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Research

Retention of medical officers in district health services, South Africa: a descriptive survey

Robert Mash, Beverley Williams, Dusica Stapar, Gavin Hendricks, Herma Steyn, Johann Schoevers, Leigh Wagner, Mumtaz Abbas, Paul Kapp, Stefanie Perold, Steve Swartz, Werner Viljoen and Muideen Bello
BJGP Open 2022; 6 (4): BJGPO.2022.0047. DOI: https://doi.org/10.3399/BJGPO.2022.0047
Robert Mash
1 Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa
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  • ORCID record for Robert Mash
  • For correspondence: rm@sun.ac.za
Beverley Williams
1 Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa
2 Rural Health Services, Western Cape Government, Cape Town, South Africa
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  • ORCID record for Beverley Williams
Dusica Stapar
1 Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa
3 Metro Health Services, Western Cape Government, Cape Town, South Africa
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  • ORCID record for Dusica Stapar
Gavin Hendricks
1 Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa
2 Rural Health Services, Western Cape Government, Cape Town, South Africa
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Herma Steyn
1 Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa
2 Rural Health Services, Western Cape Government, Cape Town, South Africa
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  • ORCID record for Herma Steyn
Johann Schoevers
1 Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa
2 Rural Health Services, Western Cape Government, Cape Town, South Africa
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  • ORCID record for Johann Schoevers
Leigh Wagner
1 Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa
3 Metro Health Services, Western Cape Government, Cape Town, South Africa
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Mumtaz Abbas
1 Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa
3 Metro Health Services, Western Cape Government, Cape Town, South Africa
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  • ORCID record for Mumtaz Abbas
Paul Kapp
1 Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa
2 Rural Health Services, Western Cape Government, Cape Town, South Africa
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Stefanie Perold
1 Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa
2 Rural Health Services, Western Cape Government, Cape Town, South Africa
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  • ORCID record for Stefanie Perold
Steve Swartz
1 Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa
3 Metro Health Services, Western Cape Government, Cape Town, South Africa
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Werner Viljoen
1 Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa
3 Metro Health Services, Western Cape Government, Cape Town, South Africa
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Muideen Bello
1 Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa
3 Metro Health Services, Western Cape Government, Cape Town, South Africa
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Article Figures & Data

Tables

    • View popup
    Table 1. Characteristics of the participants (n = 95)
    Variablesn%
    Sex
     Female5254.7
     Male4345.3
    Age, years
     25–291920.0
     30–395557.9
     40–491111.6
     50–5955.3
     60–6555.3
    Home language
     Afrikaans5052.6
     English4244.2
     Zulu11.1
     isiXhosa00.0
     Other22.1
    Religion
     Christian6669.5
     Muslim1111.6
     None1818.9
    Marital status
     Married or long-term partner6972.6
     Divorced or separated66.3
     Widowed11.1
     Single1920.0
    Partner staying in same place (n = 69)
     Yes6492.8
     No57.2
    Children
     None4547.4
     Pre-primary school3233.7
     Primary school1616.8
     High school44.2
     Tertiary education88.4
    • View popup
    Table 2. Employment characteristics (n = 95)
    Variablesn%
    District
     Cape Town Metropole4749.5
     Cape Winelands2122.1
     Garden Route1212.6
     West Coast66.3
     Overberg99.5
    Grade of medical officer
     Grade 14749.5
     Grade 22627.4
     Grade 32223.2
    Contractual commuted overtime group
     None2122.1
     5–12 hours1717.9
     13–20 hours4446.3
     >20 hours1313.7
    Type of employment
     Permanent full-time8791.6
     Permanent part-time33.2
     Contracted55.3
    Type of facility
     District hospital5760.0
     Primary care3840.0
    • View popup
    Table 3. Likelihood of retention, overall satisfaction with district health service and mental wellbeing
    Variablesn%
    Plans to stay in current post   
     <1 year55.3
     1–2 years2930.5
     3–4 years2223.2
     >4 years3941.1
    Long-term career plan
     Permanent medical officer4244.2
     Family physician77.4
     Hospital specialist3233.7
     Other career1414.7
    5-year plan by sector   
     South African public sector6871.6
     South African private sector1010.5
     Emigrate77.4
     Other1010.5
    Would you recommend this facility
     Definitely no22.1
     Maybe no1010.5
     Maybe yes4244.2
     Definitely yes4143.1
      Median (IQR) % satisfied
    Overall satisfaction   
     Satisfaction with management2.9 (2.4–3.4)82.4
     Satisfaction with job content2.7 (2.3–3.2)79.3
     Satisfaction with coworkers3.2 (2.7–3.8)95.7
      Median (IQR) % score >21
     Mental wellbeing score24.5 (20.0–28.6)75.0
    • Satisfaction assessed by Employees in Health Care (SEHC) tool. Mental wellbeing assessed by Short Warwick–Edinburgh Mental Wellbeing Scale (SWEMWBS).

    • View popup
    Table 4. Association between satisfaction with the work experience and mental wellbeing and retention
    VariableRetained mean scoreNot retained mean scoreMean difference (95% CI)P value
    Satisfaction with management3.02.80.2 (-0.4 to 0.0)0.067
    Satisfaction with job content2.82.70.1 (-0.3 to 0.0)0.084
    Satisfaction with coworkers3.43.20.2 (-0.4 to 0.0)0.068
    Mental wellbeing score25.423.91.5 (-3.4 to 0.4)0.124

Supplementary Data

  • Mash_BJGPO.2022.0047_Supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Retention of medical officers in district health services, South Africa: a descriptive survey
Robert Mash, Beverley Williams, Dusica Stapar, Gavin Hendricks, Herma Steyn, Johann Schoevers, Leigh Wagner, Mumtaz Abbas, Paul Kapp, Stefanie Perold, Steve Swartz, Werner Viljoen, Muideen Bello
BJGP Open 2022; 6 (4): BJGPO.2022.0047. DOI: 10.3399/BJGPO.2022.0047

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Retention of medical officers in district health services, South Africa: a descriptive survey
Robert Mash, Beverley Williams, Dusica Stapar, Gavin Hendricks, Herma Steyn, Johann Schoevers, Leigh Wagner, Mumtaz Abbas, Paul Kapp, Stefanie Perold, Steve Swartz, Werner Viljoen, Muideen Bello
BJGP Open 2022; 6 (4): BJGPO.2022.0047. DOI: 10.3399/BJGPO.2022.0047
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Keywords

  • physicians
  • general practitioners
  • public sector
  • district health services
  • health workforce
  • retention

More in this TOC Section

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  • Declining number of home visits to older adults by GPs: an observational study using data from electronic health records in The Netherlands, 2017–2023
  • What’s been tried: a curated catalogue of efforts to improve access to general practice
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