Brief Report

Delivery of isoniazid preventive therapy to reduce occupational TB among healthcare workers in Swaziland

Marianne Calnan, Samson Haumba, Makhosazana Matsebula, Ntombifuthi Shongwe, Munyaradzi Pasipamire, Natalie K. Levy, Munamato Mirira, Peter Preko, Alisha Smith-Arthur, Varduhi Ghazaryan
Southern African Journal of Infectious Diseases | Vol 32, No 1 | a68 | DOI: https://doi.org/10.4102/sajid.v32i1.68 | © 2019 Marianne Calnan, Samson Haumba, Makhosazana Matsebula, Ntombifuthi Shongwe, Munyaradzi Pasipamire, Natalie K. Levy, Munamato Mirira, Peter Preko, Alisha Smith-Arthur, Varduhi Ghazaryan | This work is licensed under CC Attribution 4.0
Submitted: 14 May 2019 | Published: 31 March 2017

About the author(s)

Marianne Calnan, University Research Co., LLC,
Samson Haumba, University Research Co., LLC,
Makhosazana Matsebula, University Research Co., LLC,
Ntombifuthi Shongwe, University Research Co., LLC,
Munyaradzi Pasipamire, Swaziland National AIDS Program,
Natalie K. Levy, USAID/PEPFAR,
Munamato Mirira, CDC,
Peter Preko, CDC,
Alisha Smith-Arthur, University Research Co., LLC, Bethesda, MD, United States
Varduhi Ghazaryan, University Research Co., LLC, Bethesda, MD, United States

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Abstract

Healthcare workers (HCWs) in Swaziland are at increased risk of acquiring tuberculosis (TB), but existing infection control and occupational health policies often fall short of mitigating the risk of acquiring TB in the workplace. Health service failure to systematically offer isoniazid preventive therapy (IPT) to HCWs, which is endorsed by the World Health Organisation (WHO), contributes significantly to the TB incidence among HCWs in high HIV prevalence settings. This paper describes a pilot introduction of IPT to HCWs, and expounds possible determinants for adherence and non-acceptance to IPT. Acceptance to the widespread use of IPT among HCWs can be improved through education on risk and counselling.

Keywords

healthcare workers; infection control; isoniazid preventive therapy; occupational health and safety; tuberculosis

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