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      The National Education, Health and Allied Workers' Union (NEHAWU) strikes: South Africa's healthcare battlefield

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      SAMJ: South African Medical Journal
      Health and Medical Publishing Group

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          Abstract

          The right to strike is a fundamental right entrenched in section 23 of the Bill of Rights. Strikes are an almost everyday occurrence in South Africa and strikes in healthcare facilities raise difficult and complex moral and ethical questions. The right to strike is conditionally limited by section 36 of the Constitution and for workers engaging in essential services it is further limited under section 65 of the Labour Relations Act. Healthcare practitioners, including emergency care personnel, and much-needed healthcare facilities have come under attack during the National Education, Health and Allied Workers' Union (NEHAWU) strikes, which have prevented patients from accessing healthcare and threatened the training of undergraduate students and registrars. While generally security and policing have been lacking at targeted facilities, many doctors stood by their patients despite threats to their safety. Healthcare facilities, vehicles and practitioners must be protected. Solutions must come from politicians and include preventive actions and enforcement of the law.

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          Bargaining theory, trade unions, and industrial strike activity

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            The public’s attitude towards strike action by healthcare workers and health services in South Africa

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              Understanding the limitations to the right to strike in essential and public services in the SADC region

              The nature of the limitations to the right to strike in essential and public services in the nine sub-regional countries of Southern Africa - South Africa, Botswana, Lesotho, Namibia, Swaziland, Malawi, Mozambique, Zambia and Zimbabwe - is examined in this contribution. While all of these countries share common influences and face common challenges, there appears to be a vast disparity in the approaches taken to the right to strike in public and essential services in the region. A brief overview of the demographics and labour markets in the countries under discussion is sketched, the salient features of the ILO's approach to strike in essential and public services is highlighted, and a broad overview of the contrasting and disparate approaches to essential and public services in the region is provided. The focus is, however, on the legislative approach taken to essential service employees in South Africa. It is concluded that - with the exception of South Africa and Namibia - the limitations to the right to strike of public sector employees exceed those endorsed by international conventions, and the broad definition of essential services generally relied upon effectively results in an outright ban of public sector strikes in the sub-region.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                samj
                SAMJ: South African Medical Journal
                SAMJ, S. Afr. med. j.
                Health and Medical Publishing Group (Cape Town, Western Cape Province, South Africa )
                0256-9574
                2078-5135
                August 2018
                : 108
                : 8
                : 632-633
                Affiliations
                [01] Johannesburg orgnameUniversity of the Witwatersrand orgdiv1Faculty of Health Sciences orgdiv2Steve Biko Centre for Bioethics South Africa
                [02] Pretoria orgnameUniversity of South Africa orgdiv1School of Law orgdiv2Department of Jurisprudence South Africa
                Article
                S0256-95742018000800011
                10.7196/samj.2018.v108i8.13458
                327ca7bb-4405-4aea-b804-336299430434

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 15, Pages: 2
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                SciELO South Africa


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