Furniture Mismatch Assessment and Human Factor Issues in Primary Healthcare Facilities of Calabar Metropolis, Nigeria
DOI:
https://doi.org/10.34256/ijk2625Keywords:
Anthropometry, Ergonomics Mismatch, Healthcare Workers Furniture, Primary Facilities, Musculoskeletal disordersAbstract
Introduction: Furniture-user mismatch is a recognised occupational health risk, yet no study has systematically evaluated ergonomic compatibility between healthcare workers (HCWs) and furniture in Nigerian primary healthcare facilities (PHCFs). This study assessed the anthropometric profile of HCWs in public PHCFs in Calabar Metropolis, Cross River State, Nigeria, and evaluated the degree of mismatch between their body dimensions and their workstations. Methods: A total of 145 HCWs (47 males, 98 females) were recruited across 25 selected PHCFs. Thirteen anthropometric parameters were measured in accordance with ISO 7250. Six chair types (four armchairs and two armless chairs) and fifteen table types were dimensionally assessed. Match and mismatch percentages were computed by comparing furniture dimensions against ergonomically derived acceptable ranges based on the 5th and 95th percentile values of relevant anthropometric parameters. Results: Study revealed pervasive mismatch across all furniture types and dimensions. Among armchairs, seat height match rates did not exceed 33.3% in any group, while armrest height match was below 15% across all four types. Armless chairs performed comparatively better, with Chair Type 3 achieving up to 66.7% seat height match in males. Table height mismatch exceeded 70% for nearly all fifteen table types, with upper mismatch being the dominant pattern. Conclusion: Findings of the present study demonstrate a critical ergonomic deficit in primary healthcare furniture in Calabar Metropolis and underscore the urgent need for anthropometrically informed furniture design and procurement policies to protect HCWs from musculoskeletal disorder (MSDs) risk.
References
Adiga, U. (2023). Enhancing occupational health and ergonomics for optimal workplace well-being: a review. International Journal of Chemical and Biochemical Sciences, 24(4): 157-164.
Aiyegbusi, A.I., Gbiri, C.A., Oyeniran, T.O., and Balogun, O.J. (2023). Mismatch between school furniture dimensions and anthropometric parameters is a risk for spinal deformities in secondary school students in Lagos, Nigeria: a cross-sectional study. Bulletin of Faculty of Physical Therapy, 28(34): 1-8. https://doi.org/10.1186/s43161-023-00145-8
Altaboli, A., Muttardi, R., Alahmar, H., Aliskandarani, H., Alshaikhi, A., (2023). Anthropometric evaluation of university classroom furniture. Physical Ergonomics and Human Factors 103: 1–10. https://doi.org/10.54941/ahfe1003040
Bitton, A., Ratcliffe, H.L., Veillard, J.H., Kress, D.H., Barkley, S., Kimball, M., Secci, F., Wong, E., Basu, L., Taylor, C., Bayona, J., Wang, H., Lagomarsino, G., Hirschhorn L.R. (2017). Primary health care as a foundation for strengthening health systems in low-and middle-income countries. Journal of general internal medicine, 32(5): 566-571. https://doi.org/10.1007/s11606-016-3898-5
Bolarinwa, M.A., Kumapayi, A.O., (2023). Ergonomic risk assessment of Nigerian teaching personnel: Cases of a secondary school and a tertiary institution in Ibadan, Nigeria. European Journal of Medical and Health Sciences, 5(4): 56–62. https://doi.org/10.24018/ejmed.2023.5.4.1865
Del Prado-Lu, J.L. (2007). Anthropometric measurement of Filipino manufacturing workers. International Journal of Industrial Ergonomics, 37(6): 497–503. https://doi.org/10.1016/j.ergon.2007.02.004
Fidelis, O.P., Ogunlade, B., Adelakun, S.A., Adukwu, O. (2018). Ergonomic analysis of classroom furniture in a Nigerian university. Nigerian Journal of Technology, 37(4): 1154–1161. https://doi.org/10.4314/njt.v37i4.40
Garosi, E., Sheikh, F., Goodarzi, M., (2025). Ergonomic interventions in risk reduction. In: Ergonomics and Workplace Safety. IntechOpen. https://doi.org/10.5772/intechopen.1008463
Haque, M., Islam, T., Rahman, N.A.A., McKimm, J., Abdullah, A., Dhingra, S. (2020). Strengthening primary health-care services to help prevent and control long-term (chronic) non-communicable diseases in low-and middle-income countries. Risk management and healthcare policy, 409-426. https://doi.org/10.2147/RMHP.S239074
Ibrahim, Z.A., Konlan, K.D., Moonsoo, Y., Kwetishe, P., Ryu, J., Ro, D.S., Kim, S.Y. (2023). Influence of basic health care provision fund in improving primary health care in Kano State: A descriptive cross-sectional study. BMC Health Services Research 23: 885. https://doi.org/10.1186/s12913-023-09708-w
Icha, A.A, Adewole, N.A., (2026). Dimensional analysis and characteristics of chairs and tables utilized by public healthcare workers in Calabar metropolis, Nigeria, Furniture and Wooden Material Research Journal, 9(1): 63-75. https://doi.org/10.33725/mamad.1864597
International Organization for Standardization (ISO). 2017. ISO 7250-1:2017: Basic human body measurements for technological design—Part 1: Body measurement definitions and landmarks. Geneva, Switzerland.
