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A nurse’s journey to Zimbabwe’s healthcare transformation – Chronicle

Leonard Ncube, [email protected] 

AT a time when many of Zimbabwe’s professionals, both young and old are migrating to western countries seeking greener pastures, there are those who remain steadfastly committed to their callings and are deeply patriotic.

Shylet Sanyanga, the Chief Executive Officer of the Association of Health Funders of Zimbabwe (AHFoZ), is one such individual.

AHFoZ is a pivotal organisation within the private sector health funding jurisdiction boasting a membership of 38 medical aid societies, including four affiliate members. The resolutions which are made during its annual conferences hold immense significance as they directly inform national policy-making.

Sanyanga’s journey began as a nurse, armed with a diploma in general nursing working for a medical aid society in Bulawayo during the late 1990s. Her dedication and passion for healthcare set her on a remarkable path, ultimately leading her to become one of the most influential figures in Zimbabwe’s healthcare landscape.

Sanyanga’s commitment to excellence is evident in her educational achievements. She holds a Master’s Degree in Business Administration, a Diploma in General Management and has done different leadership courses. With a wealth of knowledge and experience, she has steered AHFoZ as its chief executive officer for 16 years.

Mrs Shylet Sanyanga

I joined AHFoZ in 2002 initially as a registration officer and I was coming from a medical aid society in Bulawayo. So I moved to Harare to join the association and rose through the ranks to deputy executive secretary. The association did not have a CEO by then and the top post was executive secretary. The post had just been changed to CEO when I occupied the position in 2007,” she said.

As the CEO, Sanyanga has helped grow the organisation in terms of its membership, assets and has ensured access to primary healthcare is enhanced. AHFoZ was established in 1969 as Rhodesian Association of Medical Association before changing its name to National Association of Medical Aid Societies at independence. When the market started having other players who were not using the traditional medical aid model, a decision was made for the association to adopt new methods to embrace all stakeholders and then the name was changed to AHFoZ, Sanyanga said. The 39 members collectively cover 1, 7 million citizens through medical aid schemes. Sanyanga said the objective of AHFoZ is to fulfil national health vision. She said she had managed to build both a personal and organisational brand. She has transformed the AHFoZ brand into a strong and trusted organisation through introducing appropriate polices and instilling a culture of professionalism.

“Universal coverage which we call national health gives us more space for interventions. There are a lot of challenges as the business environment in Zimbabwe is not for the fainthearted. The bulk of our income comes from members and when they face difficulties that affects our budgets.

“Without enough resources it is difficult to make strategic decisions and you have to stay on your feet to retain membership. It takes a lot to build a brand that is convincing enough to have people following you and complying,” she said.

Sanyanga said despite the challenges, her success story includes managing to keep members and grow its base over the years, making sure AHFoZ is recognised by Government since it is a self-regulating body.

It was after she became CEO that AHFoZ acquired land to build its own offices and relocated from rented premises in Harare.

She also pioneered the charity work initiative where each year during conference AHFoZ donates to a charity organisation. Rose of Charity Children’s Home in Victoria Falls received groceries worth US$1 000 during last week’s conference.

“I think it was in 2010 when I thought at some point that we can’t just go to a place for a conference and leave nothing besides litter, so we identified a vulnerable community as a way of giving back to the community.” 

Sanyanga was the first non-South African vice chair and chair for Board of Health Funders of Southern Africa (BHF) in 2017 after being unanimously elected uncontested by fellow directors.

BHF is a healthcare funders’ body based in South Africa which covers the Sadc region.

Sanyanga introduced recognition awards for both healthcare providers and funders to promote service offerings in Customer Care, Innovation, Environmental and Social Governance and Corporate Social Responsibility.

In order to encourage innovation among healthcare providers and funders, she also introduced a workshop on healthcare innovation. To increase efficiency in the ecosystem of claims processing, she also started capacity building courses for both providers and funders, including Government institutions.

Ms Shylet Sanyanga

Sanyanga has also built mutual relationships with health colleagues from outside Zimbabwe and in the last few years, health service providers from Botswana, South Africa and other countries have been attending AHFoZ conferences. 

