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Wednesday, December 13, 2017
                
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What we do

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 impact everyone from miner to minister. 

Below you can find more detail about each intervention: 

Legal and Policy Environment Assessment and Law Reform

Health Focus, as a sub-recipient, has performed a legal and policy environment assessment on health and mining generally, and dust control specifically in all 10 countries.


The objective is to identify policy gaps, strengths and opportunities for harmonisation in the region. In addition, a toolkit for dust control in mines has been developed and be used as a basis for capacity building and training  for employers, employees, civil society and regulators.


The legislative review is complete and can be accessed here
The Toolkit can be viewed here


Conduct Epidemiological Survey

PHRU, as a service provider, conducted 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 was to provide a detailed baseline assessment of the epidemiology of TB including MDR TB, silicosis and HIV in the mining sector.


The study is complete and can be accessed here.

Regional Mapping Study of Key Populations

TomTom Consortium, as a service provider, conducted 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 was to provide a detailed mapping of key populations in the 8 countries 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.


The study is complete and can be accessed here.

Knowledge, Attitude and Practice Survey 

Select Research, conducted 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 is used to develop an Information, Education and Communication (IEC) Strategy for the mining sector in Southern Africa.


The completed study is complete and can be accessed here.

Community Systems Strengthening

ACHAP is the sub-recipient working on community systems strengthening (CSS).

This intervention is aimed at creating TB awareness especially related to the mining sector.  ACHAP have contracted two CSOs per country who they will capacitate with communications materials, toolkits and training. The trained CSOs will conduct awareness and advocacy programmes in mining communities.

Communications Strategy

Meropa communications, as a service provider, developed a TB in the mining sector communication strategy to be used by civil society, government and the private sector.


The objective of this intervention is to develop a comprehensive yet versatile communications strategy that can be adapted and implemented in each of the 10 countries, along with some physical communications materials that can be used as samples to be built on and adapted.


The communications strategy and materials will be used by the CSOs trained by ACHAP

Regional Health Information Management System (RHMIS)

EOH-XDS, as a service provider, function in four programmatic areas:


  1. Develop a referral system for mineworkers that have to cross international and provincial borders to work.  They will also develop innovative adherence support and monitoring interventions to improve TB treatment completion rates.
  2. Conduct a consensus building exercise across the 10 countries to ensure that the views and expertise of countries are taken into account in the development of a Regional Health Management Information System (RHMIS)
  3. Design, test and pilot this RHMIS to ensure that the functionality is appropriate to the needs of the region.
  4. Establishing an IT link between Occupational Health Services Centres (OHSCs) and Compensation funds will be developed. This activity will support the establishment of a centralized IT system to link mineworkers and ex-mineworkers diagnosed with occupational TB, silicosis or other compensable respiratory diseases to compensation funds.


The objective of this intervention is to strengthen the continuity of TB care and treatment amongst key populations in the mining sector in the 10 participating countries and to link mineworkers and ex-mineworkers to compensation services in the 10 countries participating in the TIMS programme.

Expansion/Establishment of Occupational Health Service Centres (OHSC)

North Star Alliance, as a sub-recipient, will build and equip 11 OHSCs in the region. 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. The OHSCs will provide comprehensive occupational health services for key populations.

Development and Implementation of TB Surveillance System
 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.

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.
Managing of the Occupational Health Service Centres (OHSC)
 OGRA Foundation is the sub-recipient responsible for the management of the OHSC once it has been established.

OGRA is tasked with staffing, stocking and training at all the centres. They ensure that the OHSC is up and running before it is handed over to the countries to continue operations.