• U Okonkwo, B Ekpeyoung, A Ndep, and G Nja.
• Department of Internal Medicine; Public Health, University of Calabar, Cross River State, Nigeria.
• Niger J Clin Pract. 2020 Jul 1; 23 (7): 988-994.

BackgroundTertiary hospitals are specialized institutions that provide managed care for patients. It has been shown that the productivity of any organization/institution is as good as the performance of its managers.AimThis study assessed the management knowledge of Healthcare Managers in a tertiary hospital in Calabar, Nigeria.MethodologyThis was a descriptive cross-sectional study that employed a structured questionnaire (adapted from the Health Leadership Alliance competency directory). Data were analyzed using SPSS version 20.ResultsA total of 266 managers were included in this studywith a M: F ratio of 1.3:1. The knowledge rating of role of non-clinical professionals, regulatory agency standards, preparation of business communication, change process management and policy formulation and analysis varied significantly among the three levels of management (p < 0.05). Less than 50% of operational and middle managers rated themselves as experts in all the competency domains while majority (80%) of strategic managers rated themselves as more than proficient in most of the competency items.ConclusionThere is inadequate managerial knowledge at all levels of management in a typical tertiary hospital in Nigeria with the potential to impact negatively on quality healthcare delivery.

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