Comparative Analysis of Nigeria and Malaysian National Healthcare Delivery System: A Perspective Of Safety and Health Management

Reform in healthcare and safety services delivery is a new development that targets the public/private sector employees for its growth, development, finance and sustenance. The reform function is an efficient social solidarity system where the employees subsidise for the poor, unemployed, incapacitated, vulnerable groups and the general public. This comparative study focuses on the role of reform to further improve the efficiency of the health and safety delivery to employees. The conceptual framework of this study was supported by five theories on healthcare and safety reform. This study used a 64-item questionnaire, excluding demographic information. The data were analysed using ANOVA, t-test, Regression, Chi-square test, and Log- Linear methods to test the research hypotheses. The respondents were professionals in the field of health and safety, medicine, human resource and beneficiaries of public and private clinics. They were selected using random sampling technique. Statistical package for social sciences (SPSS) was used to analyse the data. The study results suggest that reform improves healthcare and safety services delivery in Nigeria and Malaysia. The study also confirmed the superiority of the Malaysian reform over that of Nigeria. The study finds that there is a need to prioritise governmental control mechanisms, healthcare and safety services for the poor, unemployed, vulnerable and incapacitated employees in any future health and safety reform design for Nigeria and Malaysia. The study recommends that more health education in healthcare and safety reform be conducted in the two countries.