency of healthcare management in government tertiary hospitals. Employee participatory decision-making is essential to the efficiency of healthcare management in government tertiary hospitals. Employee well-being is fundamental to the efficiency of healthcare management in government tertiary hospitals. Generalised career path of healthcare personnel has a tremendous impact on the efficiency of healthcare management in government tertiary hospitals.

This study is limited to healthcare employees in Lagos State, Nigeria. The implication is that as old as Ouchi’s theory, its relevance remains green in the heart of contemporary organisations today even in healthcare facilities in Nigeria which aids the management of the global pandemic, COVID-19 outbreak.

The study shows that Ouchi’s theory Z approach that combines the Japanese and American patterns of organisational management is highly relevant in the operations and management of government hospitals in Nigeria to date even in the era of COVID-19, the global pandemic season.

This article aims to explore the Nigerian government's budgetary response to the COVID-19 pandemic as well as the economic and social implications of the pandemic response.

Our analysis is based on a review of secondary evidence such as Nigerian Federal Government budget documents, policy documents, Central Bank of Nigeria circulars, news media articles, World Bank and International Monetary Fund reports, reports from Big Four accounting firms and policy think-tanks.

The authors highlight how increased borrowing to fund COVID-19 related economic and social interventions have significantly squeezed Nigeria's fiscal space. The authors also highlight that while some interventions provide short-term economic relief to the poor and small businesses, other interventions and gaps in the policy response have the potential for significant negative impact on businesses, households and unemployment. In addition, the authors highlight the potential for long-term benefits to the health sector and for private sector engagement in corporate responsibility and philanthropy.

The authors present a comprehensive account of the Nigerian government's budgetary response to the COVID 19 pandemic and the economic and social implications of this response.

The purpose of this paper is to investigate the relationship between managerialist employment relations and employee turnover intention in Nigeria. The study context is public hospitals in Nigeria, which have a history of problematic human resource management (HRM) practice, a non-participatory workplace culture, managerialist employment relations and a high employee turnover intention.

Based on a qualitative, interpretive approach, this paper investigates the process by which Nigerian employment relations practices trigger the employee turnover intention of doctors using 33 semi-structured interviews with key stakeholders in public hospitals.

This study found that Nigeria’s managerialist employment relations trigger the employee turnover intention of medical doctors. Additionally, it was found that although managerialist employment relations lead to turnover intention, Nigeria’s unique, non-participatory and authoritarian employment relations system exacerbates this situation, forcing doctors to consider leaving their employment.

Studies on the interface between managerialism and employment relations are still under-researched and underdeveloped. This paper also throws more light on issues associated with managerialist employment relations and human resources practice including stress, burnout and dissatisfaction. Their relationship with doctors’ turnover intention has significant implications for employment policies, engagement processes and HRM in general. The possibility of generalising the findings of this study is constrained by the limited sample size and its qualitative orientation.

This paper contributes to the dearth of studies emphasising employer–employee relationship quality as a predictor of employee turnover intention and a mediator between managerialist organisational system and turnover intention. The study further contributes to the discourse of employment relations and its concomitant turnover intention from developing countries’ perspective within the medical sector.

In this chapter, the term responsible management is explained with regard to how it relates to the Igbo apprenticeship system (IAS). Responsible management is ‘the assumption of a person’s responsibility for sustainability, stakeholder value and ethics’ (Laasch & Conaway, 2015, p. 25).

The introduction describes the origin of the Igbo tribe, their exposure to entrepreneurship and the birth of the IAS. It also describes the IAS as a business philosophy targeted towards economic equilibrium. The IAS’s three stages, namely talent identification, learning stage and settlement stage is then discussed followed by the two forms of the IAS: the ‘Igba boi’ (to assist with any task) and ‘Imu oru aka’ (to learn a skill) also known as ‘Imu ahia’ (to learn a trade).

The chapter further presents how IAS promotes sustainability, which involves the protection, creation and maintenance of social, environmental and economic business values. In addition, the various ways via which the IAS encourages the need for decisions in management to be morally desirable in both process and outcome for the benefit of all parties involved will be discussed. This chapter explores how IAS does not only practice responsible management but promotes the idea of responsible management in Nigeria and across the continent. It dissects the contributions of the IAS to the Igbo community, short-comings of the system and how it can be applied to effect positive change in other sectors.

While the IAS has been around for decades, research shows that very little work has been done to document it and written reports on it are sparse. Thus, for this chapter the author chose to interview real people who are products of the IAS. Findings demonstrate that the system has remained the same over the years. However, there are less people using the system today due to some negative social reasons. The people interviewed are quoted in this chapter where relevant but their real identities will not be used here thus, they will be referred to as Mr Ben and Mr James. It is also noteworthy that the author is an Igbo woman who has first-hand information on the Biafra war and how the Igbo people worked hard to recover from its effects.