Southern Africa Regional Coordinating Mechanism
T B I N T H E M I N I N G S E C TO R I N S O U T H E R N A F R I C A
John Mkandawire, PhD, MPH
Wits Health Consortium
August 29, 2016
Contents
About the Principal Recipient (PR)
TIMS Grant
•
•
•
•
Background of the TIMS Grant
Goals and Objectives
Target Populations
High – level Modules and Interventions
• Community Systems Strengthening
About the PR
• Wits Health Consortium (Pty) Limited was appointed by the Regional
Coordinating Mechanism (RCM) as the Principal Recipient (PR) for a
Global Fund grant to contribute to the reduction of the tuberculosis
burden in the mining sector in 10 Southern African countries
• WHC was selected through a transparent and documented process
• WHC has extensive experience in managing complicated sponsors and
commercially funded contracts and activities. Manages in excess of 300
active contracts and grants each year
• Primary role of WHC is to provide the governance, legal framework,
human resource management and financial or grant management for
the research and service entities of the University
Goal and Objectives
TIMS Goal and Objectives
Goal:
To contribute towards the reduction of the TB burden in the mining
sector in Southern Africa countries
Objectives:
1. To increase TB case finding among the key populations in the
mining sector in Southern Africa
2. To increase the proportion of key populations on TB treatment
that complete their treatment
3. To increase the proportion of key populations with TB that are
tested for HIV and enrolled for ART
Target Populations
Key Populations
Ex-Miner
Workers
Current Miner
Workers
•
Size of these population are not fully
known.
•
Mapping studies for 3 of the 10 countries
estimate:
• 498,384 miners in SA, most are migrants
from Lesotho, Swaziland and
Mozambique and
• 2 million ex-miners.
Families of both current
& ex-mine workers
Communities around the mines &
communities in labour sending
areas
High Level Modules and Interventions
TB Care and
Prevention
• Develop and
Implementation
of TB surveillance
system
• Expansion of
occupational
health service
delivery
• Improving TB
prevention, care
and treatment
behaviour
Health
Information
Systems and
M&E
• Conduct surveys:
Geospatial
Mapping and
Epidemiological
surveys
• Strengthen
continuity of TB
care and
treatment
Policy and
Governance
• Policy, planning,
coordination and
management
Removing
Legal Barriers
to Access
Community
Systems
Strengthening
• Legal and policy
environment
assessment and
law reform
• Improved Access
to TB, silicosis and
HIV services by
key populations
Human Rights and Gender
Objective
• Improve provision of TB services at community level
Key Intervention Activities
• Review existing work in the region focusing on human rights and gender barriers
in the key population to understand human rights and gender barriers impacting
on access to TB services
• Develop a strategy to address human rights and gender barriers based on the
review
• Develop a community-based program on human rights and gender barriers
customized to the 10 countries
• Develop a communication strategy for use by CSOs when implementing
programmes and train CSOs in content
• Deliver community-based programs by conducting workshops, undertaking
awareness training for women and vulnerable populations