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Brain drain or brain gain of allied health professionals in LimpopoVosloo, Elbie 30 June 2009 (has links)
Thesis (M.B.A.)--University of Limpopo,2009. / The term “brain drain” became a reality in South Africa after doors opened for South Africans in overseas markets and the emphasis moved from hospital bed based care to total health for all South Africans. The lack of services in rural areas seems a problem with focus on migration of health professionals between rural and urban areas, and even overseas markets, leaving a possible imbalance.
More allied health professionals from previously disadvantaged groups are trained but the need in specifically the rural areas continues to rise.
Recruitment and retention strategies were implemented for scarce skilled health professionals in the Public Service but no proof is available whether it is successful or not for the allied health professional group. The vacancy rates for allied health professional posts are reportedly too high despite the fact that more candidates are recruited from rural areas to be trained as professionals, hoping they will return to work in rural areas. Allied health professionals seem to be constantly on the move despite the strategies already implemented, reasons for this are unknown.
The purpose of this study is to explore and determine if there is an imbalance of allied health workers in rural and urban areas within Limpopo Province.
Secondly, it was to determine what factors may influence and contribute to allied health professional‟s decision to consider migration and thirdly to establish if the current recruitment and retention strategies are having the desired outcome.
A survey was conducted over a period of three months with respondents representing the dietetic, physiotherapy, radiography, occupational therapy and speech and language therapy professions.
The sample population was randomly selected as well as cluster sampling from the different districts within the Limpopo Province. Data was collected from a total of 122 respondents.
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Because the type of data collected was mainly nominal data, graphical and tabular descriptive techniques like frequencies, relative frequencies, tables and graphs were used to provide information. Numerical descriptive techniques were also used to calculate sample statistics and the only statistical technique that involves nominal data, the Chi-Squared Test was also applied.
The findings of the research survey enabled the researcher to make final conclusions as well as specific recommendations to the target groups that may benefit from this study in order to change the “brain drain” to a “brain gain” situation for allied health professionals within the Limpopo Province. / N/A
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Brain drain and brain circulation : a study of South Africans in the United Arab Emirates.Fourie, Anco 04 1900 (has links)
Thesis (MPhil (Sociology and Social Anthropology))--University of Stellenbosch, 2006. / Human resources are one of the most valuable assets of any country’s economy.
Countries invest millions in the education and development of their citizens to improve
knowledge, skills and productivity that will sustain and enhance their economic growth.
Previously governments regarded money spent on education and training of its current
and potential workforce as a ‘safe’ investment, but the situation has changed drastically
in the past 50 years. Today, many highly skilled professionals are leaving their native
country to work and live in another.
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The perspectives of doctors on the 'medical brain drain' from South Africa.Stephen, Chibiliti Mulenga. January 2005 (has links)
No abstract available. / Thesis (M.B.A)-University of KwaZulu-Natal, Pietemaritzburg, 2005.
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Are we losing leaders or managers ? an exploratory study of the propensity amongst MBA students of KwaZulu-Natal, as future skilled professionals, to emigrate and to ascertain the orientation - leadership or management - of the potential emigrant.Kaihar, Anup. January 2001 (has links)
The brain-drain phenomenon was first reported in the 1960s in India, where skilled professionals were voluntarily leaving India to settle abroad in western countries. Thereafter, most developing countries have reported witnessing brain-drain in some form or the other. In South Mrica, with the advent of the post-apartheid government, the country saw a drastic change in its social fabric. The brain-drain phenomenon has gathered momentum since, and with every passing year, more and more people continue to emigrate from the country. With skill distribution already highly skewed to the emigrating white minority, the problem of emigration attains more serious proportions as more and more white South Mricans contemplate leaving their motherland. Owing to grey emigration it is very difficult to report the exact number of skilled South Mricans that have emigrated to Australia, UK, Western Europe, and the US, however, the best estimates indicate the number to be around 233 000. While many brand these emigrants as being 'unpatriotic', the phenomenon of emigration may be occurring because of valid reasons. While many whites may claim that with a non-white government in power, their and their country's future well-being could be in jeopardy and hence the desire to emigrate, such claims may not be baseless after all. Recent studies have shown that the rate of crime and violence are increasing, and that many of the emigrants have sighted concerns of safety as their primary reason for leaving. And it should be borne in mind that the phenomenon, which is perceived to be a 'white-only' phenomenon, has lost ground as many Asians and Africans have shown an equal desire to leave, predominantly due to concerns of personal safety. Studies, newspaper reports, and magazine articles, have shown that the country is losing valuable skills in the Information Technology sector, Finance and Banking sector and in the Medical Field. These three sectors play a vital role in the development of any developing economy and loss of valuable skills in these sectors evoke serious concerns. This skill loss, while a worrisome factor, stands to be compounded if more and more highly qualified professionals actually emigrate. The study on the emigration of Masters of Business Administration (MBA) students is scant and, knowing their demand