The Wits Health Consortium TB Project in Mines
Explore the Wits Health Consortium TB in Mines Project aiming to address TB risks among mine workers in Southern Africa. Learn about strategic dimensions, funding focus, and grant modules to enhance TB care and prevention. Discover the significant impact of silica exposure, living conditions, migrancy, and HIV on TB incidence among mineworkers.
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Presentation Transcript
Wits Health Consortium TB in Mines Project Dr Riedawaan Pillay 05 September 2015
Context Mineworkers have a significantly higher risk of developing TB Related to: Silica exposure Living conditions Migrancy HIV In the South African context, incidence of TB (per 100 000) General population 860 Mine workers 1 200 Deep level mine workers 2 500
Southern African Incidence 1600 1400 1200 1000 General Incidence 800 600 400 200 0
Strategic Dimensions As the current allocation of funds for this grant fall short of the full funding need, the grant will focus on key strategic aspects: a. Activities that have a regional dimension b. Innovating and scaling up interventions c. Funding catalytic interventions d. Addressing upstream risk factors e. Building synergies with national programmes f. Building institutional, governance and structural capacity g. Geographic Focus
Wits Health Consortium Wits Health Consortium (Pty) Ltd BOARD Strat. Com. REMCO Audit Com. Sust. & Ethic Com. Acad. O. Com. Dir. Com. Other Divisions / Syndicates (+/- 60) Syndicates Syndicates Syndicates Syndicates Syndicates Syndicates Shared Services Centre E.g. - Ethics and CPD MatCH, CHRU, RMPRU And other GF divisions Multidisciplinary Clinical Trial Sites Sites in Departments Faculty Support Contract Laboratory Secretariat Clinical Trial CHRU CHRU CHRU CHRU CHRU CHRU CHRU CHRU CHRU CHRU CHRU CHRU CHRU CHRU CHRU PHRU CHRU CHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU RHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU PHRU WRHI PHRU ECHO ECHO ECHO ECHO ECHO ECHO ECHO ECHO ECHO NICD NICD NICD NICD NICD NICD NICD NICD NICD NICD NICD NICD ETC.. ETC.. ETC. ETC.. ETC.. Services
Wits Health Consortium WHC governed by Board Dean Chairman CEO 3 Faculty 2 Central University 4 independent 1 Syndicate nominee Sub-Committees Directors Affairs Remuneration & Transformation Audit & Risk Strategy & Investment Sustainability & Ethics Academic Oversight
Grant Modules Module 1: TB Care and Prevention Module 2: Health Information and M&E TB in Mines Module 3: Community Systems Strengthening Module 4: Policy and Governance
TB Care and Prevention Development of surveillance models Testing of models Social mobilisation of key populations Contact tracing at sentinel sites Screening and active case finding KAP surveys Review national communication strategies Identify interventions Develop communications strategy Prevention, Care and Treatment Behaviour Review South African model for OH service centres Establish OHSC in participating countries IT system linking to compensation systems Support OH professionals in running centres Transition centres to national programmes Expansion of OH service delivery
TB Care and Prevention Assessment of national referral systems Develop cross border referral systems Develop regional health information database Develop technology to support adherence Strengthening continuity of care and treatment Legislative review of 10 countries mine health and safety Opportunities to harmonise policy Disseminate recommendations via SADC technical and political structures Prevention of TB in the mines
Health Information and M&E Geospatial mapping studies in those countries that require Epidemiological baseline studies regional These feed into the location and size of facilities and programmes in module 1 Conduct surveys Assess M&E systems in 10 countries wrt key populations Develop a regional M&E framework Support integration of M&E framework into national systems Co-ordinate with NTP regionally Monitoring of TB services
Community Systems Strengthening Review human rights and gender barriers to access for services Build organisational capacity to address barriers Focus at CSO level technical, HR, operations, planning capacities Improve access to TB, silicosis and HIV services
Policy and Governance Technical co-ordination with NTP managers Ministerial co-ordination on policy and programme harmonisation Policy advocacy agenda for the region Support compensation fund co-ordination Strengthening high level co- ordination and partnerships
Next Steps High Level Process Acceptance with comments by TRP Concept Note formulation Grant Implemen tation Grant making Grant signing Oct-Nov 15 Jan 16 Dec 17 Jan 15 Mar 15 Apr Sept 15