“What we have noticed is that the region learns a lot from Zimbabwe. Outside South Africa, Zimbabwe has always had the best health system. The relationship is mutual as we exchange notes. We are assisting some of them to put systems in place because some of them do not have,” she said.

Sanyanga said the recent conference discussed issues of innovation, climate change and expanding coverage.

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Six die in plane crash – New Zimbabwe.com


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By Staff Reporter


A plane believed to be owned by Rio Zimbabwe, has reportedly crashed in Mashava this morning killing six people.

According to state media reports, the plane was  travelling from Harare to Zvishavane when it crashed.

It is also reported that it was going to transport diamonds but developed a technical fault before it plunged into Peter Farm in the Zvamahande area.

All passengers and crew allegedly died on the spot.

Unconfirmed reports state the plane might have exploded mid-air before hitting the ground.

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Corporate governance initiatives and theories – The Zimbabwe Independent

At national level, several countries have come up with reforms to prevent the occurrence of further corporate collapses and improve corporate governance practices.

THE realisation of the importance of corporate governance for the socio-economic development of countries has motivated several initiatives, at national and international levels, aimed at responding to the corporate governance challenges worldwide.

At national level, several countries have come up with reforms to prevent the occurrence of further corporate collapses and improve corporate governance practices.

Globally, it has become well-established that to strengthen companies, be they private or state-owned enterprises (SOEs), there must be continuous investment of capital and human resources, as well as, customer satisfaction and public confidence in the entities.

To be able to attain these objectives, companies need to do more than just create a track record of producing goods and services and having a reasonable market share.

They must have good and effective management and be perceived to be properly governed. Proper corporate governance is globally considered as an important tool to achieve these aims.

The concept of corporate governance came about as societies tried to effectively manage complex activities. While economists believe that there is no other way of managing transactions outside markets and corporations, social scientists believe that there are many other models where transactions can be managed outside the market and firms.

These include culture, the power perspective and cybernetic analysis, information theory, limited life firms, worker control and ownership, compound boards, self-regulation and self-governance.

Often individuals involved in corporate governance apply what they believe is common sense, when in reality they draw subconsciously on long-established economic theory and assumptions that are challengeable.

Agency theory

Some high-profile business frauds and questionable business practices in the United Kingdom, the United States and other countries have confirmed the belief that business managers do not act as bona fide representatives of shareholders and other stakeholders but act in self- interest.

Much of the contemporary interest in corporate governance has been concerned with mitigation of the conflict of interest between managers and stakeholders.

Berle and G Means (1930) argued that with separation of ownership and control, and the wide dispersion of ownership, there was no check on the executive autonomy of corporate managers.

According to neo-classical economics, the root assumption informing this theory is that the agent is likely to be self-interested and opportunistic.

This has resulted in the agent serving their own interests instead of those of the principal. Two situations then arise out of the principal-agent problem: moral hazard and adverse selection.

Moral hazard arises when the agent’s action or outcome of the action, is only imperfectly observable by the principal.

Resource dependency theory

Resource dependency ideas were originally developed by Pfeffer and Salancik (1978). They observed that the board, especially the non-executive directors can provide the firm with a vital set of resources both in the form of specific skills as counsel and advice in relation to strategy and its implementation.

For example, outside directors, who are partners to law firms can provide legal advice to the firm which otherwise could be more costly if privately sourced.

Resource dependency theory allows the company to appoint a board of directors with different expertise as required at different stages of the firm’s life cycle.

For instance, a young entrepreneurial firm, even if it is owner-managed, can look to its non-executive directors as a source of skills and expertise that it cannot afford to employ full-time. More mature businesses can rely upon the non-executive as a source of relevant market or managerial experience.

According to the International Journal of Governance (2000), directors can also bring resources to the firm, such as information, skills, and access to suppliers, buyers, public, policy makers, social groups as well as legitimacy.

Stewardship theory

Stewardship theory has its roots in psychology and sociology and holds that managers protect and maximise shareholders wealth through firm performance, because by doing so, their utility is maximised.

Unlike the agency theory, stewardship theory does not stress on the perspective of individualism, but rather on the role of senior management stewards, integrating their goals as part of the organisation.