in the market and the contributions that they make to the country's economy, their loss could well seal the fate of this country. MBA students contribute to a country's economy in several ways. Firstly, they are seen as the future business leaders of the country. Through knowledge gained in their business schools (Bschools), MBAs not only manage departments but are also known to lead organisations into a better future. They contribute to their respective organisations by streamlining work flow, ensuring that productivity per person is always on the up, surveying the market to introduce products that will improve the prospects of the company and thereby, bring about growth. In the process, they create jobs that aid in the betterment of the economy. Secondly, they are involved in exports of their products to countries that demand their goods, thereby bringing in the much-needed foreign exchange. Furthermore, when foreign countries decide to set up operations locally, they rely on the skills and talents of the MBAs to spearhead operations. Needless to mention, as these foreign companies grow they again create much-needed jobs that benefit the economy. MBAs also train fresh graduates to obtain the required exposure and experience as one day these very graduates will be spearheading their own projects. Many corporate heads are also assisting the government in developing the economic and commercial policies of the country. Many MBAs, entrepreneurial in nature, venture into business themselves. This entrepreneurial flair has added to the development of many small and medium enterprises. Today's fast-paced business environment and breakthrough technological developments have necessitated greater reliance on the MBA to make critical decisions that impact upon the future of the organisation and the lives of many employees. The MBAs of today are needed to be visionaries and to lead by example. They are entrusted with the onerous task of being agents of change, to be able to see the changing business horizons and make proper investments in skills, technology and other requirements for the benefit and survival of the organisation. Indeed it may seem a daunting task, but then the salaries they receive commensurate the requirements of the job. The contribution they make is invaluable and definitely their loss can have serious ramifications for the country. The purpose of this dissertation is to study the emigration phenomenon vis-a-vis the MBA students. Looking at a sample of MBAs that is representative of the Kwa-Zulu Natal MBA programmes, this research looks into ascertaining the emigration potential of MBA students. Furthering to that, the research probes into the management orientation and leadership orientation of these emigrants. The underlying assumption is that if the potential MBA emigrant has management orientation, then the loss for the country is not all that much, as compared to the potential emigrant having a leadership orientation. This is argued by the fact that it is much easier to take a mind and train it to run a department, as most managers do, than tryiIlcg to create a mind to lead. While it is still disputed whether leadership can totally be taught, one indisputable fact is that there are aspects that can be taught and those that cannot be taught. While one can be taught interpersonal skills, communications skills and other skills, there are certain traits intrinsic to leadership that just cannot be taught, e.g. risk taking, judgement and challenging the status quo. Some have even gone to state that leadership is a life-long learning process, and most leaders have had a difficult childhood that has led to their need to prove something to the world. It is for this reason that many authors have written that leaders are 'twice born.' Anyhow, the point is that, it is easier to teach someone to manage a department than it is to teach someone to run an organisation. The third part of the research looks at the view-point of the MBA students towards their institution's orientation, i.e. are their business schools preparing them to be managers or are they being prepared to be leaders. After all, if the business community needs leaders to take over the helm of companies, and if the need of the hour is students who can work under intense pressure trying to tie decision-making with the fast-paced technological developments, the ever increasing pace of competition and the intensity with which globalisation is affecting domestic markets, then the business schools need to produce that calibre ofMBA graduates. If the students feel that their business schools have only equipped them with managerial know-how, then these very business schools are being negligent in producing leaders and need to gear their faculties and curricula towards a greater leadershiporientation. This research will indicate whether the country needs to worry about the future of their corporations being in good hands, and whether emigration is really going to sap the remaining skills that the country's business sector needs desperately. It will also reveal if there is a leadership gap in the market that business schools need to address, i.e. a demand for MBAs with leadership orientation and an under-supply of such students coming out of the current business schools. This research could be an eye-opener for business schools to realise that they are falling short in providing quality products to the market. Gone are the days of yore when the market was forced to buy what organisations produced. In today's world, the choice empowered consumer (the business community at large) will seek the desired product of their choice (MBAs that are qualified with the required skills and competencies) and if they are unable to obtain it from the current suppliers (the recognised business schools they currently depend on), they will have no option but to look elsewhere. This could well be taken as a warning sign for business schools that if the very organisations that allow select business schools to have top rankings in the country, were to take away their support and start recognising and recruiting from other, at the moment, lesser recognised B-schools, the fate of the current Bschools could well be sealed. After all history is fraught with examples, and it is a well known fact that has received much attention from consultants, business school professors and management gurus, that if external change outpaces internal change, then only one future awaits such organisations, 'doom'! / Thesis (MBA)-University of Natal, Durban, 2001.
