Clement Masakure
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The trajectories of nursing in independent Zimbabwe, 1980–96
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This chapter examines the trajectories of nursing from 1980–96. It notes that after independence, the new government introduced several changes to hospital spaces. These included dismantling colonial policies, in the process opening up hospitals to Zimbabweans of all races and social classes. The government also accelerated the Africanisation of key structures within the hospital system and nursing services and improved nurses’ working conditions. However, hospitals continued to experience numerous challenges inherited from the colonial period: lack of investment and for the nurses, increased workloads. The situation took a massive turn in the early 1990s when the government adopted the Economic Structural Adjustment Programme, which resulted in a reduction in public sector investment, affecting the nurses’ capacity to provide services. At the same time, the emergence of the HIV/AIDS menace, complicated the situation. Working conditions deteriorated, real wages declined and nurses experienced increased workloads by the mid-1990s. Nurses were not passive victims of their situation. They employed various strategies to cope with the changing working environment. Some nurses joined the private sector or migrated abroad, while the majority remained in the public sector – providing medical care. The most controversial of all responses were the 1996 strikes, which seemed to deviate from the traditional notions of nursing as vocation vis-à-vis a profession. While authorities emphasised the nature of the profession and patients’ rights in their response to the strikes, the nurses positioned themselves as workers demanding the right to determine the best way to execute their duty to the community.

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