Managerial Efficiency and Organisational Performance in Nigeria’s Health Sector: A Decade of Quantitative Insights (2014–2024)

This study examines the effect of managerial efficiency on organisational performance in Nigeria's health sector.It employs a longitudinal research design using secondary panel data from six publicly listed health and pharmaceutical companies over a nine-year period.Ordinary Least Squares regression, supported by descriptive and correlation analysis, was used to test the relationships among key variables, including managerial efficiency, compensation, and ownership, while controlling for firm size and leverage.The findings show that managerial efficiency and compensation have statistically insignificant effects on organisational performance, while managerial ownership significantly enhances performance outcomes.Firm size is positively and significantly associated with performance, while firm leverage has no statistically significant effect.The study introduces methodological novelty through robust panel diagnostics, including multicollinearity and model specification tests, which affirm the reliability of the findings.Based on the results, the study recommends the adoption of ownership-based strategies and improved managerial structures to enhance organisational outcomes in Nigeria's health sector.The paper contributes new insights to the literature on performance management and governance within emerging health systems.