Roxas Evalyn A, Fadrilan-Camacho Vivien Fe F, Hernandez Paul Michael R, Lota Maria Margarita M, Loterio Loisse Mikaela M, Agravante Adrian Paul M, Corpuz Daniella Kate B, Lumangaya Carlo R, Maglalang Richelle Liza F, Arevalo Micaela J, Belizario Vicente Y
Department of Medical Microbiology, College of Public Health, University of the Philippines Manila, Manila, Philippines.
Department of Environmental and Occupational Health, College of Public Health, University of the Philippines Manila, Manila, Philippines.
Acta Med Philipp. 2025 Mar 31;59(4):65-77. doi: 10.47895/amp.v59i4.9364. eCollection 2025.
The World Health Organization (WHO) reported that most of the tuberculosis (TB) cases are aged between 15 to 54 years old, the working population. This study described workplace policies on TB in selected low- and middle-income countries (LMIC) in Asia-Pacific.
Among the LMICs, countries wherein TB is a public health concern were included. Six policies written in English were included in this study and were reviewed based on the components of the TB workplace programs that were extracted from the WHO Guidelines for Workplace TB Control Activities.
The Philippine policy had the most number of components while those of Cambodia and Papua New Guinea had the least. Only the component on implementing environmental controls was common among the policies. Components on respecting patient rights and confidentiality, tailoring of workload to TB patient's state of health, registration of all patients with TB diagnosis, reporting of cases to central NTP office, recording of standard treatment outcome, and inclusion of multidrug-resistant TB (MDR-TB) provisions were missing for the majority of the policy documents.
The workplace TB program policies included in this study can be reviewed and updated accordingly, with the coverage expanding to all workplaces. The policies can also integrate measures on COVID-19 as the pandemic has slowed the progress in TB control. With the similarities in the preventive measures against TB and COVID-19, this can be an avenue to develop integrated policies especially for workplaces.
世界卫生组织（WHO）报告称，大多数结核病（TB）病例年龄在15至54岁之间，属于劳动人口。本研究描述了亚太地区部分低收入和中等收入国家（LMIC）关于结核病的工作场所政策。
在低收入和中等收入国家中，纳入结核病成为公共卫生问题的国家。本研究纳入了6份英文撰写的政策，并根据从WHO工作场所结核病控制活动指南中提取的结核病工作场所项目组成部分进行审查。
菲律宾的政策组成部分最多，而柬埔寨和巴布亚新几内亚的最少。只有实施环境控制这一组成部分在各项政策中是共有的。大多数政策文件缺少尊重患者权利和保密、根据结核病患者健康状况调整工作量、对所有结核病诊断患者进行登记、向国家结核病规划中央办公室报告病例、记录标准治疗结果以及纳入耐多药结核病（MDR-TB）相关规定等组成部分。
本研究纳入的工作场所结核病项目政策可相应地进行审查和更新，将覆盖范围扩大到所有工作场所。这些政策还可纳入针对2019冠状病毒病（COVID-19）的措施，因为该疫情减缓了结核病控制的进展。鉴于结核病和COVID-19预防措施的相似性，这可以成为制定特别是针对工作场所的综合政策的一个途径。