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The perspectives of doctors on the 'medical brain drain' from South Africa.Chibiliti, Stephen Mulenga. January 2005 (has links)
Abstract not available. / Thesis (M.B.A.)-University of KwaZulu-Natal, Pietermaritzburg, 2005.
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Reflections of South African nurses migrating to the Kingdom of Saudi Arabia a framework for supportTelford-Smith, Colette January 2006 (has links)
The last decade has seen an exodus of South African nurses migrating to "greener pastures". As a result of this migration, the South African Healthcare Service has been drained of one of its most essential resources – nurses. Subsequently, the crippling flight of nurses has thrown the nursing profession into a state of crisis. The Kingdom of Saudi Arabia is one of the more popular destinations for South African nurses, the main reason being the attractive financial rewards. One agency reports that they send an average of thirty nurses a month to various hospitals within the Kingdom of Saudi Arabia. Saudi Arabia is an Islamic country. Due to the uniqueness of the enforcement of the Islamic faith and the Saudi culture, many restrictions are imposed, particularly on women. The challenges and problems facing the South African nurses were, therefore, unique compared to elsewhere in the world. This research study had a primary and a secondary objective: The primary objective of this study was to explore and describe the lived experiences of South African nurses related to living and working in Saudi Arabia; The secondary objective of this study was to develop orientation guidelines to support South African nurses working and living in Saudi Arabia. The researcher utilized a qualitative, explorative, descriptive and contextual design based on a phenomenological approach to inquiry, in an attempt to answer the question: "What are the professional and personal experiences of the South African registered nurses working and living in Saudi Arabia?" Eleven registered nurses were selected to participate by means of purposive sampling. These nurses had been living in Saudi Arabia between three and six months. Consent was obtained from participants and the ethics committee of both the Nelson Mandela Metropolitan University and King Faisal Specialist Hospital and Research Centre. The central theme emanating from the study was recognized as being 'Cultural Diversity'. The sub-themes identified related to the registered nurses’: - Religious/spiritual adaptation - Environmental adaptation - Emotional/psychological adaptation - Professional adaptation Based on the identified themes, guidelines were formulated to assist South African registered nurses when migrating to Saudi Arabia. Utilization of these should assist the South African registered nurse in assimilating into both the cultural and working environment. However, in reality, the outcome showed that no one can be prepared fully for what awaits them in Saudi Arabia.
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The impact of affirmative action on overseas employment decision of final year studentsGouws, Renaldo January 2010 (has links)
Economical and educational problems are caused by the reversed effect of the Employment Equity Act and Affirmative Action. One such problem is called “brain drain” (Lundy, 2006), The general aim of the research was to determine whether affirmative action caused final year students of the Nelson Mandela Metropolitan University to consider overseas employment. A literature study was conducted before the empirical objectives were reached. The empirical study was of a quantitative descriptive and inferential nature. A cross-sectional survey design was used to achieve the empirical objectives. A self- administered survey package was handed out to final year students within the various disciplines at their various classes. One hypothesis was tested. The results indicated that support was found for the hypothesis. The findings are discussed in relation to the data gathered. The implications of the research and the limitations of the study are outlined in the Results chapter.