Isapka, A.I., Omorodion, O.A., (2019). The Mismatch of Students Anthropometric Data with Ergonomic Designs of Learning Workstation is a Risk Factor for Musculoskeletal Disorders. International Journal of Sciences, 8(02): 105–111. http://dx.doi.org/10.18483/ijSci.1913
Ismaila, S.O., Musa, A.I., Adejuyigbe, S.B., Akinyemi, O.D., (2013). Anthropometric design of furniture for use in tertiary institutions in Abeokuta, South-western Nigeria. Engineering Review, 33(3): 179–192.
Kamijantono, H., Sebayang, M.M., Lesmana, A., (2024). Risk factors and ergonomic influence on musculoskeletal disorders in the work environment. Journal La Medihealtico, 5(3): 660–670.
Kruk, M.E., Porignon, D., Rockers, P.C., Van Lerberghe, W. (2010). The contribution of primary care to health and health systems in low- and middle-income countries: A critical review of major primary care initiatives. Social Science & Medicine, 70(6): 904-911. https://doi.org/10.1016/j.socscimed.2009.11.025
Lee, Y. (2019). Anthropometric design and ergonomic posture assessment based on intelligent algorithms for seated work. S-Space.
Malone, E. B., & Dellinger, B. A. (2011). Furniture design features and healthcare outcomes. The Center for Health Design, 1-72.
Obaseki, C., Erhabor, N.I., (2023). Ergonomic standard compliance of nurses in tertiary hospitals in Edo State, Nigeria. NIU Journal of Social Sciences 9(4): 199–205. https://doi.org/10.58709/niujss.v9i4.1778
Oche, M. Adamu, H. (2013). Determinants of Patient Waiting Time in the General Outpatient Department of a Tertiary Health Institution in North Western Nigeria. Annals of Medical and Health Sciences Research, 3(4): 588. https://doi.org/10.4103/2141-9248.122123
Odebiyi, D.O., Okafor, U.A.C., (2023). Musculoskeletal disorders, workplace ergonomics and injury prevention. Ergonomics – New Insights. https://doi.org/10.5772/intechopen.106031
Oladapo, S.O., Olusola, E.O., Akintunlaji, O.A., (2024). Anthropometric comparison between classroom furniture dimensions and female students’ body measurements for enhanced health and productivity. International Journal of Research and Innovation in Applied Science IX. https://doi.org/10.51584/IJRIAS.2024.905030
Olumide, B.O., Tyem, N.F., Ntuhun, B.D., Ekpenyong, M.E., Ariyo, S.T., Selowo, T.T., Fiyaktu, Y.B., (2024). Evaluation of ergonomics awareness and its lack of application among medical laboratory practitioners in tertiary hospitals in Jos, Nigeria. International Journal of Medicine and Health Development, 29(2): 103–113.
Paula, C.C.D., Silva, C.B.D., Tassinari, T.T., Padoin, S.M.D.M. (2016). Factors that affect first contact access in the primary health care: integrative review. Revista de Pesquisa: Cuidado é Fundamental Online, 8(1): 4056-4078. https://doi.org/10.9789/2175-5361.2016.v8i1.4056-4078
Perumal, M. (2023). The effects of exposure to ergonomic hazards among medical laboratory technicians at a Government Hospital in KwaZulu-Natal. University of Johannesburg.
Saha, A.K., Jahin, M.A., Rafiquzzaman, M., Mridha, M.F. (2024). Ergonomic design of computer laboratory furniture: Mismatch analysis utilizing anthropometric data of university students. Heliyon, 10(14). https://doi.org/10.1016/j.heliyon.2024.e34063
Sejdiu, R., Sylejmani, B., Idrizi, L., Bajraktari, A., & Sejdiu, M. (2023). Discrepancy between pupils’ body and classroom furniture in elementary schools: A case study in the Republic of Kosovo. Work, 75(2): 447-459. https://doi.org/10.3233/WOR-220023
Smardzewski, J. (2015). Furniture design. Berlin/Heidelberg, Germany: Springer. https://doi.org/10.1007/978-3-319-19533-9
Taifa, I.W., Desai, D.A. (2017). Anthropometric measurements for ergonomic design of students’ furniture in India. Engineering Science and Technology, an International Journal, 20(1), 232-239. https://doi.org/10.1016/j.jestch.2016.08.004
World Health Organization. (2017). Primary health care systems (Primasys). World Health Organization.
Yisa, S.S., Ogunniyi, T.J., Dine, R.D. (2025). Strengthening primary health care in Nigeria: A means to achieve universal health coverage. BMJ Global Health, 10(10): e018486. https://doi.org/10.1136/bmjgh-2024-018486
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Asibong Asibong Icha, Nureni Adedapo Adewole

This work is licensed under a Creative Commons Attribution 4.0 International License.
Articles published in the International Journal of Kinanthropometry are licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) license, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, provided appropriate credit is given to the original authors and the source.