Evidence map›Paper›PMID 33081345›Full record

ArticleInternational journal of environmental research and public health2020

Preventing Occupational Tuberculosis in Health Workers: An Analysis of State Responsibilities and Worker Rights in Mozambique.

Regiane Garcia, Jerry M Spiegel, Annalee Yassi, Rodney Ehrlich, Paulo Romão, Elizabete A Nunes, Muzimkhulu Zungu, Simphiwe Mabhele

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Roles and challenges of nurses in tuberculosis care in Africa: A narrative review.Journal of clinical tuberculosis and other mycobacterial diseases · 2023
    Review
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Regiane GarciaSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, V6T 1Z3, Canada.
Jerry M SpiegelSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, V6T 1Z3, Canada.
Annalee YassiSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, V6T 1Z3, Canada.
Rodney EhrlichDivision of Occupational Medicine, School of Public Health and Family Medicine, University of Cape Town, Rondebosch 7701, South Africa.
Paulo RomãoInternational Labour Organization, 688 Av. do Zimbábwe, Maputo, Mozambique.
Elizabete A NunesDepartment of Internal Medicine, Maputo Central Hospital, 364 Av. Agostinho Neto, Maputo 1100, Mozambique.
Muzimkhulu ZunguNational Institute for Occupational Health, 25 Hospital St, Constitution Hill, 2000 Johannesburg, South Africa.
Simphiwe MabheleInternational Labour Organization, Block C, Crestway Office Park, 20 Hotel St. Persequor, 0020 Pretoria, South Africa.

Funding

CIHR ROH-115212
6 · The paper itself

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.

Indexed as

Health PersonnelOccupational HealthTuberculosisAfrica, SouthernHealth WorkforceHumansMozambiquegovernancehealth workersimplementation sciencelawsoccupational healthrights

Identifiers

PMID33081345
PMCPMC7589114

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.