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Organizational and innovation-centred factors that encourage the retention of skilled information technology professionals in KwaZulu-Natal.Chetty, Kathryn. January 2001 (has links)
This research project incorporates the theory that global integration is shaped by national, regional and local dynamics South Africa's integration into the globa arena is affected by its attempts to enhance empowerment, restructure the labour market, remove discrimination and increase participation. In this case study, the factors that encourage the retention of skilled IT professionals and graduates in KZN were investigated, to explore the reasons why despite opportunities for global advancement in the IT sector, skilled Individuals choose to remain in localities that are assumed to be " skill-exporting" areas This study has revealed that innovation is the key 10 a dynamic and successful IT sector in KZN. The formation of technology-intensive organizations is vital in order to develop local capabilities and 10 compete effectively in the global economy. They are also necessary to reinforce the relationship between academia, industry, and government and to encourage technological innovation. Innovation will not only contribute to the growth and development of the SMME sector, but also attract and retain skilled IT professionals and graduates in KZN. The potential of KZN to develop a successful IT sector can be significantly improved by employing a "cluster based approach" to attend to its development needs. The establishment of the Innovation Support Centre in KZN, therefore, can be regarded as a significant tool to promote regional development, and foster innovation and the development of a successful SMME sector in the province, which will in turn contribute to the retention of the skilled IT workforce in KZN. / Thesis (M.A.)-University of Natal, Durban, 2001.
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Retaining community service nurses in the Western Cape public health sectorKruse, Beverley-Ann 03 1900 (has links)
Thesis (MBA)--University of Stellenbosch, 2011. / Healthcare systems of the world’s poorer nations have been heavily impacted by economic
globalisation. This has resulted in a steady deterioration of working conditions, resulted in less job
security and has led to an increase in the spread of communicable diseases in developing
countries such as South Africa. It is factors such as these, against the backdrop of a global
recession, that have contributed to the escalation in global healthcare costs which has itself
augmented the strain on already strained hospital resources in developing economies (Issues
paper: Economic Globalisation, 2009).
The current workplace faces complicated challenges which extend beyond the effects of the global
recession. One of these challenges is the task of managing the diversity of the modern day
workforce. This includes differences in gender, race, religion, culture, language, physical and
mental ability, sexual orientation as well as generational differences. As a result, organisations that
choose to exploit these differences are able to leverage a competitive advantage from them. This
ability is however determined by the flexibility of organisations’ policies and practices. Furthermore,
adapting an organisation’s human resource policies and practices pertaining to attracting,
retaining, developing, promoting and managing a generational diverse workforce is only possible
once these cohorts have been clearly identified, analysed and understood (Manion, 2009).
Nurses are the pillar of healthcare systems throughout the world. In South Africa, however, the
high staff turnover of nurses compared to the relatively small number of new recruits is of great
concern due to its impact on the South African government’s capacity to provide a healthcare
model of sustainable service delivery (Mokoka, 2007). The reality of the decline in the number of
newly qualified nurses was clearly evident in the results of this study. Twenty-eight percent of the
current community service nurses had previously considered leaving the profession, eight percent
reported that they were considering leaving the profession within the next year and 20 percent
intended leaving the public health sector after completing community service.
The purpose of this qualitative study was to determine factors that preclude better remuneration
that would influence community service nurses’ decision to remain employed in the public health
sector. According to the Western Cape Nursing directorate, 270 nurses were registered to
complete community service in the Western Cape in 2010. The 25 registered nurses who were
scheduled to complete community service at Groote Schuur Hospital at the end of 2010 constituted
the study sample. A self-administered questionnaire was used as the instrument for data collection
from this fixed, convenient sample. Confidentiality of the participants was assured throughout the
study and findings were reported as combined facts and figures using histograms.
The majority of the participants were between the age of 20 and 25 years (48%). Furthermore, 88
percent of the participants were below the age of 35 years, largely representative of Generation X
and the Millennials, Generation Y.
The results of this study suggested an extremely complex interplay between intrinsic and extrinsic
motivators, in influencing the decision of whether or not to remain employed in the public health
sector. It was further evident that most of the factors that were rated to be of high importance were
strongly self-centred, largely geared at personal reward and recognition. This finding is in clear
agreement with literature published by Manion (2009) who supports the thinking that generations
representative of Generation X and Y have a strong need for personal achievement and reward.
