Bayelsa State, Nigeria, healthcare delivery system health administration efficacy is examined. This research evaluates Bayelsa State's health administration and delivery system. A questionnaire-based evaluative research approach was utilised to collect data from 300 participants. We investigated five hypotheses and five research topics. The data were analysed using weighted mean and standard deviation, percentages, and frequencies, and the hypotheses were tested using z-test statistics at 0.05. Patronage of government and commercial hospitals is high, but traditional healers and faith-based healing centres are low (mean ratings 2.33; 2.40; 2.30; 1.97). Also, health officials regularly educate the public about local healthcare services. Bayelsa healthcare initiatives are very successful. Additionally, health officers' management methods have greatly improved healthcare delivery in Bayelsa State. The mean ratings of urban and rural Bayelsa State residents on health program efficacy were likewise similar. Z-calculated = 1.16 < z-critical = 1.96 at 0.05 significance level. It was found that health administration improved Bayelsa State healthcare delivery. The report advises that health officials in each community should aggressively sensitise and conduct awareness campaigns to help rural Bayelsa State residents evaluate healthcare initiatives. For program supervision, monitoring, and evaluation, personnel must be actively sought and provided. Nigerian health authorities must prioritise rural health professional training. So rural health professionals won't move to cities. Finally, improving people's living situations above poverty level is essential to promoting healthy lives. Health education must be effective to eliminate infectious diseases like typhoid and malaria.