DAPP Projects
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Mine-workers in the Southern African region have among the highest rates of tuberculosis (TB) in the world. The World Health Organization estimated 9.6 million new cases of TB every year and mine-workers are, at three-times greater risk of contracting TB when compared to the general population. Many mine-workers are exposed to multiple TB risk factors, including HIV, health care disruptions, congregate living and challenging working environment.

In an effort towards addressing this issue in the region, Global Fund and the World Bank joined forces to pilot innovative models to reduce the rate of TB in the mining sector across 10 countries in Southern Africa. ADPP Mozambique is coordinating the regional pilot program to address some of the key challenges across 8 countries: Zambia, Malawi, Botswana, Swaziland, Namibia, Mozambique, Lesotho and Tanzania.

In the Tuberculosis in Mines project, DAPP Zambia’s screening goal is 53,000 for 18 months and the target areas are Kitwe, Chingola, Chililabombwe and Solwezi Districts. The pilot project is built on Humana People to People’s experiences in combining HIV/AIDS and TB outreach through its Total Control of the Epidemic (TCE) programs. The model integrates a door-to-door approach to provide accurate information and facilitate TB screening, sputum collection and HIV testing, referral treatment at healthcare facilities and support throughout treatment periods. By providing these services and incentives for both TB & HIV, the program also aims to tackle the increasing numbers of TB and HIV co-infection in the mining population.

The Sensitization project will contribute towards the reduction of the TB burden in the mining sector in southern Africa countries through reaching out to mine workers, ex-miners and their families with education on TB prevention, care and treatment, HIV awareness/testing, TB Screening.

For Tuberculosis to be successfully cured, treatment must be strictly followed over a period of at least six months. The mining population often includes a large proportion of migrant workers, which also presents challenges for people seeking testing and diagnosis, as well as efficient follow-up and treatment

Humana People to People and its members are scaling up efforts in fighting TB by taking the necessary steps which contribute to achieving the global agenda of the UN Sustainable Development Goal 3, which aims to achieve universal health coverage, ending the epidemics of AIDS, tuberculosis and malaria. 

Funding partners: Global Fund and World Bank

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