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Dr Thuthula Balfour-Kaipa Health Adviser Chamber of Mines

Dr Thuthula Balfour-Kaipa Health Adviser Chamber of Mines. Mining and TB: Turning the Tide on the Southern African TB/HIV Epidemic- Lessons from the Mining Industry. GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010. Background information on mining industry.

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Dr Thuthula Balfour-Kaipa Health Adviser Chamber of Mines

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  1. Dr Thuthula Balfour-Kaipa Health Adviser Chamber of Mines Mining and TB: Turning the Tide on the Southern African TB/HIV Epidemic- Lessons from the Mining Industry GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010

  2. Background information on mining industry Chamber members represent: < 20% of mines - 85% of employees - 80% of production Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010

  3. HEALTH SERVICES IN MINING INDUSTRY Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010 • Large variation in health service provision determined by history, locality and legal requirements. • Gold companies likely to consolidate services as ore body diminishes. • Future of mine health services uncertain in light of NHI and drive for medical aid coverage.

  4. Susceptibility High Susceptibility Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010

  5. Successes • Strong HIV and AIDS programmes • Coordinated response to TB and HIV and AIDS • Strengthening implementation of DMR TB Guidance Note • Audits of TB programmes with TB Review Tool. • Data collection • Pilot on case finding and treatment outcome data, through Chamber Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010

  6. Challenges • Availability of reliable data • Monitoring of programmes and outcomes • Low profile of TB in mining • No formal tripartite forum for TB • Stigma and union fears around HIV and AIDS • Migrancy Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010

  7. DANKIE THANK YOU ENKOSI REALEBOGA NGIYABONGA Thuthula Balfour-Kaipa - GBC Conference on TB, HIV/TB & Global Fund Partnerships: 11 -13 October 2010

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