DAPP Projects

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 coordinated 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 was 53,000 for 18 months and the target areas were Kitwe, Chingola, Chililabombwe and Solwezi Districts. The pilot project was 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 integrated a door-to-door approach to provide accurate information and facilitated 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 aimed at tackling the increasing numbers of TB and HIV co-infection in the mining population. 

The Sensitization project contributed towards the reduction of the TB burden in the mining sector in southern African 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 scaled up efforts in fighting TB by taking the necessary steps which contributed to achieving the global agenda of the UN Sustainable Development Goal 3, which aims at achieving universal health coverage, ending the epidemics of AIDS, tuberculosis and malaria.

Funding partners: Global Fund and World Bank

 

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