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dc.contributor.authorNkomazana, Oathokwa
dc.contributor.authorMash, Robert
dc.contributor.authorPhaladze, Nthabiseng
dc.date.accessioned2017-04-10T13:27:08Z
dc.date.available2017-04-10T13:27:08Z
dc.date.issued2015
dc.identifier.citationNkomazana, O., Mash, R. & Phaladze, N. (2015) Understanding the organisational culture of district health services: Mahalapye and Ngamiland health districts of Botswana, African Journal of Prmary Health Care and Family Medicine, Vol. 7, No.1, pp. 1-9en_US
dc.identifier.issn2071-2928
dc.identifier.urihttp://hdl.handle.net/10311/1632
dc.description.abstractBackground: Botswana has a shortage of health care workers, especially in primary health care. Retention and high performance of employees are closely linked to job satisfaction and motivation, which are both highest where employees’ personal values and goals are realised. Aim: The aim of the study was to evaluate employees’ personal values, and the current and desired organisational culture of the district health services as experienced by the primary health care workers. Setting: The study was conducted in the Ngamiland and Mahalapye health districts. Method: This was a cross sectional survey. The participants were asked to select 10 values that best described their personal, current organisational and desired organisational values from a predetermined list. Results: Sixty and 67 health care workers completed the survey in Mahalapye and Ngamiland districts, respectively. The top 10 prevalent organisational values experienced in both districts were: teamwork, patient satisfaction, blame, confusion, job insecurity, not sharing information and manipulation. When all the current values were assessed, 32% (Mahalapye) and 36% (Ngamiland) selected by health care workers were potentially limiting organisational effectiveness. The organisational values desired by health care workers in both districts were: transparency, professional growth, staff recognition, shared decision-making, accountability, productivity, leadership development and teamwork. Conclusions: The experience of the primary health care workers in the two health districts were overwhelmingly negative, which is likely to contribute to low levels of motivation, job satisfaction, productivity and high attrition rates. There is therefore urgent need for organisational transformation with a focus on staff experience and leadership development.en_US
dc.language.isoenen_US
dc.publisherAOSIS Publishing; http://www.aosis.co.za/publishingen_US
dc.subjecthealth care workersen_US
dc.subjectprimary health careen_US
dc.subjectorganisational cultureen_US
dc.subjectdistrict health servicesen_US
dc.subjectprimary health care workersen_US
dc.subjectMahalapye and Ngamiland health districtsen_US
dc.subjectBotswanaen_US
dc.titleUnderstanding the organisational culture of district health services: Mahalapye and Ngamiland health districts of Botswanaen_US
dc.typePublished Articleen_US
dc.linkhttp://www.phcfm.org/index.php/phcfm/article/view/907en_US


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