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The study examined the structure and mode of administration in Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife Nigeria; and also assessed the impact of the structure and mode of administration on the service delivery in the hospital. These were with a view to assessing the administration of healthcare service delivery in Nigeria. Primary and secondary data were used for the study. The primary data were collected through administration of questionnaire and in-depth interviews on the staff of Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, The study population of 779 consisted senior staff members on levels 07 and above in OAUTHC, (a federal tertiary hospital) and SERVICOM office in the hospital. Stratified and random sampling techniques were used in selecting respondents with a sample fraction of 20% bringing the sample size to 155 out of 779 population frame. Interviews were conducted with 9 respondents including two (2) purposively selected Directors in the hospital, two (2) servicom officers and five  patients, who were randomly selected in the tertiary healthcare institution. Secondary data were collected from books, journals, reports, documents, official publications, and internet sources. Data collected were analysed using descriptive and inferential statistics ( t test). The study concluded that the structure and mode of administration impacted negatively on the service delivery, efficiency and running of tertiary healthcare in OAUTHC Ile-Ife Nigeria. Keywords: Efficiency and Effectiveness, Health and Healthcare, Health Expenditure, Hospital Management, Hospital Administration

Assessment of the administration of healthcare service delivery in Obafemi Awolowo University Teaching Hospitals’ Complex, Ile-Ife, Nigeria