It is argued that senior management are satisfied and motivated by organisational achievement and responsibility and organisations will be best served to free managers that are not subservient to non-executive director-dominated boards.

While the argument for trusting managers to run corporations in the interest of shareholders for professional and reputational reasons may appear sound, experience of Enron and others indicate to the contrary.

Stakeholder theory

The stakeholder theory was first expounded by Freeman (1984), advocating for corporate accountability to a broad range of stakeholders.

Stakeholder theory challenges agency assumptions about the primacy of shareholder interest. Instead, it argues that a company should be managed in the interests of all its stakeholders.

For instance, employees are regarded as key stakeholders and Blair (1999), agreed that employees just as shareholders, are residual risk takers in a firm.

She further argued that an employee’s investment in a firm’s specific skills means that they too should have a voice in the governance of the firm.

Apart from employees, other groups like customers and suppliers have direct interest in the firm’s performance, while local communities, the environment as well as society at large have legitimate direct interest.

Corporations should, therefore, give stakeholders a direct voice in governance and nominate representatives of minority owners, customers, suppliers, employees, and community representatives to the board of directors.

Political theory

The political theory argues that the allocation of corporate power, privileges and profits between owners, managers and other stakeholders is determined by how governments favour their various constituencies. It has now been observed that over the last decades, the governments have been seen to have a strong political influence on firms.

Transaction cost theory

Transaction cost theory was first espoused by Cyert and March (1963), and later described by Williamson (1996). Transaction cost theory is grounded in law, economics and organisations.

Its underlying assumption is that firms have become so large that they in effect substitute for the market in determining the allocation of resources.

In other words, the corporation can determine price and production. The transaction cost theory is an alternative to the agency problem where managers, instead of using their positions to create wealth for themselves, they arrange the firm’s transactions to their benefit.

Ethics theories

Ethics is defined as the study of morality and the application of business, which sheds light on rules and principle, which is called ethical theories that ascertain the right or wrong of a situation.

According to the International Journal of Governance (2011), these include business ethics theory, feminist theory, discourse ethics theory and post-modern ethics theory.

Business ethics is where the business managers in the course of doing business should consider the impact of the transactions on stakeholders and society that is the rights or wrongs.

This is because corporations have become so large that they impact the lives of people in terms of jobs, goods and services and the environment.

  • Munhenga is a human resources and corporate governance professional. — [email protected] or mobile: +263 772 380 340/ +263 719 380 340.

 

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Business

Corporate governance initiatives and theories – The Zimbabwe Independent

At national level, several countries have come up with reforms to prevent the occurrence of further corporate collapses and improve corporate governance practices.

THE realisation of the importance of corporate governance for the socio-economic development of countries has motivated several initiatives, at national and international levels, aimed at responding to the corporate governance challenges worldwide.

At national level, several countries have come up with reforms to prevent the occurrence of further corporate collapses and improve corporate governance practices.

Globally, it has become well-established that to strengthen companies, be they private or state-owned enterprises (SOEs), there must be continuous investment of capital and human resources, as well as, customer satisfaction and public confidence in the entities.

To be able to attain these objectives, companies need to do more than just create a track record of producing goods and services and having a reasonable market share.

They must have good and effective management and be perceived to be properly governed. Proper corporate governance is globally considered as an important tool to achieve these aims.

The concept of corporate governance came about as societies tried to effectively manage complex activities. While economists believe that there is no other way of managing transactions outside markets and corporations, social scientists believe that there are many other models where transactions can be managed outside the market and firms.

These include culture, the power perspective and cybernetic analysis, information theory, limited life firms, worker control and ownership, compound boards, self-regulation and self-governance.

Often individuals involved in corporate governance apply what they believe is common sense, when in reality they draw subconsciously on long-established economic theory and assumptions that are challengeable.

Agency theory

Some high-profile business frauds and questionable business practices in the United Kingdom, the United States and other countries have confirmed the belief that business managers do not act as bona fide representatives of shareholders and other stakeholders but act in self- interest.

Much of the contemporary interest in corporate governance has been concerned with mitigation of the conflict of interest between managers and stakeholders.

