Preventing occupational tuberculosis in health workers : an analysis of state responsibilities and worker rights in Mozambique
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 |