<p>&nbsp;         <b>TABLE OF CONTENTS&nbsp;</b></p><p>DECLARATION ................................................................................................................................... i</p><p>&nbsp;CERTIFICATION ............................................................................................................................... ii</p><p>&nbsp;ACKNOWLEDGMENT...................................................................................................................... iii&nbsp;</p><p>ABSTRACT......................................................................................................................................... iv</p><p>&nbsp;TABLE OF CONTENT....................................................................................................................... vi</p><p>&nbsp;LIST OF FIGURES ......................................................................................................................... viii</p><p>&nbsp;LIST OF TABLES.............................................................................................................................. ix</p><p>&nbsp;LIST OF APPENDICES..................................................................................................................... x</p><p>&nbsp;LIST OF ABBREVIATIONS.............................................................................................................. xi</p><p>&nbsp;

Chapter ONE

: INTRODUCTION ...............................................................................................1&nbsp;</p><p>1.1 Background................................................................................................................................1&nbsp;</p><p>1.2 Statement of the Problem .........................................................................................................4&nbsp;</p><p>1.3 Significance of the Study...........................................................................................................5&nbsp;</p><p>1.4 Aim and Objectives..................................................................................................................5&nbsp;</p><p>1.5 Scope and Limitations...............................................................................................................6</p><p>&nbsp;.

Chapter TWO

: LITERATURE REVIEW.......................................................................................7&nbsp;</p><p>2.1 Introduction...................................................................................................................................7&nbsp;</p><p>2.2 Building Performance...................................................................................................................7&nbsp;</p><p>2.3 Building Performance Evaluation (BPE)......................................................................................8&nbsp;</p><p>2.4 User Satisfaction and Post Occupancy Evaluation (POE)..........................................................11&nbsp;</p><p>2.5 Organization of Health System and Health System Reforms in Nigeria.....................................12&nbsp;</p><p>2.6 Conceptual Basis of Primary Health Care..................................................................................13&nbsp;</p><p>2.7 Health Care Building Architecture ..............................................................................................15&nbsp;</p><p>2.8 Health Care Environment, its Impact on Patient’s Well-Being and Health Outcomes............16&nbsp;</p><p>2.8.1 Theoretical Approach for Healing Environments..................................................................17&nbsp;</p><p>2.8.2 Optimal Healing Environment Framework............................................................................18&nbsp;</p><p>2.8.3 Healing Space Requirements in Built Environment..............................................................20&nbsp;</p><p>2.8.3.1 Color and light as Healing Space Requirements in Built Environment ...............................21&nbsp;</p><p>2.8.3.2 Art, Music and Sound as Healing Space Requirements in Built Environment ....................22</p><p>&nbsp;2.8.3.3 Green Garden as Healing Space Requirements in Built Environment...............................23&nbsp;</p><p>2.8.3.4 Space and Privacy as Healing Space Requirements in Built Environment..........................23&nbsp;</p><p>2.9 Standard Criteria for Hospital Design and Design Quality Indicators (DQI)...............................24&nbsp;</p><p>2.10 Healthcare Building Evaluation Toolkits...................................................................................30&nbsp;</p><p>2.10.1 Achieving Excellence Design Evaluation Toolkit (AEDET) Evolution....................................31&nbsp;</p><p>2.10.2 A Staff and Patient Environment Calibration Tool (ASPECT)...............................................34&nbsp;</p><p>2.10.3 Inspiring Design Excellence and Achievements (IDEA)......................................................35&nbsp;</p><p>2.10.4 NHS Environmental Assessments Toolkit (NEAT)..............................................................36&nbsp;</p><p>2.11 Conclusion................................................................................................................................38</p><p>&nbsp;

Chapter THREE

: RESEARCH METHODOLOGY....................................................................39&nbsp;</p><p>3.1 Research Design ...................................................................................................................39&nbsp;</p><p>3.2 Study Population..................................................................................................................40&nbsp;</p><p>3.3 Sample Size and Sampling Procedure..................................................................................40&nbsp;</p><p>3.4 Data Collection Technique ...................................................................................................44&nbsp;</p><p>3.5 Data Analytical Technique ...................................................................................................46</p><p>3.6 Ethical Considerations..........................................................................................................47&nbsp;</p><p>

Chapter FOUR

: DATA PRESENTATION, ANALYSIS AND DISCUSSION...........................48&nbsp;</p><p>4.1 GENERAL INFORMATION ON THE RESPONDENTS ...................................................48&nbsp;</p><p>4.1.1 General Information on Medical Staff ...........................................................................48&nbsp;</p><p>4.1.2 General Information on Patients .................................................................................50&nbsp;</p><p>4.1.3 General Information on Visitors .................................................................................52&nbsp;</p><p>4.2 ASSESSMENT OF THE PERFORMANCE OF PHC BUILDINGS..............................53&nbsp;</p><p>4.2.1 Perception of users on functionality of PHC buildings...............................................53&nbsp;</p><p>4.2.2 Perception of users on Build Quality of PHC buildings. ............................................57&nbsp;</p><p>4.2.3 Perception of users on Impact of PHC buildings. .......................................................60&nbsp;</p><p>4.3 INFERENTIAL ANALYSIS (The T-Test) .....................................................................68&nbsp;</p><p>4.4 DISCUSSION OF RESULTS...........................................................................................70&nbsp;</p><p>

Chapter FIVE

: SUMMARY, CONCLUSION AND RECOMMENDATIONS.....................76&nbsp;</p><p>5.1 Summary of findings.........................................................................................................76&nbsp;</p><p>5.2 Conclusions.......................................................................................................................79&nbsp;</p><p>5.3 Recommendations.............................................................................................................80&nbsp;</p><p>REFERENCES..................................................................................................................................83 <br></p>