Eighty percent of participants indicated a dire need for hospital management to recognise and
manage generational diversity in the current workforce as this presented a daily challenge in the
workplace. It was perceived that fundamental differences in needs, work ethic and values exist
between Generations X and Y, compared to those of nurse and hospital managers who were
representative of Baby Boomers. Consequently, there appeared to be a mismatch in the
expectations and opportunities presented in the current workplace among the three generations.
These findings merit further discussion on whether the permanent multi-disciplinary team at
hospitals understand the influential role that they have on the complex task of retaining community
service nurses in the public health service. Furthermore, 92 percent of community service nurses
highlighted the need for mandatory orientation and induction programmes in each ward prior to
commencing duty. This in itself was identified as a huge cause for anxiety and discord.
In conclusion, even though this study was designed to establish factors that preclude better
remuneration which could influence the decision of community service nurses to remain employed
in the public health sector, it found that more than half the participants of this study recommended
that receiving a more competitive salary was still an important issue for government to prioritise.
However, it did not appear to be the overshadowing theme of dissatisfaction amongst community
service nurses.
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Defining a retention strategy for pharmacists in the public sector in Kwa-Zulu NatalNaicker, H. 03 1900 (has links)
Thesis (MBA)--University of Stellenbosch, 2011. / There is a global scarcity of health care workers (Boseley, 2011: 1). There has been global competition for the scarce resource, with developing countries competing for their own health care workers (Padarath et al., 2004: 5). The health outcomes of a country have been directly correlated with the quantity and quality of its health human resources (Dolea et al., 2005: 3).
Pharmacists, who were ranked as the third scarcest professional group in the world, are the most accessible of all health workers (Chan & Wuliji, 2006: 7). The shortage of pharmacists has resulted in inaccessibility to drug treatment, prevention and care, resulting in an insurmountable number of preventable deaths and disease. The number of pharmacists in KwaZulu-Natal province is currently 383, with a 76% vacancy rate (Avery, 2011).
The aim of the present study was to define a retention strategy for public sector pharmacists in KwaZulu-Natal province. This self-administered questionnaire survey was participated in by 103 pharmacists. Pharmaceutical services were found predominantly to have been rendered by young (with 32% falling in the age group 22–29 years of age and 36% falling in the age group 30–39 years), Indian (74%), female (82%) pharmacists. Many (68%) of the pharmacists concerned were new entrants (having been in employ for a period of 0–5 years) in the public sector, with just over half (36%) being new entrants into the pharmacy profession, meaning that two-thirds of the public sector pharmaceutical workforce lacked the experience and expertise to make the desired service delivery changes in said environment.
The top three motivations for job changes were found to be financial (27%), working conditions (26%) and career advancement opportunities (22%). A third of the respondents were found to be satisfied with the Occupation-specific Dispensation. The remainder of the pharmacists were equally divided about whether they regarded the payout to be inadequate or fair. Nonetheless, 20 per cent had definite intentions to leave, with 40 per cent having no intention to leave, and 40 per cent being uncertain about doing so. Such a finding correlated well with the fact that 24% of the respondents indicated that they felt that they were earning inadequate salaries. The finding did not correlate with the overwhelming response (83%) that money was not the most important consideration in making the choice. The pharmacists were divided regarding career-advancing opportunities in the public sector. Such a finding was echoed in a comparable division of who had access to information on career-advancing opportunities. Two-thirds of the respondents neither shared their goals regarding career progression with their supervisors, nor applied for any such posts.
The top three factors that pharmacists liked about their jobs were financial, resources and congenial working conditions. Resources, working conditions and lack of career progression factors were disliked; resources, career progression and financial factors could result in turnover.
In summary, money, career progression and resources matter. The pharmacists in the province were found to be satisfied with their earnings. They wanted to be rewarded on merit and were prepared to move to receive this and support in career progression. The National Department of Health (KwaZulu-Natal) must drive recruitment efforts to address the skills shortage, improve working conditions and ensure that salaries keep pace with inflation to create long-term wins for the public health sector.
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