Hospital Transformation Project - Human Resource Requirements, South Africa

Health Partners Southern Africa assisted the Department of Health in the Eastern Cape Province in South Africa to rationalise service provision and human resource utilisation.


The project aimed to achieve greater equity and efficiency in hospital services, with an appropriate shift in resources to Primary Health Care (PHC) services.

In light of resource constraints, the project reviewed the following:

  • Existing staff establishments
  • Current workload (demand for services)
  • Requirements of service provision
  • Efficiency of service delivery.


We helped develop detailed staff establishments for all hospitals and district health services using revised staffing models. These incorporated affordability guidelines and key efficiency indicators.


The consultation process at each institution involved management, supervisors and union representatives.