Health care management system financing plays a vital role in ensuring the availability and accessibility of quality health care services. However, numerous challenges and constraints exist that can hinder the effective financing and sustainability of health care systems. Understanding and addressing these challenges is essential for improving health care financing mechanisms and achieving better health outcomes (124, 125) Healthcare systems in suffer from neglect and underfunding, leading to severe challenges across the six World Health Organization (WHO) pillars of healthcare delivery. We conducted this study to identify the principal challenges in the health sector in and their solutions for evidence-based decisions, policy development and program prioritization

Insufficient Funding Allocation: One of the primary challenges in health care management system financing is the inadequate allocation of funds. Limited financial resources can restrict the availability of essential health care services, compromise service quality, and undermine the overall functioning of the health care system. Insufficient funding allocation hampers infrastructure development, workforce capacity building, and the procurement of medical supplies and equipment (126).

Solutions, Management Financing Implementation, Challenges

Boivin A, Denis JL, Hébert R, Lehoux P. What do we know about the needs and challenges of health systems? A scoping review of the international literature. BMC Health Serv Res. 2013;17(1):636. doi: 10.1186/s12913-017-2585-5 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

WHO. Everybody’s Business: Strengthening Health Systems to Improve Health Outcomes. WHO’s Framework for Action. Geneva: World Health Organization; 2007. Available from: http://www.who.int/healthsystems/strategy/everybodys_business.pdf Accessed May7, 2019. [Google Scholar]

Petersen I, Marais D, Abdulmalik J, et al. Strengthening mental health system governance in six low-and middle-income countries in Africa and South Asia: challenges, needs and potential strategies. Health Policy Plan. 2017;32(5):699–709. doi: 10.1093/heapol/czx014 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Mack N, Wong C, McKenna K, Lemons A, Odhiambo J, Agot K. Human resource challenges to integrating HIV pre-exposure prophylaxis (PrEP) into the public health system in Kenya: a qualitative study. Afr J Reprod Health. 2015;19(1):54–62. [PubMed] [Google Scholar]

Marais DL, Petersen I. Health system governance to support integrated mental health care in South Africa: challenges and opportunities. Int J Ment Health Syst. 2015;9(1):14. doi: 10.1186/s13033-015-0004-z [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Abubakar M, Basiru S, Oluyemi J, et al. Medical tourism in Nigeria: challenges and remedies to health care system development. Int J Dev Manage Rev. 2018;13(1). [Google Scholar]

Uzochukwu BSC, Ughasoro MD, Etiaba E, Okwuosa C, Envuladu E, Onwujekwe OE. Health care financing in Nigeria: implications for achieving universal health coverage. Niger J Clin Pract. 2015;18(4):437–444. doi: 10.4103/1119-3077.154196 [PubMed] [CrossRef] [Google Scholar]

Romdhane HB, Tlili F, Skhiri A, Zaman S, Phillimore P. Health system challenges of NCDs in Tunisia. Int J Public Health. 2015;60(1):39–46. doi: 10.1007/s00038-014-0616-0 [PubMed] [CrossRef] [Google Scholar]

Adua E, Frimpong K, Li X, Wang W. Emerging issues in public health: a perspective on Ghana’s healthcare expenditure, policies and outcomes. Epma J. 2017;8(3):197–206. doi: 10.1007/s13167-017-0109-3 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Oleribe OO, Ezieme IP, Oladipo O, Akinola EP, Udofia D, Taylor-Robinson SD. Industrial action by healthcare workers in Nigeria in 2013–2015: an inquiry into causes, consequences and control – a cross-sectional descriptive study. Hum Resour Health. 2016;14(1):46. doi: 10.1186/s12960-016-0142-7 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Oleribe OO, Udofia D, Oladipo O, Ishola TA, Taylor-Robinson SD. Healthcare workers’ industrial action in Nigeria: a cross-sectional survey of Nigerian physicians. Hum Resour Health. 2018;16(1):54. doi: 10.1186/s12960-018-0322-8 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Daniel OJ, Adejumo OA, Soyinka FO, Oritogun KS, Jaiyesimi EO, Ladi-Akinyemi TW. The effect of health sector industrial actions on TB and TB/HIV case finding in Ogun State, Nigeria: is public-private mix a viable solution? Ann Health Res. 2017;3(2):126–131. [Google Scholar]

Orenyi MD, Paul AO, Joseph O. Assessment of effect of labour strikes on access to service delivery in Secondary Health Institutions in Cross River State, Nigeria. Assessment. 2018;6(2). [Google Scholar]

Essien MJ. The socio-economic effects of medical unions strikes on the health sector of Akwa Ibom State of Nigeria. Asian Bus Rev. 2018;8(2):12–90. [Google Scholar]

Adeloye D, David RA, Olaogun AA, et al. Health workforce and governance: the crisis in Nigeria. Hum Resour Health. 2017;15(1):32. doi: 10.1186/s12960-017-0205-4 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Fenny AP, Yates R, Thompson R. Social health insurance schemes in Africa leave out the poor. Int Health. 2018;10(1):1–3. doi: 10.1093/inthealth/ihx046 [PubMed] [CrossRef] [Google Scholar]

World Health Organization. Health systems financing: the path to universal coverage. World Health Report 2010. Geneva: World Health Organization; 2010. Available from: http://www.who.int/whr/2010/en Accessed May7, 2019. [PMC free article] [PubMed] [Google Scholar]

Roush PE. Leadership without Easy Answers. Leadersh Q; 1994:1997. [Google Scholar]

Gallagher M, Hares T, Spencer J, Bradshaw C, Webb IAN. The nominal group technique: a research tool for general practice? Fam Pract. 1993;10(1):76–81. doi: 10.1093/fampra/10.1.76 [PubMed] [CrossRef] [Google Scholar]

Van de Ven AH, Delbecq AL. The nominal group as a research instrument for exploratory health studies. Am J Public Health. 1972;62(3):337–342.m. doi: 10.2105/AJPH.62.3.337 [PMC free article] [PubMed] [CrossRef] [Google Scholar]