Berle and G Means (1930) argued that with separation of ownership and control, and the wide dispersion of ownership, there was no check on the executive autonomy of corporate managers.

According to neo-classical economics, the root assumption informing this theory is that the agent is likely to be self-interested and opportunistic.

This has resulted in the agent serving their own interests instead of those of the principal. Two situations then arise out of the principal-agent problem: moral hazard and adverse selection.

Moral hazard arises when the agent’s action or outcome of the action, is only imperfectly observable by the principal.

Resource dependency theory

Resource dependency ideas were originally developed by Pfeffer and Salancik (1978). They observed that the board, especially the non-executive directors can provide the firm with a vital set of resources both in the form of specific skills as counsel and advice in relation to strategy and its implementation.

For example, outside directors, who are partners to law firms can provide legal advice to the firm which otherwise could be more costly if privately sourced.

Resource dependency theory allows the company to appoint a board of directors with different expertise as required at different stages of the firm’s life cycle.

For instance, a young entrepreneurial firm, even if it is owner-managed, can look to its non-executive directors as a source of skills and expertise that it cannot afford to employ full-time. More mature businesses can rely upon the non-executive as a source of relevant market or managerial experience.

According to the International Journal of Governance (2000), directors can also bring resources to the firm, such as information, skills, and access to suppliers, buyers, public, policy makers, social groups as well as legitimacy.

Stewardship theory

Stewardship theory has its roots in psychology and sociology and holds that managers protect and maximise shareholders wealth through firm performance, because by doing so, their utility is maximised.

Unlike the agency theory, stewardship theory does not stress on the perspective of individualism, but rather on the role of senior management stewards, integrating their goals as part of the organisation.

It is argued that senior management are satisfied and motivated by organisational achievement and responsibility and organisations will be best served to free managers that are not subservient to non-executive director-dominated boards.

While the argument for trusting managers to run corporations in the interest of shareholders for professional and reputational reasons may appear sound, experience of Enron and others indicate to the contrary.

Stakeholder theory

The stakeholder theory was first expounded by Freeman (1984), advocating for corporate accountability to a broad range of stakeholders.

Stakeholder theory challenges agency assumptions about the primacy of shareholder interest. Instead, it argues that a company should be managed in the interests of all its stakeholders.

For instance, employees are regarded as key stakeholders and Blair (1999), agreed that employees just as shareholders, are residual risk takers in a firm.

She further argued that an employee’s investment in a firm’s specific skills means that they too should have a voice in the governance of the firm.

Apart from employees, other groups like customers and suppliers have direct interest in the firm’s performance, while local communities, the environment as well as society at large have legitimate direct interest.

Corporations should, therefore, give stakeholders a direct voice in governance and nominate representatives of minority owners, customers, suppliers, employees, and community representatives to the board of directors.

Political theory

The political theory argues that the allocation of corporate power, privileges and profits between owners, managers and other stakeholders is determined by how governments favour their various constituencies. It has now been observed that over the last decades, the governments have been seen to have a strong political influence on firms.

Transaction cost theory

Transaction cost theory was first espoused by Cyert and March (1963), and later described by Williamson (1996). Transaction cost theory is grounded in law, economics and organisations.

Its underlying assumption is that firms have become so large that they in effect substitute for the market in determining the allocation of resources.

In other words, the corporation can determine price and production. The transaction cost theory is an alternative to the agency problem where managers, instead of using their positions to create wealth for themselves, they arrange the firm’s transactions to their benefit.

Ethics theories

Ethics is defined as the study of morality and the application of business, which sheds light on rules and principle, which is called ethical theories that ascertain the right or wrong of a situation.

According to the International Journal of Governance (2011), these include business ethics theory, feminist theory, discourse ethics theory and post-modern ethics theory.

Business ethics is where the business managers in the course of doing business should consider the impact of the transactions on stakeholders and society that is the rights or wrongs.

This is because corporations have become so large that they impact the lives of people in terms of jobs, goods and services and the environment.

  • Munhenga is a human resources and corporate governance professional. — [email protected] or mobile: +263 772 380 340/ +263 719 380 340.

 

Related Topics

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