1. TB IN THE MINING SECTOR IN SOUTHERN AFRICA
Southern Africa Regional Coordinating Mechanism
TB IN THE MINING SECTOR IN SOUTHERN AFRICA
John Mkandawire, PhD, MPH
Wits Health Consortium
August 29, 2016

2. Contents Background of the TIMS Grant Goals and Objectives
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

3. 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
Wits Health Consortium (Pty) Limited (WHC) was appointed by the Regional Coordinating Mechanism (RCM) as the Principal Recipient (PR) for a grant from the Global Fund to contribute to the reduction of the tuberculosis (TB) burden in the mining sector in ten Southern African countries (TIMS).
WHC is wholly owned company of the University of the Witwatersrand, Johannesburg, South Africa
WHC was selected through a transparent and documented process
Has extensive experience in managing complicated sponsors and commercially funded contracts and activities and manages in excess of 300 active contracts and grants each year
 Primary role of the 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

4. Goal and Objectives TIMS Goal and Objectives Goal: Objectives:
To contribute towards the reduction of the TB burden in the mining sector in Southern Africa countries
Objectives:
To increase TB case finding among the key populations in the mining sector in Southern Africa
To increase the proportion of key populations on TB treatment that complete their treatment
To increase the proportion of key populations with TB that are tested for HIV and enrolled for ART

5. Target Populations Key Populations 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.
Ex-Miner Workers
Current Miner Workers
Families of both current & ex-mine workers
Communities around the mines & communities in labour sending areas

6. 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
Legal and policy environment assessment and law reform
Community Systems Strengthening
Improved Access to TB, silicosis and HIV services by key populations

7. 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