This study, carried out in Limpopo, KwaZulu-Natal, and Mpumalanga provinces in South Africa, aimed to document nursing staff dynamics in maternal health services, and to explore the factors associated with these dynamics. The study found that a high percentage of nursing staff working in public facilities were demotivated, burnt out, and were considering leaving the facility where they were working. A range of factors, both financial and nonfinancial, were associated with nurses considering going overseas: inadequate pay, poor promotion, feeling unsupported by management, and having bad relationships at work were all associated with lack of organizational commitment. As a result of high numbers of nurses feeling demoralized, there is not a conducive environment for policy interventions. Policymakers need to pay more attention to how policies are implemented and the impact of policies on the relationships between nurses, and nurses and managers in facilities.
Penn-Kekana, Loveday, Duane Blaauw, Khin San Tint, Desiree Monareng, and Jane Chege. 2005. "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.
Frontiers in Reproductive Health