Working to reduce the TB burden in the Southern African Mining Sector. 
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Fantastic February

One of the key deliverables for the TIMS Grant, which is tracked in our Performance Framework, is strengthening countries’ Monitoring and Evaluation (M&E) systems to collect and report on Key Population data. Historically, National TB Programs (NTP) have not collected nor reported data on miners or ex-miners, their families and communities as a key population. But there is a dearth of epidemiological data by high-risk groups across the 10 countries is unknown.

To address this programmatic gap, the M&E Unit recently began reviewing countries’ M&E systems to determine their readiness to collect and report on TB data by high-risk groups. A country-specific M&E strengthening plan has been developed, which includes modifying data collection and reporting tools.  This is followed by training of healthcare workers on the modified tools in the TIMS Implementation Districts. These efforts are facilitated by countries with financial support from the TIMS grant.

M&E systems strengthening visits were also used as an opportunity to carry out M&E supervision on TB screening activities. To this end, the TIMS M&E unit conducted visits to screening sites to both observe how screening is done and to review how data flows from point of origin to the final consolidate reports submitted for each country. 
Some key findings and or learning from the visits:
As expected, from previous engagements with NTP offices, the ability to collect and or report TB data by key populations varied. Some countries had no way to record occupation in the source documents whilst others had fields that could capture current miners. However, none were able to capture family members of current or ex-miners. The TIMS M&E unit continues to engage the NTP to finalise means to ensure accurate recording and reporting of TB data by occupation. These efforts are expected to be finalised by the end of March 2017.

The M&E supervisory visits similarly found that there were various data management systems in use from, paper-based weekly tallies on the project-specific tool, to recording on presumptive TB cases in facility registers that are dedicated to TIMS data, and SMS technology was also found to be a key tool for interim weekly updates on a number of persons screened.

There are slight variations in operational indicators collect by the screening partners as informed by specific needs. IRD, the screening partner responsible for M&E, has ensured that all screening data that feeds into the TIMS screening indicators are reported using standardised tools.
ADPP Screener in Tanzania with a branded bicycle.
TIMS OH&TB specialist and South Africa Country Coordinator, talking to screeners at Libode clinic South Africa. 
DAAP staff in Zambia during a data verification meeting with TIMS M&E Coordinator, Lovemore Tinarwo
A Technical Working Group meeting was held in Johannesburg, South Africa at the Protea Hotel OR Tambo, on the 02nd February 2017. The meeting was chaired by the TIMS South Africa Country Coordinator Mrs Ntolo Funnah, and opened by Mr David Mametja, the South African NTP Manager. For more on the meeting read the report here.
Pictured below the participants at the South Africa Technical Working Group meeting. 
Map of TIMS OHSC sites selected


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Screening activity is underway in 8 of the 10 countries with Zimbabwe being the latest country to begin screening. Here are February’s screening numbers:
Occupational Health Service Center
With 228 patients seen to date, the Mafeteng OHSC is performing exceptionally well. Of the total number of people screened 11 tested positive for TB and we referred for treatment.

Hlatikulu in Swaziland, (pictured below) is the next OHSC that is set to come online on the 13th of March and Manzini on the 10th April. The Botswana OHSC at Molepolole will open on the 14th of April.  The Mozambique OHSC in Xai-Xai will open at the end of April and the Manjakaze OHSC will open in May.


WHC as the principal recipient of the grant had a quarterly meeting with the RCM oversight committee, in Pretoria, South Africa. The meeting detailed the status of the grant to date and highlighted some of the challenges experienced.


One of the most innovative aspects of the TIMS grant is the development of a Regional Health Management Information System (RHMIS), which includes a cross-border referral system. Mobile populations such as mine workers who start their TB treatment in their domestic countries but work in other districts in their country or other countries will be captured onto the system to ensure that they get their treatment regardless of where they are in the SADC region. Being such a crucial component of the grant it was imperative that the implementing partner had significant IT and health capabilities. EOH-XDS have to date proven they have what it takes to see this innovative system come to fruition. You can read more about EOH-XDS’s work on the grant here.


  • World TB Day – 24th March 2017
  • Dashboard Review Meeting
  • Mafeteng Clinic Launch 
  • Implementing Partner in Focus: North Star/ECF
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