The innovative nature of the TIMS programme is not only that it is the first grant to address TB in the mining sector at a 10 country regional level, it is also pioneering in its approach, implementing interventions that will aim to impact everyone from miner to minister.
Below you can find more detail about each intervention.
ADPP, as a sub-recipient, will implement screening and active case findings at selected sites in Botswana, Namibia, Malawi, Mozambique, Zambia, Lesotho, Tanzania, and Swaziland. The objective of this intervention is to mobilise key populations to be screened, to increase TB case finding, as well as to ensure referral to diagnostic and treatment facilities.
Associacao Mocambicana para Ajuda de Desenolvimento de Povo para Pove (ADPP)
EOH-XDS, as a service provider, will function in four programmatic areas:
Heath Focus, as a sub-recipient, will perform legal and policy environment assessment on mining generally and dust control specifically in all 10 countries. The objective is to identify policy gaps, strengths and opportunities for harmonization in the region. In addition, a toolkit for dust control in mines will be developed and be used as a basis to increase training and capacity building for employers, employees and regulators.
The Toolkit can be viewed here
IRD, as a sub-recipient, will develop context specific surveillance models and test them at pilot sites. They will also conduct screening in South Africa and Zimbabwe. The surveillance models tested will not only be used for the TIMS intervention, but will be available to national TB programmes in all the countries to use in future programmes. IRD is also responsible for developing Monitoring and Evaluation systems and tools for the entire intervention.
Interactive Research and Development (IRD)
North Star Alliance, as a service provider, will build and equip 11 OHSCs in the region. This will be preceded by an assessment of the South African OHSCs. ECF will inform the location of these facilities based on mapping studies and consultations with country TB programmes. This is to be implemented in Botswana, Lesotho, Namibia, Mozambique, Tanzania, Swaziland, Zambia, and Zimbabwe and is based on key population size and disease burden.
North Star Alliance
Enhancing Care Foundation (ECF)
PHRU will conduct a baseline Epidemiological Study of Tuberculosis, MDR TB, Silicosis and HIV among miners and ex-miners in Botswana, Lesotho, Namibia, Malawi, Mozambique, Tanzania, South Africa, Swaziland, Zambia, and Zimbabwe. The objective of the study is to provide a detailed baseline assessment of the epidemiology of TB including MDR TB, silicosis and HIV in the mining sector. This study will inform the targeting setting of key indicators, selection of implementation districts and location of the Occupational Health Service Centres (OHSCs).
Perinatal HIV Research Unit (PHRU)
Select Research, will conduct household surveys on Knowledge, Attitudes and Practices (KAP) in terms of TB prevention, care and treatment adherence support among key populations in the mining sector in the 10 participating countries. The objective of this intervention is to improve TB prevention, care and treatment behaviour through a Knowledge, Attitudes and Practice (KAP) Study related to TB, HIV and Silicosis. This study will be used to develop an Information, Education and Communication (IEC) Strategy for the mining sector in Southern Africa.
Select Research (PVT) Ltd
TomTom Consortium, as a service provider, will conduct a Regional Mapping Study of key populations (miners, ex-miners and mining communities), health services and mine locations in Southern Africa. To be implemented in Botswana, Lesotho, Namibia, Malawi, Tanzania, Swaziland, Zambia, and Zimbabwe. The objective of this intervention is to provide a detailed mapping of key populations in the 8 countries: Botswana, Lesotho, Namibia, Malawi, Tanzania, Swaziland, Zambia, and Zimbabwe in order to target ‘hot spots’ for relevant health services, information and support. To facilitate a comprehensive regional view, TomTom, though not contractually required, will also provide maps for Mozambique and South Africa.