Ineffective programme management on the delivery of health infrastructure projects: a case of the Northern Cape
Abstract
English: Programme management remains a challenging
management practice in the Northern Cape
Department of Health (NCDoH), particularly
when a health facility project has to integrate the
components of construction management and
operations management in order to attain the
benefits of strategic importance. The Northern
Cape Department of Health consists of various
administrative programmes that are supposed
to work together in order to attain the benefits
of strategic importance. The inability to integrate
construction management and operations
management is attributed to poor programme
management coordination within the Northern
Cape Department of Health. This article reports
the findings of a case study which determined how
programme management coordination among the
administrative programmes in the Provincial Office
of the NCDoH, Z. F. Mqcawu District Office and
the hospital that underwent revitalisation could be
improved during the construction of a health-care
facility. Data was obtained through interviews with
personnel in the three sectors (provincial office
of the NCDoH, district office of the Department
of Health, and the hospital that underwent
revitalisation) directly involved in the delivery of
the infrastructure component of the project and
preparations operationalisation of the health
facility after completion and handover. The results
of the study revealed the inability by the NCDoH
to integrate both construction management and
operations management, due the poor programme
management coordination when a health facility
project serves as a means for the delivery of health
services after handover. Furthermore, the research
revealed, among others, functional silos, lack of
skills and knowledge for the identification of the
critical success factors relevant for integration of construction and operations management as the contributing factors to poor
programme management Afrikaans: ‘n Allomvattende en integrerende betuursprogram bly ‘n uitdaging in
die Noord-Kaapse Departement van Gesondheid, veral wanneer ‘n
gesondheidsfasiliteitsprojek die komponente van konstruksie- en operasionele
bestuur moet integreer om die voordele van strategiese belang te bereik.
Die Noord-Kaapse Departement van Gesondheid bestaan uit verskeie
administratiewe programme wat veronderstel is om saam te werk om die
voordele van strategiese benadering te bereik. Die onvermoë om konstruksieen
operasionele bestuur te integreer, het tot gevolg dat daar gebrekkige
programbestuurkoördinasie binne die Noord-Kaapse Departement van
Gesondheid is. Die doel van hierdie aritkel is om die resultate weer te gee
van ʼn studie wat bepaal het hoe die koördinering tussen die administratiewe
program in die provinsiale kantoor van die Noord-Kaapse Departement
van Gesondheid, Z. F. Mqcawu distrikskantoor van die Departement van
Gesondheid en die hospitaal wat vernuwe moes word, verbeter kan
word tydens die oprigting van ‘n gesondheidsfasiliteit. Data is verkry deur
onderhoude te voer met die personeel in die drie sektore (provinsiale kantoor
van die Noord-Kaapse Departement van Gesondheid, distrikskantoor van die
Departement van Gesondheid en die hospitaal) wat betrokke was by die
lewering van die infrastruktuur van die projek en die operasionalisering van die
gesondheidsfasiliteit ná voltooiing en oorhandiging. Die resultate van die studie
toon die onvermoë van die Noord-Kaapse Departement van Gesondheid
om konstruksie- en operasionele bestuur te intergreer as gevolg van die swak
programbestuurskoördinasie tydens die stadium wanneer gesondheidsdienste
by sodanige gesondheidsfasiliteit verskaf moet word nadat dit oorhandig is.
Verder het die navorsing aan die lig gebring, onder andere, dat funksionele
silo’s, ‘n gebrek aan vaardighede en kennis om kritiese suksesgebreke relevant
tot die integrasie van konstruksie- en operasionele bestuur te identifiseer, bydra
tot swak programbestuur.
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