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PROJECT TOPIC-HISTORY OF MILE FOUR HOSPITAL, WITH THE INTENT OF SHOWING ITS HISTORICAL DEVELOPMENT FROM SEEMINGLY COTTAGE HOSPITAL TO A RECOGNIZE GENERAL HOSPITAL

PROJECT TOPIC-HISTORY OF MILE FOUR HOSPITAL, WITH THE INTENT OF SHOWING ITS HISTORICAL DEVELOPMENT FROM SEEMINGLY COTTAGE HOSPITAL TO A RECOGNIZE GENERAL HOSPITAL

CHAPTER ONE

INTRODUCTION

BACKGROUND OF STUDY

By mid 19th century,  colonial rule was finally entrenched in the Abakaliki area  after series of punitive expeditions which were aimed at subjugating the people under the colonial tutelage of Britain. This period also marked an important turning point in religious crusading in the area. Notably, missionaries capitalized on the relative peace of the colonial period to embark on extensive evangelical work through which most of them established a strong foothold in part of Igbo land1.

In the Abakaliki area, the people’s reaction to this wave of christian missionary evangelism depended upon the particular socio-economic and political interests of the society. Basically, the Abakaliki people received the Catholic Mission in their areas because of the belief that they could help in finding solutions to certain socio-economic problems in their society.

Hence by the 1930s and 1950s, the catholic mission that established themselves in Abakaliki area had succeeded to a large extent not only in establishing themselves, but also in carving out niche for themselves through the establishment of schools, churches and hospitals.

Basically, the most remarkable outcome of the missionaries activities in the area was the opening of churches in different parts of the Abakaliki area. As clearly pointed out by C.O Olughu, this of course was followed by conversion of the indigenous peoples to Christianity2.

Moreover, the missionaries, through the establishment of schools and hospitals, created the pathway through which other European activities and ways of life came into Nigerian. The missionaries provided medial services to the Abakaliki community. It is significant that the history of medical services in Abakaliki began with the arrival of the Catholic missions in the area.

The catholic missions made great strides in social life of the Abakaliki people who gained immensely from the acquisition of western education and improved medical services that were provided by the missions.

Notably,  the presence of missionaries in the Abakaliki area was a direct result of the European philosophical damages  in which a more humanitarian world view was becoming better understood by and more acceptable to the general masses. As indicated by T. Falola and Co, European humanitarians felt that the slave trade could not be eradicated simply by force or by using naval patrol boats alone. They felt that efforts would have to be made at striking at the root of the entire system itself. Their aim in using missionaries was two fold: to promote legitimate commerce between Europe and Nigeria and to win Africans over to the Christian faith.

In the Abakaliki area, the catholic missions through the instrumentality of the social institutions they established, impacted much in the life of the people. Schools, hospitals and churches were established of which the most notable was the mile four hospitals4.

In view of this, the work will present a comprehensive report on the history of mile four hospital with the bid to examine its development from cottage hospital to a general hospitals. The historical development of the hospital would be used as a case to critically appraise the contributions of the catholic missions to the social development of the Abakaliki people.

PROJECT TOPIC-HISTORY OF MILE FOUR HOSPITAL, WITH THE INTENT OF SHOWING ITS HISTORICAL DEVELOPMENT FROM SEEMINGLY COTTAGE HOSPITAL TO A RECOGNIZE GENERAL HOSPITAL

STATEMENT OF THE PROBLEM/RESEARCH QUESTION

In a bid to examine the historical development of Mile Four Hospital from a cottage to a general hospital, it is pertinent to bear in mind that colonialism was an influential institution in provision of health services especially in the area of providing quality health care. Basically as the world proceeds into the new millennium, the problem of achieving a sustainable development in area of health care, happens to be one major problem facing Abakaliki.

Besides, a cursory analysis of the negative impact of colonialism in Igboland, as presented by some schools of thoughts tend to portray the notion that colonialism was an evil that left no good seed in the area. On the other hand, Euro-centric oriented scholars tend to emphasize on the humanitarian motives that propelled Christian missionaries to invade the area.

In view of this, efforts will be made in the work to ascertain the level of contributions made by the catholic missionaries in the area  of health care and how their contributions have stood the test of time in the area. Hence, in this study of “A history of Mile Four Hospital.

From cottage hospital to general hospital, it will be necessary to come to terms with certain problems and attempt to resolve them in the course of this study.

The problems this study seeks to address are presented by asking the following research questions, when established? Who established the hospitals? Why was it establish? And how     is     the  nature     of    the       hospital management/administration?

SIGNIFICANCE OF THE STUDY

The totality of this study is to help the readers to delve into understanding the humble beginning of the hospital and hence appreciate its role of growth and development overtime.

As a result of the critical evaluation and analysis of available records from the hospital, the findings of this research work will help in sensitizing government decision or policy makers in the state on the need to support the hospital with funds and in administration.

Practically, the study will help to keep the readers at abreast with the challenges, successes and failure of the hospitals in its bid to live up to the expectations of the founders. In deed, this will help to mobilize those in positions of authority towards assisting in the qualitative management of the hospital.

Basically, the study of Mile Four Hospital with the attendant efforts to trace its development from a cottage hospital to a general hospital is very significant in our modern society. In deed, it is an effort to contribute to the on-going attempt to reconstruct the past history of the colonial institutions that lake influenced the African societies tremendously.

