An Assessment of Mitigation Measures Taken by Public Hospitals in the Face of Fiscal Challenges: A Case Study of Chitungwiza Central Hospital (CCH)

Abstract

The purpose of this research study sought to find the mitigation measures taken by public hospitals in the face of fiscal challenges. In terms of sampling, purposive sampling was employed and it was largely geared towards targeting people who have information about the subject matter and consumers of the services. The study shows that public hospitals cannot survive outside the set frameworks of the government thus there is need for the government to restructure its weak systems of their governance, increase funding of these public hospitals and reduce pressure on hospital employees by unfreezing posts to allow employment of other professionals. Public hospitals are greatly affected by their environment, for example, politics, economy and socio-cultural issues since they are open systems. The study also showed the importance of motivation of employees, leadership and the society for public hospitals to be successful in spite of taking mitigation measures against fiscal challenges.

Country : Zimbabwe

1 Alether MADYIRA2 Sympathy MAKURURU3 Smartson. P. NYONI4 Thabani NYONI

  1. Midlands State University, Gweru, Zimbabwe
  2. Independent Researcher, Gweru, Zimbabwe
  3. ZICHIRe Project, University of Zimbabwe, Harare, Zimbabwe
  4. SAGIT Innovation Center, Harare, Zimbabwe

IRJIET, Volume 5, Issue 3, March 2021 pp. 464-482

doi.org/10.47001/IRJIET/2021.503080

References

  1. African Economic Outlook, (2014), Zimbabwe, London, World Bank.
  2. Bitran and Giedion, (2003), Waivers and Exemptions for Health Services in developing Countries, Washington DC, World Bank.
  3. Bloom, Propper, Seiler and Van Reenen, (2010), The Impact of Competition on Management Quality: Evidence from Public Hospitals, London, Centre for Economic performance.
  4. Boubard, Francoise, Dohrmann and Lovegrove, (2009), The Case of Government Reform, New Zealand, McKinsey Company.
  5. Certo, S, (2003), Modern Management, New Delhi, Prentice-Hall.
  6. Daft, L, (2005), Leadership, New Delhi, Cengage Learning.
  7. Dhliwayo, D, (2001), Economic Structural Adjustment Programmes, Harare, Weaver Press.
  8. Gaetano, B, (2005). "A remark on the fiscal theory of price determination, Elsevier, Jstor.
  9. Hague and Breitbach, (2011), Regional and Local Economic Development, New Yoke, Palgrave.
  10. Hemed, Y, (2000), Community Health Schemes Benefiting The Low Income People, Dar-es-Salaam, TPHA.
  11. Herzberg, F, (1959), The Motivation to Work, New York, McGraw-Hill.
  12. Hutton, G, (2003), Improving the Financial Access of Poor and Vulnerable Groups to Health Services, Basel, Swiss Tropical Institute.
  13. Mabyazi, M, (1998), Willingness and Ability to Pay for Healthcare in Tanzania, Nuffield, University of Leeds.
  14. Mamdani and Bangser, (2004), Women’s Dignity, Dar-es-Saleem, JK Publishers.
  15. Mangudhla, T, (2014), The Zimbabwe Independent Newspaper; Zimbabwe firms must go for regionalmarkets, Harare.
  16. Morgan and Murgatroyd, (1994), Total Quality Management in the Public Sector, Philadelpia, Open University Press.
  17. OECD, (2008), Health Status Determinants: Lifestyle, Environment, Healthcare Resources and Efficiency, London, World Bank.
  18. Pilichowski, Arnould and Turkisch, (2007), Ageing and the Public Sector: Challenges for Financial and Human Resources,Oxford, Oxford University Press.
  19. Porter and Teisberg, (2006), Redefining Competition in Health Care, Boston: Harvard Business School Press.
  20. Porter, L, (2002), Motivation and Work Behaviour, New York, McGraw-Hill.
  21. Robbins, S, (1990), Organization Theory: Structure, Design and Applications, London, Prentice-Hall Publications.
  22. Robbins, S, (2004), Management, New Jersey, Prentice Hall.
  23. Sachikonye, L, (2010), Zimbabwe’s Lost Decade, Harare, Weaver Press.
  24. SAFPI, (2012), Zimbabwe: Challenges in Financing Education, Health and Social Protection Expenditures, London, World Bank.
  25. Steers, R, (1996), Motivation and Leadership at Work, New York, McGraw-Hill.
  26. Zhou, G, (2011), Fiscal Challenges in Zimbabwe, Harare, Weaver Press.
  27. Zimbabwe Government, (2013), Zim-assert, Harare
  28. ZNFH, (2009), Zimbabwe Health System, Harare, Weaver Press.