Keywords:
INTRODUCTION
The relationship between democracy and social service delivery lies at the heart
of this study. Essentially, the task of any society is to reconstruct and revitalize itself,
build its own capabilities and educate, organize and mobilize the citizens with the view to
ensuring that democratic space is expanded; democratic culture is deepened, and
democracy itself is consolidated and made to become sustainable and irreversible.
Nourished by the milk of liberal constitutionalism and political imperative, indeed
the comfort of human rights, a vibrant democratic structure enhanced by popular
sovereignty; placing powers in the hands of the people, men and women, and their
popularly elected representatives, and in doing so, creates the very conditions which civil
society will blossom and flower (Akindele, 2003:7). Unfortunately, the environmental
factor surrounding the Nigerian democracy makes democratic institutions to remain weak
and fragile, therefore becoming susceptible to collapse when faced with a low level of
political stress.
It has become clear that the sustainability of Nigerian democratic space and social
service delivery has to be anchored on two policy imperatives and programmes one is
sustainable development which presently cries for a more serious imaginative and
effective management of national resources endowment on the part of the government in
the country. The other is effective institutional capacity building for conflict prevention,
management, resolution, peace-keeping and security which must be adequately put in
place to enhance social service delivery and economic stability in Rivers State, Nigeria.
Statement of the Problem
Government efforts, in injecting efficiency and effectiveness in the ability to
deliver through reforms like SERVICOM Charter and anti-corruption agencies have
remained abortive in their results. The need to improve the state government service
delivery cannot be overemphasized. The demand for social service at rural level is on
the increase because of the increase in population. More than 70 percent of the
Nigerian population reside in the rural areas and are directly or indirectly affected by
services rendered by the third tier governments. The recent flood disaster of 2012 in
the country which affected many the state governments has heightened the need for
effective social delivery to Nigerians. Services lie at the very hub of economic activity
in any society (Fitzsimmons and Fitzsimmons, 2001:3). In other words, services play
a central role in the survival of any countrys economy and people. For instance,
services provided by government such as public education, health care, wellmaintained roads, safe drinking water, security of lives and property are fundamental
for any countrys economy to be stable, survive and people to prosper.
The establishment and creation of Rivers state dates back to 1967. It was
created to bring government closer to people by rendering cutting edge social service
like maintenance of rural roads, provision of potable drinking water, security of lives
and property. How satisfactorily the present Rivers state Government has performed in
service delivery to the people has been a subject of debate and doubt more especially
in the area of free medical services.
The purpose of this study is to examine Democracy and Social Service Delivery
in Nigeria: A Case Study of Free Medical Programme of Rivers State Government (20072013). Specifically, the study attempts to achieve the following:
i. Ascertain the level of awareness of social service delivery expected from the
Rivers state Government.
ii. Identify the major Social Services (Medical Deliveries)provided by Rivers state
Government from 2007 to 2013
iii. Examine the level of performance to which Rivers state Government has rendered
Social Service delivery to the People
iv. Identify the factors that hinder social service delivery in Rivers State.
Research Questions
The following research questions guided the study:
i.
Is there any level of awareness of social service delivery expected from the
Rivers state Government?
ii.
What are the major social services (medical deliveries) provided by Rivers
State Government from 2007 to 2013?
iii.
What is the level of performance to which Rivers state government has
rendered social service delivery to the people?
iv.
What are the factors that hinder social service delivery in Rivers State?
REVIEW OF RELATED LITERATURE
Definition of Concepts
Corruption: Corruption has attracted a plethora of definitions and it does seem almost
everybody know what the term connotes. In its simple form, corruption is the misuse of
authority (or one position) as a result of consideration of personal gains which may not
necessarily be monetary (Ikejiani-Clark, 2001). Corruption could also be taken to mean,
a deviation from acceptable norms, values and standard of a society. Statistical data on
the nature and form of corruption in Nigeria are alarming. As Achebe (1983:53) puts it,
corruption in Nigeria has grown enormously in variety, magnitude and brazenness since
the beginning of the second republic because it has been extravagantly fuelled by
budgetary abuse and political patronage on an unprecedented scale.
