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Health SA Gesondheid (Online)

On-line version ISSN 2071-9736
Print version ISSN 1025-9848

Health SA Gesondheid (Online) vol.17 n.1 Cape Town  2012




The labour market for histopathologists in KwaZulu-Natal: Emerging issues



Shaun Ruggunan

School of Management, Information Technology and Governance, University of KwaZulu-Natal, South Africa





The aim of this article was to assess the factors that shape the labour market for histopathologists in KwaZulu-Natal (KZN), South Africa. The literature on the labour market and labour processes of histopathologists is dominated by North American and European literature. This gap is most acutely felt on the African continent. This article attempts to fill this gap by shifting the focus towards understanding the factors that shape the professional milieu and labour market for histopathologists in South Africa. This study through a qualitative, descriptive and contextual design engaged in in-depth interviews with 70% of the population of histopathologists in KZN. The interviews were analysed thematically. These interviews were triangulated against labour market statistics for histopathologists in South Africa as well as a range of documentary evidence. The outcome of the study has demonstrated four key challenges facing the labour market for histopathologists: racial inequities persist in the labour market, gender inequities also persist, there is unfettered public-private sector mobility, and poor curriculum design at medical school level accounts for a limited input of registrars into the profession. The article concludes that there needs to be a shift from only studying the labour market and work organisation of clinical doctors to empirical research on the role of medical laboratory specialists in the healthcare chain, which will render South African histopathologists and their work visible. A set of labour market interventions is also suggested.


Die artikel bestudeer die faktore wat die arbeidsmark vir histopatoloë in KwaZulu-Natal (KZN), Suid-Afrika beïnvloed. Die literatuur oor die arbeidsmark en arbeidsprosesse van histopatoloë word gedomineer deur Noord-Amerikaanse en Europese literatuur. Hierdie gaping is veral akuut op die Afrika kontinent. Die artikel poog om hierdie gaping te vul deur die fokus te verksuif na die faktore wat die professionele millieu en die arbeidsmark van histopatoloë in Suid-Afrika beïnvloed. Die studie het gebruik gemaak van 'n kwalitatiewe, beskrywende en kontekstuele ontwerp. In-diepte onderhoude is gevoer met 70% van die histopatoloë in KZN. Die onderhoude is tematies geanaliseer. Hierdie onderhoude is getrianguleer teen arbeidsmark statistieke vir histopatoloë in Suid-Afrika, sowel as 'n reeks dokumentêre bronne. Die uitkoms van die studie het vier belangrike struikelblokke geïdentifiseer wat die arbeidsmark vir histopatoloë in die gesig staar: rasse-ongelykhede duur voort in die arbeidsmark, so ook geslagsongelykheid, daar is vrylike beweging tussen die publieke- en privaatsektors, en 'n sleg ontwikkelde kurrikulum by mediese skole het lae toetrede getalle vir registrateurs in die professie tot gevolg. Die artikel kom tot die gevolgtrekking dat dit onvoldoende is om slegs die mark en werksoraganisasies van kliniese dokters te bestudeer - empiriese navorsing is ook nodig om die rol van die mediese labaratorium spesialiste in die gesondheidsorg ketting te bestudeer. 'n Stel arbeidsmark ingrypings word ook voorgestel.



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Bates, I. & Maitland, K., 2005, 'Are laboratory services coming of age in sub-Saharan Africa?', Clinical Laboratory Medicine 48(7), 48-51.         [ Links ]

Beckerling, R. & Brunner, R., 2003, 'The lab shortage crisis: A practical approach', Medical Laboratory Observer 35(6), 48-51.         [ Links ]

Bersch, C., 2003, 'Combination of demands sharpens pinch of personnel shortage', Medical Laboratory Observer 35(4), 52.         [ Links ]

Blanckaert, N., 2010, 'Clinical Pathology services: Remapping our strategic itinerary'. Chemistry Laboratory Medicine 48(7), 919-925., PMid:20491600        [ Links ]

Braun,V. & Clarke,V., 2006, 'Using Thematic Analysis in Psychology', Qualitative Research in Psychology 3, 77-101.        [ Links ]

Breier, M. & Erasmus, J., 2009, Skills Shortages in South Africa: Case Studies of Key Professions, HSRC Press, Pretoria.         [ Links ]

Breier, M. Wildschut, A., 2006, Doctors in a divided society: The profession and education of medical practitioners in South Africa, HSRC Press, Cape Town.         [ Links ]

