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FRONTIERS PROJECT
Nursing Staff Dynamics and Implications for Maternal Health Provision in Public Health Facilities in the Context of HIV
and AIDS
This study, implemented in collaboration with the University of the Witwatersrand, investigated the factors affecting, and resulting from, the performance and retention of skilled nurses in public health systems in three provinces of South Africa. Those hospitals and clinics in the three provinces that provided maternity care reported a vacancy rate of between 20 and 25 percent for skilled nurses; turnover for skilled midwives was also high. Over half of participating nurses reported that they were considering leaving their facility for both financial and nonfinancial reasons including low pay, poor support from management, and poor work relationships. Researchers recommended that national policymakers consider the impact of policies at the facility level, and prioritize improvement of the management of public health care facilities.
Location
KwaZulu-Natal, Mpumalanga, and Limpopo provinces, South Africa
Duration
March 2004–February 2005
Population Council researcher
Jane Chege
Non-Council collaborators
Loveday Penn-Kekana, Duane Blaauw (Centre for Health Policy, University of the Witwatersrand)
Donor
US Agency for International Development
Publications/Resources
Council researchers' names appear in boldface type.
"South Africa: Improve facility management to increase nurse retention," FRONTIERS OR Summary no. 63. Washington, DC: Population Council. (full text)
2005
Penn-Kekana, Loveday, Duane Blaauw,
Khin San Tint, Desiree Monareng, and Jane Chege. "Nursing
staff dynamics and implications for maternal health provision in
public health facilities in the context of HIV/AIDS,"
FRONTIERS Final Report.
Washington, DC: Population Council. (PDF,
478 KB)
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Publications/Resources |
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"South Africa: Improve facility management to increase nurse retention" (2007) (full text) "Nursing staff dynamics and implications for maternal health provision in public health facilities in the context of HIV/AIDS" (2005) (PDF) |