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Violence against health care workers in the workplace in Mozambique – An unrecognised managerial priority

2022-09Artigo científico Acesso aberto
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dc.contributor.authorPatrício, Sérgio Roques
dc.contributor.authorFerrinho, Paulo
dc.contributor.authorSidat, Mohsin
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.institutionUniversidade NOVA de Lisboa
dc.contributor.pblWiley
dc.date.accessioned2023-01-30T22:18:20Z
dc.date.available2023-01-30T22:18:20Z
dc.date.issued2022-09
dc.descriptionFunding Information: We acknowledge support of the Niassa Provincial Health Directorate (provided administrative authorization and support for the research to be carried out). We are also thankful to all study participants for their time and effort by taking part in the study. Professor Inês Fronteira advised on the statistical analysis. The Research Center on Global Health and Tropical Medicine (GHTM) receives support from the Portuguese Science and Technology Foundation (grant GHTM UID/04413/2020). Publisher Copyright: © 2022 John Wiley & Sons Ltd.
dc.description.abstractIntroduction: Recognition of the relevance of violence against health workers in their work place has been growing around the world. In Mozambique, workplace violence in the health sector needs better documentation. Therefore, this article is part of a study that describes the typology and the perceived impact of violence against health care workers in their workplace at the Lichinga Provincial Hospital and at the Health Centre of the City of Lichinga in 2019. Method: This was an observational, descriptive, cross-sectional study. The study was carried out in a simple random sample of health workers victims of violence at the Provincial Hospital and the Health Centre of the City of Lichinga, in the Province of Niassa in northern Mozambique. The questionnaire applied was adapted from the original developed by the International Labour Organization, the International Council of Nurse, the World Health Organization and Public Services International and applied in Maputo, Mozambique during 2002. Statistical analysis was carried out with Statistical Package for the Social Sciences 20.0 and WinPepi 11.65. Results: Two hundred and 60 healthcare workers (HCW) were selected to participate, 180 agreed, 145 had inclusion criteria and five gave up participating in the study during the consent procedure. Thus, a total of 140 HCW answered the questionnaire. Predominant types of violence were: verbal threat/aggression 34% (n = 62/180); moral pressure/bullying/mobbing 30% (n = 54/180); ethnic discrimination 9% (n = 16/180); against personal property 6% (n = 10/180); physical 4% (n = 8/180); sexual harassment 4% (n = 8/180). One hundred and 37 victims reported 154 episodes of violence, where 7% (n = 13/180) reported more than one type of violence. Most victims reported no reaction (55%, n = 76/137) and few said that they confronted the offender (16%, n = 22/137, particularly victims of sexual harassment, 38%, n = 3/8). Most HCW reported non-existence (39%, n = 54/137) or unawareness (32%, n = 44/137) of procedures to report violence within the Institution. Most (80%, n = 33/41) of those knowing about the procedures, knew how to use them. More than half (55%; n = 76/137) of HCW said that they were discouraged to report acts of violence. Conclusions: Like for previous studies in Mozambique and elsewhere in Africa, the study confirms: a relatively high prevalence, a reluctance to talk about the issue and unawareness about procedures on how to report incidents. The findings reconfirm the necessity for the development and implementation of procedures to address violence incidents towards HCW, to develop support services for victims of health workplace violence. Like elsewhere in Africa, successive health workforce plans in Mozambique have failed to address this issue.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent14
dc.format.extent294369
dc.identifier.doi10.1002/hpm.3506
dc.identifier.issn0749-6753
dc.identifier.otherPURE: 50801876
dc.identifier.otherPURE UUID: e5e17af2-e15e-4915-a8e3-15e630ac8519
dc.identifier.otherScopus: 85133415879
dc.identifier.otherPubMed: 35791672
dc.identifier.otherWOS: WOS:000820952900001
dc.identifier.urihttp://hdl.handle.net/10362/148412
dc.identifier.urlhttps://www.scopus.com/pages/publications/85133415879
dc.language.isoeng
dc.peerreviewedyes
dc.subjecthealth care workers
dc.subjectsub-Saharan Africa
dc.subjectviolence
dc.subjectworkplace
dc.subjectR Medicine
dc.subjectQ Science
dc.subjectHealth Policy
dc.subjectSDG 8 - Decent Work and Economic Growth
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 5 - Gender Equality
dc.subjectSDG 10 - Reduced Inequalities
dc.subjectSDG 16 - Peace, Justice and Strong Institutions
dc.titleViolence against health care workers in the workplace in Mozambique – An unrecognised managerial priorityen
dc.typejournal article
degois.publication.firstPage2822
degois.publication.issue5
degois.publication.lastPage2835
degois.publication.titleInternational Journal of Health Planning and Management
degois.publication.volume37
dspace.entity.typePublication
rcaap.rightsopenAccess

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