- Title
- Leadership competencies of primary health care facility managers at Buffalo City Metropolitan District in the Eastern Cape Province
- Creator
- Makinana, Noxolo Beauty
- Subject
- Primary health care -- Leadership
- Subject
- Facility management
- Date
- 2020-02
- Type
- Master's theses
- Type
- text
- Identifier
- http://hdl.handle.net/10353/22033
- Identifier
- vital:51954
- Description
- The study explored and described the perceptions and experiences of Primary Health Care facility managers regarding their leadership and management competencies in the Buffalo City Metro Health District in the Eastern Cape Province. The objectives of this study were to explore and describe the leadership competencies required for facility managers to exercise their leadership in Primary Health Care facilities and to bring about the recommendation. The population of this study comprised of facility managers who are appointed in facility management position permanently or on acting basis during the time of the study, in rural, urban, and semi-urban Primary Health Care facilities (clinics) in Buffalo City Health District. Non-probability convenience sampling was used to select the participants. Two focus group interviews with 10 participants per group were held to collect data. Thematic data analysis was used to analyze the data. The findings were discussed according to themes and subthemes. Four themes and 9 subthemes were identified from the data. Themes include departmental factors, individual factors, and political factors. The subthemes include managers lack of support, need for capacitation of staff, lack of uniformity in exercising leadership, work positions, infrastructure, staff shortages, lack of involvement in decision making, lack of resources, feeling of being a failure, not meeting expectation (workload) role of managers, pressure, the resistance of staff members to change, absenteeism, teamwork, compliance to policies, the 80/20 principle, nurse-patient ratio, and consultation. The trustworthiness of the findings was ensured by focussing on dependability, confirmability, transferability, and credibility. The study concluded that facility managers receive very limited supervision to perform their management duties in their facilities. They also need adequate resources, induction, training and a habitable work environment to ensure that quality care is provided. The study recommended that the Department of Health should have a program for supervision, mentorship, and guiding the facility managers in the Primary Health Care facilities. It should also establish a training and development program on leadership, finance management and technology. Lastly, there should be more accountability by facility managers at the different departmental levels i.e. national, province, district subdistrict, and other internal and external stakeholders.
- Description
- Thesis (MPH) -- Faculty of Health Sciences, 2020
- Format
- computer
- Format
- online resource
- Format
- application/pdf
- Format
- 1 online resource (xi, 84 pages)
- Format
- Publisher
- University of Fort Hare
- Publisher
- Faculty of Health Sciences
- Language
- English
- Rights
- rights holder
- Rights
- All Rights Reserved
- Rights
- Open Access
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UFH Department of Nursing Science
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Makinana_200909897_Mini Dissertation.pdf | 1 MB | Adobe Acrobat PDF | View Details Download |