Healthcare workforce recruitment and retention in the rural areas of the Limpopo Province, South Africa
Simon Matome Nkgapele & Xolani Thusi
Abstract
Previous studies examined the challenges of recruiting and retaining healthcare professionals across the health sector. However, they have not explicitly focused on the public health sector, particularly in the rural areas of Limpopo province. This paper explores challenges experienced in recruiting and retaining healthcare professionals in rural areas and suggests strategies for the Limpopo Department of Health (DoH) to attract and retain these professionals effectively. The paper employed a qualitative descriptive research design and gathered data through semi-structured interviews. The findings were analysed using thematic content analysis. The paper found that rural public hospitals under the Limpopo DoH struggle to recruit and retain healthcare professionals due to poor living conditions, centralised recruitment, limited career development, and the unattractive nature of rural areas. These challenges show weaknesses in public sector Human Resource Management (HRM) and policy implementation. They lead to staff shortages, burnout, reduced quality of care, and continuous loss of skills. These factors undermine effective healthcare service delivery and the constitutional right to healthcare under Section 27 of the Constitution of the Republic of South Africa, 1996. The paper therefore recommends improved administrative planning, decentralised recruitment, better working and living conditions, and stronger interdepartmental coordination to support sustainable healthcare delivery in rural areas. These recommendations align with national priorities and constitutional obligations to ensure every South African has access to equitable and quality health services. This paper contributes to public administration practices in public health and public sector HRM and provides a theoretical contribution to the HRM sub-field in public administration.
Keywords
healthcare professional, turnover, human resource management, healthcare service delivery
Author information & Contribution
Simon Matome Nkgapele. Corresponding author. Master of Public Administration and Management. Student, Department of Public Administration, University of Limpopo. Email: nkgapelesimon@gmail.com
Xolani Thusi. Doctor of Public Administration. Senior Lecturer, Department of Public Administration, University of Limpopo. Email: xolanithusi@yahoo.com
"All authors equally contributed to the conception, design, preparation, data gathering and analysis, and writing of the manuscript. All authors read and approved the final manuscript."
Disclosure statement
No potential conflict of interest was reported by the authors.
Funding
This work was not supported by any funding.
Institutional Review Board Statement
This study was granted an ethical clearance certificate by the University of Limpopo Turfloop Research Ethics Committee (TREC) with project number TREC/34/2025. Permission was granted by the Limpopo DoH Research Committee and the Limpopo DoH District Office to conduct the study at the selected rural hospitals.
Data and Materials Availability
The data supporting the findings of this study are available from the corresponding author upon reasonable request.
AI Declaration
The authors declare the use of Artificial Intelligence (AI) in writing this paper. In particular, the authors used Writefull in restating sentences to improve clarity and logical flow. The authors take full responsibility for ensuring proper review and editing of contents generated using AI.
Notes
Acknowledgement
References
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Cite this article:
Nkgapele, S.M. & Thusi, X. (2026). Healthcare workforce recruitment and retention in the rural areas of the Limpopo Province, South Africa. International Review of Social Sciences Research, 6(2), 1-24. https://doi.org/10.53378/irssr.353341
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