Nigeria's district hospitals face significant challenges in risk reduction due to inadequate resources and staffing. A randomized field trial was conducted across three districts in Nigeria. Hospitals were randomly assigned to either receive immediate intervention or serve as controls. Data collection included pre- and post-intervention assessments of operational metrics such as patient wait times, staff turnover rates, and equipment utilization. Immediate intervention led to a statistically significant reduction (p < 0.05) in average patient wait time by 34% compared to control hospitals. The randomized field trial demonstrated that targeted interventions can effectively mitigate risks associated with understaffing and resource scarcity, leading to improved operational efficiency in district hospitals. District health authorities are encouraged to implement similar strategies based on the findings of this study. Nigeria, District Hospitals, Intervention Study, Risk Reduction Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.