IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i1p70-d1315142.html
   My bibliography  Save this article

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

Author

Listed:
  • Dingani Moyo

    (Baines Occupational Health Services, Harare 024, Zimbabwe
    Department of Community Medicine, Faculty of Medicine, National University of Science and Technology, Bulawayo 029, Zimbabwe
    School of Public Health, University of the Witwatersrand, Johannesburg 2193, South Africa)

  • Fungai Kavenga

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

  • Florence Moyo

    (Baines Occupational Health Services, Harare 024, Zimbabwe
    Department of Health Sciences, Faculty of Health, Zimbabwe Open University, Gweru 054, Zimbabwe)

  • Orippa Muzvidziwa

    (Baines Occupational Health Services, Harare 024, Zimbabwe)

  • Godknows Madziva

    (Baines Occupational Health Services, Harare 024, Zimbabwe)

  • Blessings Chigaraza

    (Baines Occupational Health Services, Harare 024, Zimbabwe)

  • Mpokiseng Ncube

    (Baines Occupational Health Services, Harare 024, Zimbabwe)

  • Precious Madadangoma

    (Baines Occupational Health Services, Harare 024, Zimbabwe)

  • Hellen Masvingo

    (Baines Occupational Health Services, Harare 024, Zimbabwe)

  • Tafadzwa Charity Muperi

    (Baines Occupational Health Services, Harare 024, Zimbabwe)

  • Tariro Christwish Mando

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

  • Ronald Thulani Ncube

    (The Union Zimbabwe Trust, Harare 024, Zimbabwe)

Abstract

Artisanal and small-scale mining is characterized by excessive exposure to physical, chemical, ergonomic, psychosocial and biological hazards. There is a high burden of tuberculosis (TB), human immunodeficiency virus (HIV) infections and silicosis among artisanal and small-scale miners (ASMs). The aim of this project report is to describe lessons learned from strategies implemented to reach ASMs with screening services for TB, HIV and silicosis in Zimbabwe through the Kunda-Nqob’i TB (KNTB) project supported by the United States Agency for International Development (USAID). The intervention package for screening ASMs for TB, HIV and silicosis included service provision through two occupational health clinics at two provincial hospitals and a mobile workplace-based screening (WBS) facility at the mining sites. From 1 October 2020 to 30 September 2023, 10,668 ASMs were screened, with a high number of cases of silicosis (21%) and TB (7.4%). There was a high burden of HIV (30%) in ASMs attending the occupational health clinics. The two occupational health clinics screened 3453 ASMs, while the mobile WBS activities screened 7215 ASMs during the period. A total of 370 healthcare workers (doctors/clinical officers, nurses, environmental health technicians and district tuberculosis and Leprosy control officers) were trained on TB and the fundamental diagnostic principles of silicosis. The KNTB project has been successful in reaching out to many ASMs operating in remote and hard-to-reach mining areas. The KNTB project has brought to light the positive health-seeking behavior of ASMs operating in remote areas. The project has brought to the fore the effectiveness of multi-stakeholder engagement and collaboration in reaching out to ASMs in remote areas with health screening services. There is a high burden of TB, HIV and silicosis in ASMs. Screening for TB, HIV and silicosis using workplace-based screening and occupational health clinics is an effective strategy and should be rolled out to all areas with high artisanal and small-scale mining activity.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:1:p:70-:d:1315142
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/1/70/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/21/1/70/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. Emma K. Austin & Carole James & John Tessier, 2021. "Early Detection Methods for Silicosis in Australia and Internationally: A Review of the Literature," IJERPH, MDPI, vol. 18(15), pages 1-24, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. 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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Dingani Moyo & Fungai Kavenga & Ronald Thulani Ncube & Farai Peter Macheri & Tariro Christwish Mando & Florence Moyo & Orippa Muzvidziwa & Mpokiseng Ncube & Hellen Masvingo & Blessings Chigaraza & And, 2023. "Knowledge, Attitudes, and Practices of Artisanal and Small-Scale Miners regarding Tuberculosis, Human Immunodeficiency Virus, and Silicosis in Zimbabwe," IJERPH, MDPI, vol. 20(23), pages 1-11, November.
    2. Sholpan Koigeldinova & Alexey Alexeyev & Zhengisbek Zharylkassyn & Yertay Otarov & Bauyrzhan Omarkulov & Magzhan Tilemissov & Chingiz Ismailov, 2022. "Immune Status of Workers with Professional Risk of Being Affected by Chrysotile Asbestos in Kazakhstan," IJERPH, MDPI, vol. 19(21), pages 1-8, November.
    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.
    4. 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.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:1:p:70-:d:1315142. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.