International Development Grant

Analysis of the Impact of Tuberculosis in Mine-Workers' Communities of Origin

Project Number: CA-3-D000357001

Status: Closed

Country/Region:

South Africa 25.00%
Lesotho 25.00%
Zimbabwe 25.00%
Swaziland 25.00%

Maximum Contribution: $460,589.00

Start Date: January 30, 2014

End Date: March 31, 2015

Duration: 1.2 years

Project Description

This project aims to increase knowledge on the impact of tuberculosis in mine-workers' communities of origin to ultimately reduce the spread of the disease. Given that rates of tuberculosis among miners are 20 to 30 times that of the average population (as of 2010) and given that miners are often migrant labourers understanding the linkages between tuberculosis and the mining sector is key to stemming the spread of the disease overall. The project undertakes an analysis of the burden of tuberculosis in mine-workers' communities of origin based on in-country data collection. This high-level policy relevant analysis is key to making informed programming decisions and to mobilizing global resources. The analysis also outlines public-private partnership interventions which may be taken on by global health actors to address the challenge of tuberculosis in mining communities in a comprehensive fashion. The project has two phases: (1) consolidating available evidence and high-level analysis and mapping ongoing efforts identifying potential interventions; and (2) filling gaps with primary data broadening the list of interventions capturing best practices and estimating their potential costs.

Expected Results

The expected immediate outcomes for this project include: (1) improved understanding of the impact of tuberculosis in the mining sector on communities in Southern Africa (Lesotho South Africa Swaziland and Zimbabwe); and (2) improved knowledge which includes identifying and costing of interventions to address the challenge of tuberculosis in affected communities.

Progress & Results Achieved

Results achieved as of the end of project (December 2014) include: (1) prepared analyses on the size distribution and demographic profiles of the mining population in Lesotho South Africa Swaziland and Zimbabwe focusing on miners that have worked in South Africa over the past 40 years the disease risks and burden in this population and key challenges and opportunities; (2) identified opportunities for intervention designed and in some cases piloted to improve management of tuberculosis in both domestic and migrant miners and a potential model for establishing a one-stop shop integrated with a public health facility was designed and costed; (3) identified key sub-populations that warrant particular attention and programming in the response to TB and mining including ex-miners undocumented workers and women and children. These have contributed to increased knowledge on the impact of tuberculosis in mine-workers communities of origin to ultimately reduce the spread of the disease.

Key Information

Executing Agency:
Clinton Health Access Initiative

Reporting Organization:
Global Affairs Canada

Program:
YFMInternaAssistPartnershp&Programing Br

Last Modified:
September 19, 2025

Development Classifications

DAC Sector:

Tuberculosis control 100%

Aid Type: Project-type interventions

Collaboration: Bilateral

Finance Type: Aid grant excluding debt reorganisation

Selection Mechanism:
Unsolicited Proposal

Policy Markers
Level 1 Participatory development and good governance
Level 1 Children's issues
Level 1 Youth Issues
Budget Breakdown
2013-04-01 to 2014-03-31 $460,589 CAD
Geographic Information
589""
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