Providing TB Services to Health Care Workers in Swaziland through Wellness Screening
Health care workers (HCWs) are the health care delivery system’s most valuable asset, and no hospital or clinic can guarantee the highest quality of care to its patients if the health and safety of its staff are at risk. It is estimated that HCWs are two to three times more likely to develop TB and five to six times more likely to develop MDR-TB than the general population worldwide.
In response to these human resources challenges, the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project supported the Wellness Centre in Swaziland – a non-profit organization founded by the Swaziland Nurses Association – and the Swaziland Ministry of Health (MOH) National Tuberculosis Control Programme (NTCP) to conduct a pilot project in 14 health care facilities on TB screening, diagnosis, and referrals for HCWs.
This report describes the pilot project, its interventions, results, challenges, lessons learned, and provides recommendations for future actions.