ORGANISATIONAL ANALYSIS GROUP

A key component of the organisational analysis was the identification of the organisation, which included an in-depth review of its many departments, including operations, human resources, finance, the workplace, and system procedures. To identify potential issues that could develop inside the company, a SWOT analysis was also necessary as part of the organisational analysis. I was inspired to improve both my research and scholarly skills because this project was research-based in nature. I had to make sure that the literature I chose for this work was respectable, trustworthy, dependable, and devoid of bias by using the information I had obtained about the dependability, credibility, and relevance of sources. To make sure the analysis generated matched the criteria of the SWOT tool, the SWOT analysis required frequent communication between group members as well as collaborative efforts.

The Chiawelo Community Health Centre was the organisation my team decided to study. The first assignment was straightforward, but as the deadline drew closer, the working approach started to provide difficulties. Our differences helped me to learn that everyone is unique. It's critical to recognise that diverse working styles exist among some individuals when working in a team environment. We were to evaluate the Chiawelo CHC and perform a SWOT (strengths, weaknesses, opportunities, and threats) analysis of the facility for Task 2. Since I oversaw the SWOT analysis together with the other two group members, this work enabled me to thoroughly examine the clinic's goal.

According to Willcoxson and Millett (2000), an organization's culture is its collection of standards, values, and conduct that set it apart from competitors. It would thus be crucial for us to evaluate and ascertain the clinic's culture when we visit. This is since during Task 1, we discovered articles and reviews about the clinic that weren't favourable. We must put our reading behind us to avoid entering the organisation with preconceived notions. By doing this, we can ensure the objectivity of our analysis.

During block 3 my group and I we were told that we no longer going to Chiawelo but Molofo CHC instead. It was painful because we did not have enough of info, and we can expect anything from the CHC, but it turned out that Mofolo CHC was waiting for us, and everything is summarised on group diary and below is what I did with my partner.

DAY 1: 19 JULY 2023

WELCOME AND MAIN RECEPTION

1. We arrived at the site around 08:30, and we met Dr. Akii, as we were told by our course coordinator to look for him once we got here.

• Welcomed by Dr. Akii.

• Discussion about the aims and objectives of our visit to the site

• A brief on how we should tackle the assignment.

• Rules and regulations (what to do and not do)

• Question and answer about what we feel he didn’t mention on rules and regulations

1. We met the metron/facility manager

• Welcome by the facility manager

• Organise someone to help with the clinic tour

• During the tour, we observed 14 different sections and services offered by each section: administration (reception), Pharmacy, X-rays, Emergency, Audiology, Physiotherapy, Psychiatry, Occupational health, TB, paediatrics, Clubs, Maternity, dental, and Acute and Chronic services.

1. On the tour, we paired ourselves into two so that we could consume as much information as we could in the six days of the site visit.

• Gugulethu and Mahlatse

• Kwanele and Dimakatso

• Fezeka and Molefi)

1. 12:00 Lunch time till 13:00

2. After lunch, we visited the Main reception and asked where we could be of help. They told us to wait for the supervisor and in the meantime, they taught us all the work at the reception such as: how to open a file, record patient data and look for patient files in the file room since some workers needed to go out for lunch and the queue was still long. To speed up the work we decided to work hand in hand with each other where:

• Gugulethu: Collect patient details and write them into the primary healthcare headcount register

• Mahlatse: Look for the patient file

  • If the patient’s file is not there (lost), a new file is made for the patient.

• Manual recording of patients’ data is preferred as it speeds up the work and makes their job easier.

1. Discussion with supervisor

• Explain a few challenges the clinic faces and her reasons for facing such challenges.

1. We assisted 53 patients with files today

2. After the excellent job we did at the reception, we earned ourselves a position at the pharmacy department to assist when we came back the following week.

3. 15:00 knock-off because the other student was already outside waiting for us.

DAY 2: July 26, 2023

PHARMACY AND DESK OF EACH SECTION INTERVIEW

In the morning

1. The pharmacist welcomed us, and we introduced ourselves and our objectives to the clinic.

• Talk with pharmacist

• The pharmacy assistant asked us to help with delivering orders from the family planning department.

• We struggled at first to find some medication since we were not used to the names, but as time went on, we became familiar with the medication.

1. We assisted with packing medication and taking stock.

2. The pharmacy is not a storage room for medicine; they have a main storeroom (distance from the pharmacy) and two sub-storerooms (close to the pharmacy)

   • Patients get prescriptions from the doctor and come collect the medication at the pharmacy, except for three departments (TB, Psychiatric, and Mpumelelo Clinic, which is a children’s clinic), where patients get medication from the doctor’s room.

   • They use both manual and electronic stock records.

   • Enough healthcare workers work as fast as they can so that patients don’t wait long for medication.

Lunch 12h00-13h00

Afternoon

1. We visited the nurses at the desk in every section for questions. In our question, we were looking to get the difference between main and internal receptions in terms of:

• Number of health workers

• Queue

• Working hours

• Workload during the mornings vs. the afternoons

• The main job on the patient file

1. At Mpumelelo clinic, they said they used to capture data both electronically and manually, but the district has told them to stop using the computers since load shedding affects them in terms of capturing data when there is no electricity.

2. Many departments struggle with patients not adhering to their appointment dates.

3. 15h30 Knock off.

DAY 3: 2 AUGUST 2023

Maternity Visit: We were not happy to see how the lack of equipment and personnel in the maternity ward hindered the service delivery to all patients admitted to the clinic.

Question to ask:

Equipment issues

Lack of medication

Why do they have a section

• We were told that they do not have any blankets for the babies when they are born and the quality of the beds, they use is extremely poor.

• They received a warmer two months ago but it is now broken (this can be caused by inferior quality of equipment they are being provided with or the nurses are negligent when it comes to using the equipment).

• Gugulethu was a patient on this day. We also got to know that staff get first preferences when they are seeking medical help.

DAY 4: 16 AUGUST 2023

DAY 5: 23 AUGUST 2023

• On this day we had planned and scheduled that we would go out with the outreach team to the community so we could observe how they work and how the patients receive them in their homes.

  • Our plan for day 5 was to go out with the outreach team to the community. Upon arrival at the CHC, we met with the outreach team supervisor, and she provided us with information about the responsibilities of the outreach team and some of the challenges they face when going out to the community.

  • explained to us that the outreach team is sometimes looked down upon by the community because they are not professional health workers. They face issues of the patients locking themselves in their homes and not opening for them when they are visiting.

• At Mofolo there are a total of 28 outreach workers but 4 of them are elderly and cannot go to outreach. These healthcare workers work hand in hand with traditional healers and counsellors of the ward they are visiting.