Democracy: The word democracy literally means rule by the people, taken from
the Greek terms, demos (meaning people), and kratos (meaning rule). It is a political
concept and form of government, where all people are supposed to have equal voices in
shaping policy (typically expressed through a vote for representatives).
Ineffective Service Delivery: Service delivery characterized with untimeliness,
inadequacy, dissatisfaction (of the customer or consumer), unfairness, dishonesty and
lack of transparency.
Meritocracy: This refers to the recruitment of workers based on a persons
intelligence, talent, ability, possession of relevant academic qualifications and
experience.
Quality Service Delivery: Service delivery characterized with timeliness, adequacy,
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highly motivated leadership style, free from social indiscipline, ethnic hatred and
jealousies, religious bigotry and the tendency to personalize ruler-ship and power; and a
deliberate and determined move towards the creation of a society bound together by
shared sentiments and out look. All of these are basic ingredients of good workable
governance.
Factors Necessary for a Democracy
It is undisputable that sustaining democracy is the function of the citizens. Since the civil
society consists of numerous organizations that covers diverse interest and segments of
the society, it should become the major defender of democracy. Being involved in policymaking and implementation by the government, civil society will be able to monitor the
democratic process and the performance of institutions and programmes. If it is able to
monitor and evaluate the performance of the democratic project, it implies that it will not
only defend democracy but sustain it (Huntington, 1976:180).
Democracy goes beyond forming political parties, general elections and having a
civilian government in power. It is a process that does not terminate overnight and
involves full and effective participation of citizens in determining policies and decisions
which affects their lives at all levels and at all times. It involves the responsiveness of the
government to the needs and aspirations of the citizens. It is based on the ability of a
nation to provide channels for discussions, consultations, mobilizations and propaganda.
What we therefore, have in Nigerias Fourth Republic is a young democracy that is
transiting and suppose to grow to maturity; and the transition is at a crucial state. The
response of the state, civil society and the political class to the inherent contradictions of
the transition to democracy will determine whether it will further develop or decay. This
is the level where the role of the people becomes not only critical, but also paramount.
Consequently, democracy as a process has been in place in Nigeria, since 1999,
regardless of its shortcomings. The civil society and many Nigerians expected high level
of performance from the Obasanjo government. It is their belief that the emerging
democracy gave them the opportunity to elect the people they wanted to rule them. Their
expectations were that these people know their predicaments and should be able to
resolve them. But to their greatest dismay, their expectations have been over shadowed
by political gimmicks. However, Ihonvbere (1995:43) opined that as sine qua non
sustainable democracy in Nigeria, the following factors are discernible.
Firstly, it is paramount that the civil society project in Nigeria should be rearticulated and reinforced to have nationalist ideas devoid of parochialism and sectional
sentiment. If this is effectively pursued, it will help in terms of inculcating nationalistic
and patriotic values and attitudes not only within the rank and file of the society, but
amongst majority of the citizens.
Secondly, civil society organization, particularly, the pro-democracy and civil
right groups should expand the coverage for their impact to be felt. Having a national
outlook will not only make it more acceptable, but also enhanced in the spread of
democratic values. Furthermore, it is important that sectoral networks of the
organizations be established. Through networking, these organizations could be more
effective in their activities.
Consequently, there is need for the restructuring of the nation. This is necessarily
required to give everybody a sense of belonging as a positive motivation to participate in
the process of nation building. One would like to suggest a process of restructuring which
integrates the right to self-determination on the basis of corporate existence of the
Nigerian polity.
Understanding Social Service Delivery and Development in Rivers State
The concept of governance is not new. It has been around in both political and
academic discourse for a long time. In the last decade, however, issues relating to
governance have come to occupy the centre stage in developmental literature. More
recently, it gained currency in the literature of African development. As a result, among
other things, the UNDP (2002) study identifies the crises in the continent as essentially
those of governance. By implication this phenomena can be aptly referred to as the
extensive personalization of power, the denial of fundamental human rights, widespread
corruption, and the prevalence of unaccountable government.
