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

dc.contributor.authorGarcia, Regiane
dc.contributor.authorSpiegel, Jerry M.
dc.contributor.authorYassi, Annalee
dc.contributor.authorEhrlich, Rodney
dc.contributor.authorRomão, Paulo
dc.contributor.authorNunes, Elizabete A.
dc.contributor.authorZungu, Muzimkhulu
dc.contributor.authorMabhele, Simphiwe
dc.date.accessioned2020-11-25T08:28:08Z
dc.date.available2020-11-25T08:28:08Z
dc.date.issued2020-10
dc.description.abstractGiven 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.departmentSchool of Health Systems and Public Health (SHSPH)en_ZA
dc.description.librarianpm2020en_ZA
dc.description.sponsorshipCanadian Institutes of Health Research (CIHR)en_ZA
dc.description.urihttp://www.mdpi.com/journal/ijerphen_ZA
dc.identifier.citationGarcia, 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.issn1660-4601 (online)
dc.identifier.other10.3390/ijerph17207546
dc.identifier.urihttp://hdl.handle.net/2263/77171
dc.language.isoenen_ZA
dc.publisherMDPIen_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.subjectOccupational healthen_ZA
dc.subjectHealth workersen_ZA
dc.subjectRightsen_ZA
dc.subjectLawsen_ZA
dc.subjectGovernanceen_ZA
dc.subjectImplementation scienceen_ZA
dc.subjectMozambiqueen_ZA
dc.subjectTuberculosis (TB)en_ZA
dc.titlePreventing occupational tuberculosis in health workers : an analysis of state responsibilities and worker rights in Mozambiqueen_ZA
dc.typeArticleen_ZA

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