Milestone: Journal of Strategic Management
Vol 6. No. 1 April 2026

Strategic Management Deficiencies and Business Failure Among Private Medical Diagnostic Centers in Enugu, Nigeria

Marcellinus Chukwuka Ihionu (Enugu State University of Science and Technology)
Alexander Chinaza Aneke (Enugu State University of Science and Technology)



Article Info

Publish Date
16 Apr 2026

Abstract

Private medical diagnostic centers play an increasingly important role in Nigeria’s healthcare delivery system, particularly in filling service gaps created by limited public health infrastructure. Despite their growing relevance, many of these facilities experience early business failures, especially in urban healthcare markets such as Enugu State. However, limited empirical attention has been given to the strategic and operational factors responsible for the collapse of private diagnostic laboratories in Nigeria. This study therefore examines the strategic management deficiencies associated with business failure among private medical diagnostic centers in Enugu State. The study adopted a historical case-based research approach, analyzing ten defunct diagnostic centers that operated between 2015 and 2025. Data were derived from archival reports, regulatory records, and secondary literature, and analyzed using qualitative content analysis. Findings reveal that business failure resulted from interconnected regulatory, operational, financial, and market-related challenges. Key factors included regulatory non-compliance, weak quality management systems, poor financial planning, high operational costs driven by energy and foreign exchange pressures, and increased competition within the healthcare market. The COVID-19 pandemic further exposed resilience gaps in many facilities. The study concludes that strengthening regulatory compliance, improving financial management practices, and adopting digital diagnostic technologies are essential for enhancing the sustainability of private diagnostic centers. The study contributes to healthcare entrepreneurship literature by providing a systems-based explanation of diagnostic facility failure in a developing economic context.

Copyrights © 2026






Journal Info

Abbrev

MS

Publisher

Subject

Social Sciences

Description

Milestone: Journal of Strategic Management aims to foster leading scientific research on international strategic business management. It provides a central and independent forum for the critical evaluation and dissemination of research and to publish the highest quality research with evaluation, ...