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sahr2001 - Health Systems Trust

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11 • Voices of Facility Managers<br />

Staff management issues<br />

◆ Establishing a facility management team, team-building and teamwork<br />

were highlighted as making a significant contribution to improving<br />

how managers and staff experience the job. In one district these include<br />

regular team-building activities, including social gatherings, fundraising<br />

activities, and even joining the local private hospital in a drum<br />

majorette competition.<br />

◆ The improvement of staff satisfaction and morale is another major<br />

achievement mentioned by several facility managers. This was done<br />

through encouragement and affirmation of staff, through conflict<br />

resolution and through building the leadership of others.<br />

A facility manager who took on the challenge of working at a clinic with a<br />

difficult history, reflects:<br />

“ I really think that I did lift the morale of the clinic definitely, because previously<br />

people said to me ‘Sister, this is Robben Island’ and I said ‘why?’ ‘Because all<br />

the outcasts are being sent here’. So I said ‘I’ve also been sent here, so let’s<br />

work from here.’”<br />

Community participation<br />

A few managers took pride in their efforts to build relationships with the<br />

community through participation in the community health forum and through<br />

other forms of contact, and this was seen by some as a motivating factor:<br />

“... my vision was that I would get to have all the committees in the community<br />

and to formulate the friendship within the community, which now I have achieved<br />

... and after this ... I am going to help the community to understand what primary<br />

health care are...”<br />

Enabling factors<br />

External<br />

There are a number of positive factors that support, motivate and develop<br />

facility managers, enabling them to perform their duties even under difficult<br />

circumstances. Both external and internal factors emerge as important in<br />

these achievements and in how well the managers cope.<br />

External enabling factors refer to organisational resources that help make<br />

the job easier, such as physical infrastructure, finances, management systems<br />

and skills, policies etc.<br />

Supportive and effective management at district and region<br />

Support, in various forms, was highlighted as a key factor that enables facility<br />

managers to do a good job.<br />

209

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