The work is a brief synopsis that tend to portray how colonial institutions stood the test of time in the area. It also shows how Mile Four Hospital came into existence, as well as the success and failure recorded therein. In deed, this study is of immense importance because it is being carried out at a time when the hospital is at the cross roads of her development.

Academically, this study is of immense academic importance because it will provide a scholarly tool that will widen the frontiers of knowledge  and give directions to students of history and the medical sciences for further research on the historical and medical development of the hospital.

Moreover, the study will help in painting a mental picture of the contributions of the catholic missions to the improvement of the peoples health came.   Again, it is practically relevant and is in accordance with the areas priority on the encouragement of government approved health care providers.

Finally the knowledge of the historical origin of the Mile Four Hospital can go a long way to sensitize the people on the fact that their medical well beings is in their hands.

Readers may appreciate the pro-activity and empathy of the catholic missions which left to the establishment of the hospital and consequently resolve to contribute meaningfully to the development of the hospital.

SCOPE AND LIMITATIONS

Generally, this work focuses on the Mile Four Hospital which is presently situated at Ohatekwe community, Ishieke, Abakaliki. Efforts will be mad to concentrate on its historical origin through the arrival of the catholic mission to Abakalikii, as well as the nature of health management and administration at the hospital. Basically, the work will revolve around the Abaklaiki area, but other areas of relevance as it affect the subject, will receive considerable attention.

Moreover, discussion on the subject matter would be based on mainly on the health sector, with emphasis on the history of Mile Four Hospital. In deed, the work of carrying out existence research of the magnitude cannot escape being bedeviled by many constraining factors. The major limitation of this work is the dearth of materials suitable for the write up.

This limitation constitutes constraints or factors that in one way or the other, affect adversely the quality of the research in terms of validity of collected data, quality of analysis and generalisability of study.

Nevertheless, efforts would be made to make concrete use of available sources and to complement or supplement the sources, so as to attain an appreciable level of objectivity in the work based on available data. In doing this, a rigorous method of analysis and systemization of data was adopted in the work so as to present to research findings in concrete an concise historical terms.                         

AIMS AND OBJECTIVE OF STUDY

The purpose and objectives of this work is to present a literature that throws some light on the history of Mile Four Hospital, with the intent of showing its historical development from seemingly cottage hospital to a recognize general hospital. This work is meant to be a study of the contributions of the Christian catholic mission to the well being of the people.

In the work efforts will be made to trace the coming of the catholic mission to Abakaliki, as well as the contributions of early Catholic Bishops, such as Bishop MCgettrick; to domesticate the church through intensive evangelism and provision of socio-religious institutions that affected the lives of Abakaliki people.

Furthermore, the work will contain critical expositions on the humanitarian, religious, social and historical antecedents that propelled the catholic mission to establish Mile Four Hospital. In the same vein, the gradual take off of the hospital through the establishment of a leprosy centre will be narrated.

Again, the stringent challenges and sultry success witnessed in the history of a missionary hospital out to cortical the dangers of leprosy in Abakaliki during the colonial ear, conscious efforts will be made in this work to explain the reactions and responses of certain international health bodies or agencies to the humanitarian cause being pursed by the catholic mission in what came to be known as Abakaliki Diocese.

Bearing in mind the contemporary emphasis on qualitative health care for all, this work will also aim at assessing the level of health management and administration at Mile Four Hospital overtime. Emphasis will be laid on the role of the state government in supporting the hospital.

 In all, this work is aimed at tracing the origin of Mile Four Hospital and to expose its historical developments attendant successes and failures, as well as its health management and administration in the course of time.

CONCEPTUAL CLASSIFICATION

For purpose of clarity, some of the worlds used in this text are further defined below:-

TB:               Tuberculosis is a chronic infection

disease caused by bacteria generally referred to as mycobacterium complex.

NTBLCP:       National Tuberculosis and Leprosy Control

Programme.

M.D.T:           Multi-Drug Therapy

MB:               Multi-bacillary leprosy

PB:               Paucibacilary leprosy

INH:             A drug tablet use for treatment of Tuberculosis.

GLRA:           Germany leprosy relief association

Streptomycin Injection: Is an anti-drug injection use for treatment of Tuberculosis.

HIV:              Human Immune Virus

AIDS:            Acquired Immune deficiency syndrome

MDG:            Millennium development goal.

PPP:             Public private partnership

WHO:            World health organization

CIDA:            Department for international development agency.

USAID:         United States agency for international development

Leprosy:        Is a chronic infection disease that mainly affects the skin peripheral nerves and mucous membrane of the upper respiratory tract. It is caused by a bacterium called mycobacterium leprae.

Leprae:         Transmission is through droplets from coughing and sneezing. The most important rout of exit is through the nasal discharges. The average incubation period (that is the period between injection and the appearance of diseases) is between two and five years.

Patches:       Leprosy is often a patch of skin that is lighter in colour than the surrounding skin.

Impairment: Is an abnormality of structure of function in any part of the body e.g. loss of sensation of the cornea, ulcer of the thumb, weak eyelid, fixed claw, dropped foot etc.

PAL               People affected by leprosy

PROJECT TOPIC-HISTORY OF MILE FOUR HOSPITAL, WITH THE INTENT OF SHOWING ITS HISTORICAL DEVELOPMENT FROM SEEMINGLY COTTAGE HOSPITAL TO A RECOGNIZE GENERAL HOSPITAL

 

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