

The established practice of recruiting from local communities facilitates patronage - compromising supervisor-subordinate relationships. Management and leadership capacity is constrained by factors such as insufficient management skills due to lack of training. The dominance of autocratic approaches influence management and supervision of front-line managers.

Most of it is attributed to context and organizational culture including management and leadership capacity. Resultsįindings illuminate that a range of factors influence the implementation of the PA system. The study examined the managers’ experiences of implementing the PA at the district level. Methodsĭata was collected through in-depth interviews, observations and reflective engagements with managers at a district in one of the Provinces in South Africa. It highlights factors that undermine the intention of the process and reflects on factors that can enable implementation to improve the staff performance for an effective and efficient district health service. The aim of this paper is to describe the experiences of implementing a PA practice at a district in South Africa. An effective PA motivates and improves staff engagement in their work. A performance assessment (PA) an important component of a performance management system (PMS) is deemed important at improving the performance of human resources for health. Health systems globally are under pressure to ensure value for money, and the people working within the system determine the extent and nature of health services provided.