However, four aspects of governance have been identified in the social science
literature. These are reciprocity, trust and accountability. When these elements are jointly
present, the greater is the likelihood of social service delivery and the opposite when they
are weak. Governance has links with participatory development, human rights and
democratization. As a policy framework, social service delivery imposes demands on
policy makers in their exercise of power. According to Boeninger (1991) it encompasses
i)
An effective state, i.e, one that possesses an enabling political and legal
environment for economic growth and equitable distribution.
ii)
Civil societies and communities that is present in the policy making process,
with the state facilitating political and social interaction, and fostering societal
cohesion and stability.
iii)
A private sector that is allowed to play an independent role in the economy.
All the three elements, singularly and in combination, together with sound
economic management in Nigerias Fourth Republic are essential for sustainable
development (Boeninger, 1991). There are also the more profound issues of the meaning
of development and the precise relationship between the different components of
governance and development.
The concept of development is also by no means unproblematic (Sen, 1974:40).
In recent years, it has become fuzzy and difficult to define especially as the concept of
sustainable development has gained currency. Development involves economic, social,
political, environmental and cultural dimensions. Thus, while economic and social
progress and the elimination of poverty are key objectives of development, the
development well being also encompasses freedom from fear and arbitrary arrest, free
speech association, and the right to run for and hold political office (Sen, 1974:46).
It is worthy of note that democracy is not synonymous with political and
economic development. Most countries of the Japan, China, Singapore, North Korea, can
be said to be undemocratic, but the high level technological development among the
Asian Tigers cannot be equated with most democratic states of Africa (Nigeria inclusive).
The contention here buttresses Alexander Popes assertion that for forms of government,
let the fools contend, what is best administered is best (Popes, as cited in Tamumo
1974:61).
2012
4,529
920
1,6112
45
2013
4,675
1,082
2,124
45
From the above the maximum population per physician among Nigerians was put
at 3,707 in 2007. But later rose to 4,675 in 2013. This indicates an additional increase of
more than 100%. This is due largely to overpopulation as a result of lack of government
policy in birth control. The same case holds true about Nigerias population per nursing
staff of 605 in bed and 2,124 in 2013 respectively. Moreover, life expectantly ratio
increased considerably in 2007 and dropped sharply to 45 years in 2013. The factor
responsible for this could be inadequacy of drugs to control diseases in Nigeria.
Research Methodology
This section deals with mechanisms for gathering of information for analysis of
data. The population of study consists of the entire 5,689,087 people in Rivers State
according to 2006 population census. The sample size shall then be chosen to involve at
least four (4) cadres of staff in the Rivers State Ministries and the general public
randomly selected. The sample selection of the selected respondents recognized by this
population definition was done randomly through a probabilistic sampling technique. The
sample size of the study was determined as follows:
Principal staff
Management staff
28
45
53
77
General Public
102
Total
305
Therefore, the sample size =
305 Staff
The collection of data was based on two sources namely; primary sources and
secondary Sources. Primary data were generated from samples of the study. The
instruments used to source these data were structured and unstructured questionnaire as
well as random interviews of the staff of the Rivers State Ministry, Port Harcourt. The
secondary source of data consisted of desk research reviews of related literature which
formed the foundation of this study; they were derived from standard texts, academic and
professional journals. The tools of data analysis included: Simple averages, percentages
and ranking which have been proved to be useful mathematical tools in data analysis.
Data Presentation
A sample of 305 staff from the Rivers State civil servants and others was drawn
for the study, for which the sample elements consisted of 4 cadres of staff, (principal,
management, middle management, junior) and the general public. Accordingly, 305
copies of questionnaire were administered on the civil servants in Rivers State and as
well the general public. Out of the 305 copies of questionnaire administered, 281copies
were retrieved and after going through them 270 (i.e. 88.52% response rate) copies were
found useful for data analysis.
Table 1:
Options
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staff in the Rivers state Ministries, 44 copies were collected from them, after going
through them all the 42 copies (i.e. 93.33% response rate) were found useful for the
study. From the middle management staff of the civil servants in Rivers State; 53 copies
of questionnaire were administered on them, and 51 copies retrieved, and 50 copies
(representing 94.33% response rate) were found useful for the study. Also, 77 copies of
questionnaire were administered on the junior staff in the Rivers state Ministries while
70 copies were collected and after going through them 67 copies of questionnaire (i.e.
87.01% response rate) were found useful in this segment. For the respondents in general
public segment; 102 copies of questionnaire were administered on them, and 91 copies
returned while only 86 copies of questionnaire (representing 84.52% response rate) were
found useful for the study.
