Towards Digital Twin Maintenance Management of Health Facilities in Nigeria: The Need for Maintenance Documentation

The COVID-19 pandemic that recently broke forth revealed the waning state of a considerable number of healthcare facilities, especially in unindustrialized territories. This is of great concern, and it has become pertinent to identify determinants of efficient maintenance management in developing countries. There is an inefficient maintenance management of hospital buildings due to a low level of maintenance documentation, which otherwise would have facilitated the adoption of digital twin (DT) technology. The existing maintenance management frameworks and models have not explored and evaluated maintenance documentation as an all-inclusive construct. Hence, this study was aimed at emphasizing the significance of maintenance documentation for its adoption as one of the main determinants of efficient maintenance management, with a view to attaining the DT maintenance management of hospital buildings in Nigeria. After a theoretical review on existing studies around documentation, the software documentation concept was used to conceptualise this observed gap in maintenance management models for public hospital buildings in developing countries. This critical review, which forms part of an ongoing study, asserts that maintenance documentation is a major construct for efficient maintenance management and a prerequisite for the adoption of DT in the management of healthcare constructed facilities in developing countries.