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Treatment Outcomes of Tuberculosis Among Artisanal and Small-Scale Miners in Zimbabwe: A Follow-Up Observational Study Using Secondary Data

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  • Dingani Moyo

    (Baines Occupational Health Services, Harare 024, Zimbabwe
    Faculty of Medicine, National University of Science and Technology, Bulawayo 029, Zimbabwe
    Occupational Health Division, School of Public Health, University of the Witwatersrand, Johannesburg 2000, South Africa
    College of Health Sciences, University of Kwa-Zulu Natal, Durban 4001, South Africa)

  • Fungai Kavenga

    (Ministry of Health and Child Care, Harare 024, Zimbabwe)

  • Ronald Thulani Ncube

    (The Union Zimbabwe Trust, Harare 024, Zimbabwe)

  • Florence Moyo

    (Baines Occupational Health Services, Harare 024, Zimbabwe
    Faculty of Health Sciences, Zimbabwe Open University, Harare 024, Zimbabwe)

  • Nathan Chiboyiwa

    (Ministry of Health and Child Care, Harare 024, Zimbabwe)

  • Andrew Nyambo

    (Ministry of Health and Child Care, Harare 024, Zimbabwe)

  • Godknows Madziva

    (Baines Occupational Health Services, Harare 024, Zimbabwe)

  • Mpokiseng Ncube

    (Baines Occupational Health Services, Harare 024, Zimbabwe)

  • Orippa Muzvidziwa

    (Baines Occupational Health Services, Harare 024, Zimbabwe)

  • Tafadzwa Mperi

    (Baines Occupational Health Services, Harare 024, Zimbabwe)

  • Blessings Chigaraza

    (Baines Occupational Health Services, Harare 024, Zimbabwe)

  • Victoria Varaidzo Chizana

    (The Union Zimbabwe Trust, Harare 024, Zimbabwe)

  • Plassey Ropafadzo Chinove

    (Ministry of Health and Child Care, Harare 024, Zimbabwe)

  • Frank Mudzingwa

    (Hospice and Palliative Care Association of Zimbabwe, Harare 024, Zimbabwe)

  • Kudzaishe Mutungamiri

    (Jointed Hands Welfare Organization, Gweru 054, Zimbabwe)

  • Collins Timire

    (Ministry of Health and Child Care, Harare 024, Zimbabwe)

Abstract

In Zimbabwe, artisanal and small-scale miners (ASMs) are a key vulnerable group with high risk for tuberculosis (TB), HIV, and silicosis. The main purpose of this study was to investigate treatment outcomes of TB among ASMs. We conducted a follow-up observational study using secondary data. We analyzed data from 208 ASMs treated for TB at two occupational health clinics. We found a high treatment success rate of 87%, comparable to the national average for drug-sensitive TB. Unsuccessful outcomes were due to death (5%) and loss to follow-up (7%). Over a quarter of ASMs had unknown HIV status. Our study is the first to document treatment outcomes of TB among ASMs in Zimbabwe. Encouragingly, this study demonstrates the possibility of achieving good TB treatment outcomes even among highly mobile populations like ASMs. Further research is needed to analyze leakages across the whole TB patient pathway among ASMs. Additionally, addressing the high rate of unknown HIV statuses among ASMs is crucial to further improve overall TB treatment outcomes in this population.

Suggested Citation

  • Dingani Moyo & Fungai Kavenga & Ronald Thulani Ncube & Florence Moyo & Nathan Chiboyiwa & Andrew Nyambo & Godknows Madziva & Mpokiseng Ncube & Orippa Muzvidziwa & Tafadzwa Mperi & Blessings Chigaraza , 2024. "Treatment Outcomes of Tuberculosis Among Artisanal and Small-Scale Miners in Zimbabwe: A Follow-Up Observational Study Using Secondary Data," IJERPH, MDPI, vol. 21(10), pages 1-10, September.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:10:p:1282-:d:1486366
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    References listed on IDEAS

    as
    1. Dingani Moyo & Fungai Kavenga & Florence Moyo & Orippa Muzvidziwa & Godknows Madziva & Blessings Chigaraza & Mpokiseng Ncube & Precious Madadangoma & Hellen Masvingo & Tafadzwa Charity Muperi & Tariro, 2024. "Health Screening Strategies for Artisanal and Small-Scale Miners for Tuberculosis, Human Immunodeficiency Virus and Silicosis: A Case of the USAID-Supported Kunda Nqob’iTB Project in Zimbabwe," IJERPH, MDPI, vol. 21(1), pages 1-11, January.
    2. Dingani Moyo & Christopher Zishiri & Ronald Ncube & Godknows Madziva & Charles Sandy & Reginald Mhene & Nicholas Siziba & Fungai Kavenga & Florence Moyo & Orippa Muzvidziwa & Petronella Ncube & Blessi, 2021. "Tuberculosis and Silicosis Burden in Artisanal and Small-Scale Gold Miners in a Large Occupational Health Outreach Programme in Zimbabwe," IJERPH, MDPI, vol. 18(21), pages 1-11, October.
    3. Dingani Moyo & Ronald Ncube & Fungai Kavenga & Lilian Chikwava & Tawanda Mapuranga & Nathan Chiboyiwa & Chipo Chimunhu & Frank Mudzingwa & Orippa Muzvidziwa & Petronella Ncube & Tariro Christwish Mand, 2022. "The Triple Burden of Tuberculosis, Human Immunodeficiency Virus and Silicosis among Artisanal and Small-Scale Miners in Zimbabwe," IJERPH, MDPI, vol. 19(21), pages 1-14, October.
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