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Integrated security Risk Management model developed for public hospitals in Gauteng Province, South Africa: A South African case study.

Mokata Johannes Nkwana

International Journal of Research in Business and Social Science · 2026 · Vol. 14 / Issue 10 · 603-614

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Abstract

Public hospitals in South Africa are regularly faced with safety and security incidents that expose personnel, patients, and visitors to serious and violent crimes such as assault, rape and murder. In addition, theft of valuable assets, is a huge problem in public hospitals. This article identifies the ineffectiveness of security measures implemented in public hospitals and formulation of an integrated security management model. A quantitative study was conducted at five public hospitals in the province of Gauteng. Quantitative data were collected through a survey questionnaire. Additionally, safety and security documents were analysed, followed by observations of security personnel in the control rooms. The findings revealed that safety and security measures implemented by these hospitals do not fully comply with the Control of Access to Public Premises and Vehicles Act, No. 53 of 1985. The research participants identified gaps and shortcomings such as poor implementation of access?control measures that included the searching of personnel and visitors. This results in the loss of assets and the disappearance of patients from hospital premises. The research confirmed that inadequate security systems regarding perimeter fences, closed?circuit television and trained security personnel at the research sites made it difficult to deter, detect and detain perpetrators. This research contributes by highlighting safety and security procedures that need to be followed to keep personnel, patients and visitors in public hospitals safe. Furthermore, the use of an Integrated Security Risk Management Model developed specifically for public hospitals during this research is recommended.

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Mokata Johannes Nkwana
University of South Africa

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