Bryman, A. & Bell, E., 2007, Business Research Methods, 2nd edn., Oxford University Press, NY.         [ Links ]

Creswell, J.W., 2007, Qualitative Inquiry and Research Design, 2nd edn., Sage Publications, Thousand Oaks.         [ Links ]

Fereday, J. & Muir-Cochrane, E., 2006, 'Demonstrating Rigor Using Thematic Analysis: A Hybrid Approach of Inductive and Deductive Coding and Theme Development', International Journal of Qualitative Methods 5(1), article 7, viewed 01 July 2011, from        [ Links ]

Gorman, E.H. & Sandefur, L.R., 2011, '"Golden Age", Quiescence, and Revival: How the Sociology of Professions Became the study of Knowledge-Based Work', Work and Occupations 38(3), 275-302.        [ Links ]

Guidi, G.C. & Lippi, G., 2006, 'Laboratory medicine in the 2000s: Programmed death or rebirth?', Clinical Chemical Laboratory Medicine 44 (8), 913-917.        [ Links ]

Health Professionals Council of South Africa (HPSCA), 2010, '2010 Registered Practitioners', viewed 09 February 2011, from practitioners_stats.xls        [ Links ]

Monette, D.R., Sullivan, T.J. & De Jong, C.R., 2008, Applied Social Research: A Toll for the Human Sciences, 7th edn., Northern Michigan University, Marquette, MI.         [ Links ]

National Planning Commission of South Africa, 2011, National Development Plan: Vision for 2030, Pretoria, National Planning Commission.         [ Links ]

Ndihokubwayo, J.B., Kasolo, F., Yahaya, A.A. & Mwenda, J., 2010, 'Strengthening public health laboratories in the WHO African region: A critical need for disease control', African Health Monitor 12, 47-52.         [ Links ]

Neuman, W.L., 2007, Basics of Social Research: Qualitative and Quantitative Approaches, Pearsons, WI.         [ Links ]

Ng, C.K.C. & White, P., 2005, 'Qualitative research design and approaches in radiography', Radiography 11(3), 217-225.        [ Links ]

Olsen, W. 2004, 'Triangulation in Social Science Research: Quantitative and Qualitative Methods can really be mixed', Causeway Press, viewed 01 June 2011, from        [ Links ]

Pillay, R., 2009, 'Work satisfaction of professional nurses in South Africa: A comparative analysis of the public and private sectors', Human Resources for Health 7(15), 1-10. PMid:19133140, PMCid:2631468        [ Links ]

Plebani, M. & Lippi, G., 2010, 'Is laboratory medicine a dying profession? Blessed are those who have not seen and yet have believed', Clinical Biochemistry 43, 939-941. PMid:20538540        [ Links ]

Richman, A.L., Civian, J.T., Shannon, L.L. & Brennan, R.T., 2008, 'The relationship of perceived flexibility, supportive work-life policies, and use of formal flexible arrangements and occasional flexibility to employee engagement and expected retention', Community, Work and Family 11(2), 183-197. PMid:2576907        [ Links ]

Rogerson, C.M., 2007, 'Medical recruits: The temptation of South African health care professionals', Migration Policy Series 45, 1-39.         [ Links ]

Royal College of Pathologists of Australia, 2011, What is Pathology?, viewed 01 June 2011, from        [ Links ]

Saunders, M., Lewis, P. & Thornhill, A., 2003, Research Methods for Business Students, 3rd edn. Financial Times-Prentice Hall, London.         [ Links ]

Sekaran, U., 2010, Research Methods for Business, A Skill Building Approach, John Wiley & Sons, Boston.         [ Links ]

Siu, W., 2009, 'Social Construction of reality, The tobacco issue', Public Health 19(1), 23-44.         [ Links ]

Statistics South Africa (StatsSA), 2011, 'Census at a glance', viewed 20 August 2011, from        [ Links ]

Thomas, J. & Hardens, A., 2007, Methods for the thematic synthesis of qualitative research in systematic reviews, ESRC National Centre for Research Methods, Philadelphia.         [ Links ]

World Health Organisation 2011, 'World Health Statistics', viewed 03 August 2011, from        [ Links ]

Yin, R.K., 2009, Case Study Research: Design and Methods, 4th edn., Sage Publications, Thousand Oaks, CA.         [ Links ]



Shaun Ruggunan
University Road, Westville Campus
University of KwaZulu-Natal 3629
South Africa

Received: 10 Feb. 2012
Accepted: 13 July 2012
Published: 22 Nov. 2012

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