dc.contributor.author |
Garcia, Regiane
|
|
dc.contributor.author |
Spiegel, Jerry M.
|
|
dc.contributor.author |
Yassi, Annalee
|
|
dc.contributor.author |
Ehrlich, Rodney
|
|
dc.contributor.author |
Romão, Paulo
|
|
dc.contributor.author |
Nunes, Elizabete A.
|
|
dc.contributor.author |
Zungu, Muzimkhulu
|
|
dc.contributor.author |
Mabhele, Simphiwe
|
|
dc.date.accessioned |
2020-11-25T08:28:08Z |
|
dc.date.available |
2020-11-25T08:28:08Z |
|
dc.date.issued |
2020-10 |
|
dc.description.abstract |
Given the very high incidence of tuberculosis (TB) among health workers in Mozambique,
a low-income country in Southern Africa, implementation of measures to protect health workers from
occupational TB remains a major challenge. This study explores how Mozambique’s legal framework
and health system governance facilitate—or hinder—implementation of protective measures in
its public (state-provided) healthcare sector. Using a mixed-methods approach, we examined
international, constitutional, regulatory, and policy frameworks. We also recorded and analysed the
content of a workshop and policy discussion group on the topic to elicit the perspectives of health
workers and of officials responsible for implementing workplace TB policies. We found that despite a
well-developed legal framework and national infection prevention and control policy, a number of
implementation barrier persisted: lack of legal codification of TB as an occupational disease; absence
of regulations assigning specific responsibilities to employers; failure to deal with privacy and stigma
fears among health workers; and limited awareness among health workers of their legal rights,
including that of collective action. While all these elements require attention to protect health workers
from occupational TB, a stronger emphasis on their human and labour rights is needed alongside
their perceived responsibilities as caregivers. |
en_ZA |
dc.description.department |
School of Health Systems and Public Health (SHSPH) |
en_ZA |
dc.description.librarian |
pm2020 |
en_ZA |
dc.description.sponsorship |
Canadian Institutes of Health Research (CIHR) |
en_ZA |
dc.description.uri |
http://www.mdpi.com/journal/ijerph |
en_ZA |
dc.identifier.citation |
Garcia, R., Spiegel, J.M., Yassi, A. et al. 2020, 'Preventing occupational tuberculosis in health workers: an analysis of state responsibilities and worker rights in Mozambique', International Journal of Environmental Research and Public Health, vol. 17, no. 20, art. 7546, pp. 1-16. |
en_ZA |
dc.identifier.issn |
1660-4601 (online) |
|
dc.identifier.other |
10.3390/ijerph17207546 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/77171 |
|
dc.language.iso |
en |
en_ZA |
dc.publisher |
MDPI |
en_ZA |
dc.rights |
© 2020 by the authors. Licensee: MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
en_ZA |
dc.subject |
Occupational health |
en_ZA |
dc.subject |
Health workers |
en_ZA |
dc.subject |
Rights |
en_ZA |
dc.subject |
Laws |
en_ZA |
dc.subject |
Governance |
en_ZA |
dc.subject |
Implementation science |
en_ZA |
dc.subject |
Mozambique |
en_ZA |
dc.subject |
Tuberculosis (TB) |
en_ZA |
dc.title |
Preventing occupational tuberculosis in health workers : an analysis of state responsibilities and worker rights in Mozambique |
en_ZA |
dc.type |
Article |
en_ZA |