In all, the study administered 305 copies of questionnaire were administered on
the civil servants and the general public in Rivers State, while 281 copies of
questionnaire were actually retrieved from the respondents. However, after editing the
copies of questionnaire 270 copies (representing 88.52% response rate) were found
useful for the data analysis in this study.
Demographic Characteristics of the Respondents
Table 2:
Sex of the Respondents
Options
Number of Respondents
Male
157
Female
113
Total
270
Source: Field work, 2014
Percentage Response
58%
42%
100%
Table 2 shows that the respondents were made up of 58% male and 42% female.
The male respondents from figure 1 above are slightly bigger than female composition.
This perhaps implies that the workforce of Rivers state Government civil service is
slightly dominated by male employees. As female employees, they are most likely to be
encumbered by family pressures emanated from raising children and other family
commitment. This may tell on timeliness and satisfactory manner with which they
deliver service or perform their job in the state government.
Table 3: Educational Qualifications of the Respondents
Category
No of Respondents
Percentage(%)
FSLC
SSCE
30
11
ND/NCE
60
22
B.SC/BA/HND
140
52
M.SC/MA
30
11
PhD
10
4
Total
270
100
Source: Field work, 2014
Table 3 above shows that the respondents possess educational qualifications
which they may have acquired before gaining employment into the service of the the
state government council or while on the job. With 140 respondents representing 52%
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possessing B.SC/BA/HND certificate, it could be said that the workforce possess some
form of educational qualification and capacity that could enhance their performance in
service delivery; while 30(11%) of the respondents have masters degree, only 10 (4%)
respondents have a PhD degree with none coming First School Leaving Certificate, 30
(11%) respondents possess SSCE while 60 (22%) respondents have ND/NCE.
Table 4: Awareness of Social Service Delivery Expected from Rivers state
Government
Options
No of Respondents Percentage
Yes
220
81.5
No
Undecided
Total
Source: Field work, 2014
30
11.1
20
270
7.4
100
Table 3.4 reveals that majority of the respondents 81.5% are aware of the social
service provision like health care services, potable water, market stores, security of
lives and property expected from Rivers state Government. While11.1% of the
respondents said they are not aware, 7.4% were undecided in their position. It can be
inferred that this high level of awareness among respondents is a strong potential that
can be harvested for quality, effective and satisfactory service delivery in the
government.
Table 5: List of Social Services (Medical Deliveries)Provided By Rivers state
Government from 2007 to 2013
S/N Project Description
Children and
Maternal
medical
Services
Free Medical
Services
Completed
and in Use
% of
Work
Done
100
100
Completed
programme
100
Completed
100
Healthcare
programme
Completed
100
Healthcare
Remarks
Needs regular
maintenance for lasting
effect
Needs continuous
maintenance and
practice for full
beneficial effect
Commendable efforts
by
The state government
and should be
encouraged
Good programme
embarked upon by
government
Needs improvement and
Expansion
projects
12
10
Training and
human capital
development of
staff in the health
sector
80
Massive healthcare
projects that are needed
for full beneficial impact
by the community
Very commendable
programmes that
require continuity
Continuous
Programme
for effective
Healthcare
development
85
Establishment of
comprehensive
hospital project
Completed
Healthcare
Project
100
Continuous
Programme
for effective
Healthcare
development
75
Continuous
Programme
for effective
Healthcare
development
70
Commendable and
encouraging
development
Completed
100
Infrastructural
development
Services
14
Continuous
Programme
for effective
Healthcare
development
100
11
13
Completed
Healthcare
Projects
Continuous
Programme
for effective
Healthcare
development
Developmental
Facilities and
Services for drugs
and control of
HIV/AIDS
Continuous
Programme
for effective
Healthcare
development
50
70
100
details of the Projects, social service type and the state of completion as well as the
percentage of work done. The data have revealed the refurbishing and equipping of
Braithwaite Memorial Hospital in Port Harcourt which is a good healthcare project that
has been completed and delivered. The data equally show that children under 6 years,
adults over 60 years, pregnancies leading to caesarean sections and first 24 hours of
emergency medical service are all free medical services rendered by the Rivers State
government. The table also shows that immunization activities are carried out through all
the 354 primary health care facilities in the state. Maternal and child health/family
planning & safe motherhood, 6 health facilities in PHALGA, 350 health centres, in
addition to 10 general hospitals as indicated in the table above are provided by the
government. Re-training of all categories of staff in the health sector of the state,
recruitment of qualified staff to address the severe manpower shortage in the health sector
are equally the social services delivered by Rivers State government. Construction of
Karibi-Whyte Mega Hospital at the cost of $98 million, maintenance contracts are being
instituted for different equipment in the Hospitals. Government has embarked on massive
infrastructural development all over the 23 LGAs.
