Perspectives of Botswana policy-makers and healthcare workers towards tuberculosis infection control and occupational health measures : an interpretive description study
department or school: Medicine, Faculty of
department or school: Population and Public Health (SPPH), School of
data provider: DSpace
degree campus: UBCV
creator: Gamontle, Bojosi Moitsemang
issued: 2019-02-04T16:42:09Z
issued: 2019
related degree: Doctor of Philosophy - PhD
degree grantor: University of British Columbia
description: Mycobacterium tuberculosis (TB) infection results in over 2 million deaths worldwide annually, with low and middle-income countries disproportionately affected. According to the World Health Organization, Botswana, a middle-income country, had a TB notification rate of 478 cases per 100 000 in the general population in 2012. High rates of TB in patients are directly correlated with a greater risk of infection in healthcare workers. The control of occupational TB is important as TB disease can lead to increased morbidity in healthcare workers, which can lead to compromised healthcare provision. The aim of our study was to explore perspectives of policy-makers and healthcare workers regarding formulation and implementation of occupational health and infection prevention measures used to control occupational TB. Our nine-month data collection period was based in Botswana, in four health institutions (two public and one private hospital, and one administrative). We conducted semi-structured in-depth interviews with twenty-one personnel in leadership positions in areas of infection control, occupational health, and TB program coordination. We conducted five focus groups with healthcare workers who have direct contact with TB patients, to explore their perspectives towards implementing TB guidelines. Theoretical sampling was used in recruiting participants. We chose the qualitative methodology interpretive description to analyze participants’ responses. The primary findings were conceptualized under four major themes; occupational health services, infection control, guidelines and policies, and barriers to implementation. There was uniformity and agreement among policy-makers and program leaders that there were limited occupational health and infection control measures. Most were also of the perspective that if healthcare workers were diagnosed with TB, there was inadequate evidence to support nosocomial acquisition. Healthcare workers identified their challenges in preve…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/68319
note: PERSPECTIVES OF BOTSWANA POLICY-MAKERS AND HEALTHCARE WORKERS TOWARDS TUBERCULOSIS INFECTION CONTROL AND OCCUPATIONAL HEALTH MEASURES: AN INTERPRETIVE DESCRIPTION STUDY. by BOJOSI MOITSEMANG GAMONTLE B.OT., La Trobe University, 2003 M.P.H., University of Arizona, 2008 A DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY in THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES (Occupational and Environmental Hygiene) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) January 2019 © Bojosi Moitsemang Gamontle, 2019 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, the dissertation entitled: Perspectives of Botswana policy-makers and healthcare workers towards Tuberculosis infection control and occupational health measures: An Interpretive description study submitted by Bojosi Moitsemang Gamontle in partial fulfillment of the requirements for the degree of Doctor of Philosophy. in Occupational and Environmental Hygiene. Examining Committee: Professor Karen Hastings Bartlett Supervisor Dr Kimberlyn McGrail Supervisory Committee Member Dr Elizabeth Bryce Supervisory Committee Member Dr Mieke W. Koehoorn University Examiner Dr Maura Louise MacPhee University Examiner Additional Supervisory Committee Members: Supervisory Committee Member Supervisory Committee Member iii Abstract Mycobacterium tuberculosis (TB) infection results in over 2 million deaths worldwide annually, with low and middle-income countries disproportionately affected. According to the World Health Organization, Botswana, a middle-income country, had a TB notification rate of 478 cases per 100 000 in the general population in 2012. High rates of TB in patients are directly correlated with a greater risk of infection in healthcare workers. The control of occupational TB is important as TB disease can lead to increased morbidity in healthcare workers, which can lead to compr…
has type: Thesis/Dissertation
date issued: 2019-05
is shown at: 10.14288/1.0376238
language: eng
degree discipline: Occupational and Environmental Hygiene
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
type: Text
identifier URI: http://hdl.handle.net/2429/68319