- Title
- The impact of sustainable maintenance systems on government hospitals : a case of Cecilia Makewane and Frere hospitals
- Creator
- Kinama, Martin Mumo
- Subject
- Information storage and retrieval systems--Health maintenance organizations
- Subject
- Government hospitals, Buffalo City Metropole
- Subject
- Eastern Cape (South Africa)
- Date Issued
- 2023-04
- Date
- 2023-04
- Type
- Master's theses
- Type
- Thesis
- Identifier
- http://hdl.handle.net/10948/65130
- Identifier
- vital:74031
- Description
- This research sought to evaluate the current state of infrastructure maintenance put in place at government hospitals with a focus on Cecilia Makewane and Frere government Hospitals. These two hospitals served as examples of new infrastructure (Cecilia Makewane) and existing, older dilapidated hospital infrastructure (Frere) undergoing constant maintenance. The literature considered showed that in order for maintenance to be regarded as sustainable, it had to preserve the social, economic, and environmental conditions of a hospital building structure. The study aimed to provide insight into the existing state of maintenance and its sustainability. The sustainability of hospital infrastructure maintenance was tested by assessing the state of maintenance funding, maintenance workmanship, personnel skillsets, and maintenance policies. This study involved the collection of descriptive and numerical data through questionnaires. All of the information obtained through administering the questionnaires was converted into numerical data and used to gauge results. The results showed that there were shortfalls hindering sustainable maintenance, namely that the National Department of Health has failed to prioritise hospital maintenance funding and has failed to consistently monitor and evaluate hospital maintenance funding resulting in misuse and late compensation of maintenance contractors. The results also showed that the following existing successes would promote sustainable government hospital maintenance: satisfactory records of health infrastructure building deterioration are in place and maintenance projects involving refurbishments achieved practical completion and passed the latent defects liability periods. The study established that the available skilled staff are inadequate, hospital maintenance workmanship is poor, hospital maintenance projects were not adequately funded and existing maintenance processes were not regularly evaluated. The study recommends employment of more skilled maintenance staff, continuous monitoring, evaluation and prioritisation of maintenance funding, establishing clear maintenance roles between in-house staff and outsourced maintenance personnel.
- Description
- Thesis (MSc) -- Faculty of Engineering, the Built Environment and Technology, 2022
- Format
- computer
- Format
- online resource
- Format
- Format
- 1 online resource (xi, 156 pages)
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of of Engineering, the Built Environment and Technology
- Language
- English
- Rights
- Nelson Mandela University
- Rights
- All Rights Reserved
- Rights
- Open Access
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NMU School of the Built Environment
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Kinama, NM.pdf | 1 MB | Adobe Acrobat PDF | View Details Download |