Table 5 also reveals that Governor Amaechi personally met with Doctors in the
State and set up a Committee on Health Policy, the state government is equally in the
process of starting the State Health Insurance Programme. The analysis reveal that
adequate supply of basic water and sanitation, prevention and control of the stately
endemic diseases and injuries, appropriate treatment of common diseases and injuries,
provision of essential drugs, control of HIV/AIDS, establishment of a worthwhile auto
disable syringe factory that currently produces 160 million syringes annually have been
executed by the Rivers State government from 2007 to 2013.
Table 6:
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Table 7: Are there factors that hinder social service delivery in Rivers state
Government.
Options
No of Respondents
Percentage(%)
Yes
230
85.2
No
20
7.4
Undecided
20
7.4
270
100
Total
Source: Field work, 2014
Obviously, from table 7 , there are factors that s low down the wheels of
service delivery in Rivers state. These factors from the results of interview and
observation are essentially financial inadequacy caused by corruption, low internally
generated revenue, irregularly payment of salaries and poor staff welfare which have
affected workers commitment to duty, heightened cases of absenteeism among
workers. Other factors are divided loyalty caused by pressure on council chairmen to
meet unholy and unethical demands from politicians and undue political
interference. Because council authorities have been unfaithful in the payment of
salaries and allowances they lack the moral courage to challenge erring workers.
Table 8: Corruption as one of the Causes of Poor Service Delivery
Options
Yes
No
Total
Source: Field work, 2014
No of Respondents
250
20
270
Percentage
93
7
100
It is evident from table 8 that corruption contributes to the state of service delivery in
Rivers state Government nay the state governments in Nigeria (93% vs. 7%).
Table 9: Insufficient funds as one of causes for inadequate and low
quality of services rendered.
Options
No of Respondents Percentage
Yes
240
89
No
30
11
Total
Source: Field work, 2014
270
100
From the result in table 9 above, it is inferred that insufficient finds suffered by
the state governments account for ineffective service delivery in Rivers state
Government Area. This is because; those who supported the above position are greater
than those who are in support of the opposite form (89% vs. 11%).
15
270
100
Table 10 above reveals that irregular payment of salary and allowances of workers
leads to cases of absenteeism, lateness to work and lack of commitment thus, a bane to
effective service delivery by Rivers state Government Authorities. This conclusion is
arrived at since those who supported the question posed are greater than those who did
not support it (81% vs. 19%). Discussions and observation revealed that workers are
presently owned salary arrears of four months. More so, they are sometimes paid half
or half of half of their monthly salary. In this situation, workers resort to private
business or farming as a means of survival. The above discovery is similar to that
made by Khemani(2004) in a survey of service delivery by the Kogi State
Government. Khemani(2004) revealed that workers were owned as much as six
months even when accounts of the state governments in the state show actual
expenditure for salary of the state government health personnel workers. Even when
budget allocations were sufficient to cover estimated actual costs, the staff survey
revealed non-payment of salaries for several months in the year before the survey.
3.4
Discussion of Findings
17
(v)
(vi)
the state governments should be increased. To get people to pay their rates and
taxes, the state government must perform. Thirdly, corrupt practices which
sapped available financial resources of the state government should be
addressed through bringing to book all corrupt public officials to serve as
deterrence to others.
Undue political interference and divided loyalty should be addressed by giving
the state government authorities the free hand to operate. Unethical Practices
which encroach into the autonomy of the state government should be stopped.
Importantly, there is need to cultivate the culture of maintenance of the state
government projects to the people and its properties like the council heavy
duty equipment.
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