Workers’ compensation claims for occupational tuberculosis in South African health workers: Outcomes and workers’ experiences

Water, N Van der; Yassi, Annalee; Ri, Ehrlich

doi:10.7196/samj.2020.v110i5.14247

Cited by 4 publications

(5 citation statements)

References 14 publications

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“…The information obtained from compensation data can provide a comprehensive understanding of injury patterns and further analyse factors associated with occupational fatalities [7]. However, compensation systems are burdened with a number of flaws, including under-reporting of claims, under-documentation of workers information, and poor record management [9].…”

Section: Methodsmentioning

confidence: 99%

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Work-Related Injuries Reported toWorkers Compensation Fund in Tanzania from 2016 to 2019

Shewiyo

Mwanga

Mrema

et al. 2021

IJERPH

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Quality data on the magnitude and determinants of work-related injuries is an important element in the development of appropriate preventative strategies. However, there have been many challenges in obtaining quality information on work-related injuries in the developing countries. This archival study based on the data from workers’ compensation registry from the year 2016 to 2019 aimed at determining trends and factors associated with work-related injuries (WRI). Data from 4578 WRI claims reported to Workers Compensation Fund (WCF) in Tanzania were analyzed. As expected, this new workers’ compensation system had increasing participation from inception in 2016 through 2019, resulting in increasing numbers of fatal and non-fatal work-related claims. Motor traffic accidents, machine faults and falls were the most reported causes of WRI. Males had more than 2-fold increased odds of sustaining fatal injuries compared to females. More than 6-fold increased odds of fatal injuries were observed for injuries occurring during conveyance. Explosions, motor traffic accidents, and falls were more likely to result into fatal injuries. Increased odds of fatal injuries were observed in workers from transportation and storage sector; information and technology; construction and building; and electricity, gas, and steam sectors, as well as among teachers, drivers, office workers, and security guards. The current study offers some insights regarding trends and associated factors that are vital in planning and implementation of appropriate preventative strategies for work-related injuries in Tanzania.

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Section: Methodsmentioning

confidence: 99%

“…Public Health 2021, 18, 9152 2 of 10 occupational fatalities [7]. However, compensation systems are burdened with a number of flaws, including under-reporting of claims, under-documentation of workers information, and poor record management [9].…”

Section: Introductionmentioning

confidence: 99%

Work-Related Injuries Reported toWorkers Compensation Fund in Tanzania from 2016 to 2019

Shewiyo

Mwanga

Mrema

et al. 2021

IJERPH

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“…The objectives of this piece are to argue for a comprehensive occupational health approach to the problem of TB in health workers, and to reflect on what such an approach adds to the prospects for improved prevention and practice. We draw on research carried out by our group as occupational health professionals and researchers in recent years [31][32][33][34][35][36][37][38][39][40][41][42], plus the experience of two of the authors (R.E. and A.Y.)…”

Section: Objectivesmentioning

confidence: 99%

“…Two areas of impact are stigma and screening. There is now a large body of literature confirming that stigma looms large in health worker attitudes to TB preventive practices, including unwillingness to self-disclose TB disease or participate in employer provided services where confidentiality is of concern [23,[37][38][39][62][63][64][65][66]. The reduction of stigma requires an understanding of its context-specific nature and cultural content, e.g., in South Africa, where tuberculosis has a strong association with HIV infection [62].…”

Section: Legal and Ethical Perspectivesmentioning

confidence: 99%

“…The voice of health workers has found a place in the large number of publications using qualitative research-typically key informant but also arts-based methods-and covering all aspects of occupational TB risk and management [21,23,25,26,28,35,[37][38][39]61]. Some of this work throws light on unrecognised deficiencies in health care practice, such as the exposure of community health workers to infective risk [61] or the failure of patients to accept or understand IPC owing to cultural or language barriers [28].…”

Section: Heath Worker Voice and Advocacymentioning

confidence: 99%

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Current Guidelines for Protecting Health Workers from Occupational Tuberculosis Are Necessary, but Not Sufficient: Towards a Comprehensive Occupational Health Approach

Ehrlich

Spiegel

Adu

et al. 2020

IJERPH

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Health workers globally are at elevated occupational risk of tuberculosis infection and disease. While a raft of guidelines have been published over the past 25 years on infection prevention and control (IPC) in healthcare, studies in different settings continue to show inadequate implementation and persistence of risk. The aim of this commentary is to argue, based on the literature and our own research, that a comprehensive occupational health approach is an essential complement to IPC guidelines. Such an approach includes a health system framework focusing on upstream or mediating components, such as a statutory regulation, leadership, an information system, and staff trained in protective disciplines. Within the classical prevention framework, primary prevention needs to be complemented by occupational health services (secondary prevention) and worker’s compensation (tertiary prevention). A worker-centric approach recognises the ethical implications of screening health workers, as well as the stigma perceived by those diagnosed with tuberculosis. It also provides for the voiced experience of health workers and their participation in decision-making. We argue that such a comprehensive approach will contribute to both the prevention of occupational tuberculosis and to the ability of a health system to withstand other crises of infectious hazards to its workforce.

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Roles and challenges of nurses in tuberculosis care in Africa: A narrative review

Baluku¹,

Katusabe²,

Mutesi³

et al. 2023

Journal of Clinical Tuberculosis and Other Mycobacterial Diseas

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Workers’ compensation claims for occupational tuberculosis in South African health workers: Outcomes and workers’ experiences

Abstract: This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0.

Cited by 4 publications

References 14 publications

Work-Related Injuries Reported toWorkers Compensation Fund in Tanzania from 2016 to 2019

Work-Related Injuries Reported toWorkers Compensation Fund in Tanzania from 2016 to 2019

Current Guidelines for Protecting Health Workers from Occupational Tuberculosis Are Necessary, but Not Sufficient: Towards a Comprehensive Occupational Health Approach

Roles and challenges of nurses in tuberculosis care in Africa: A narrative review

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