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Open Access Nurse-managed care for health care workers in southern Africa

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In Swaziland, the health care system is experiencing severe scarcity of health care workers (HCWs) due to difficult working conditions, migration and the human immunodeficiency virus (HIV) pandemic. Nurses and other HCWs in Swaziland are personally as affected by communicable diseases as the general population. High levels of HIV and TB co-infection bring added complexity to care. The loss of skilled staff in key positions has had a particularly negative impact on the quality of care and service delivery. The Swaziland Nurses Association (SNA) has established a Centre for Comprehensive Wellness for HCWs in the public and private sector and their immediate families to support the health workforce.

Keywords: HIV; human resources; screening; treatment; tuberculosis

Document Type: Research Article


Affiliations: 1: Swaziland Nurses Association Wellness Centre for Health Care Workers and their Families, Manzini, Swaziland 2: US Fulbright Scholar, Southern Africa Nazarene University, Manzini, Swaziland 3: International Council of Nurses, Geneva, Switzerland

Publication date: October 1, 2013

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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