Evidence map›Paper›PMID 38248534›Full record

ArticleInternational journal of environmental research and public health2024

Health Screening Strategies for Artisanal and Small-Scale Miners for Tuberculosis, Human Immunodeficiency Virus and Silicosis: A Case of the USAID-Supported Kunda Nqob'iTB Project in Zimbabwe.

Dingani Moyo, Fungai Kavenga, Florence Moyo, Orippa Muzvidziwa, Godknows Madziva, Blessings Chigaraza, Mpokiseng Ncube, Precious Madadangoma, Hellen Masvingo, Tafadzwa Charity Muperi and 2 more

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Dingani MoyoBaines Occupational Health Services, Harare 024, Zimbabwe.ORCID 0000-0002-7780-0140
Fungai KavengaMinistry of Health and Child Care, Harare 024, Zimbabwe.
Florence MoyoBaines Occupational Health Services, Harare 024, Zimbabwe.
Orippa MuzvidziwaBaines Occupational Health Services, Harare 024, Zimbabwe.
Godknows MadzivaBaines Occupational Health Services, Harare 024, Zimbabwe.
Blessings ChigarazaBaines Occupational Health Services, Harare 024, Zimbabwe.
Mpokiseng NcubeBaines Occupational Health Services, Harare 024, Zimbabwe.
Precious MadadangomaBaines Occupational Health Services, Harare 024, Zimbabwe.
Hellen MasvingoBaines Occupational Health Services, Harare 024, Zimbabwe.
Tafadzwa Charity MuperiBaines Occupational Health Services, Harare 024, Zimbabwe.
Tariro Christwish MandoMinistry of Health and Child Care, Harare 024, Zimbabwe.ORCID 0000-0001-5814-6537
Ronald Thulani NcubeThe Union Zimbabwe Trust, Harare 024, Zimbabwe.ORCID 0000-0003-4668-0868
Ministry of Health and Child Welfare · ZWUniversity of the Witwatersrand · ZAZimbabwe Open University · ZW

Funding

United States Agency for International Development (USAID) Cooperative Agreement 72061319CA00003
6 · The paper itself

Abstract

Artisanal and small-scale mining is characterized by excessive exposure to physical, chemical, ergonomic, psychosocial and biological hazards. There is a high burden of tuberculosis (TB), human immunodeficiency virus (HIV) infections and silicosis among artisanal and small-scale miners (ASMs). The aim of this project report is to describe lessons learned from strategies implemented to reach ASMs with screening services for TB, HIV and silicosis in Zimbabwe through the Kunda-Nqob'i TB (KNTB) project supported by the United States Agency for International Development (USAID). The intervention package for screening ASMs for TB, HIV and silicosis included service provision through two occupational health clinics at two provincial hospitals and a mobile workplace-based screening (WBS) facility at the mining sites. From 1 October 2020 to 30 September 2023, 10,668 ASMs were screened, with a high number of cases of silicosis (21%) and TB (7.4%). There was a high burden of HIV (30%) in ASMs attending the occupational health clinics. The two occupational health clinics screened 3453 ASMs, while the mobile WBS activities screened 7215 ASMs during the period. A total of 370 healthcare workers (doctors/clinical officers, nurses, environmental health technicians and district tuberculosis and Leprosy control officers) were trained on TB and the fundamental diagnostic principles of silicosis. The KNTB project has been successful in reaching out to many ASMs operating in remote and hard-to-reach mining areas. The KNTB project has brought to light the positive health-seeking behavior of ASMs operating in remote areas. The project has brought to the fore the effectiveness of multi-stakeholder engagement and collaboration in reaching out to ASMs in remote areas with health screening services. There is a high burden of TB, HIV and silicosis in ASMs. Screening for TB, HIV and silicosis using workplace-based screening and occupational health clinics is an effective strategy and should be rolled out to all areas with high artisanal and small-scale mining activity.

Indexed as

HIV InfectionsSilicosisTuberculosisHIVHumansUnited StatesUnited States Agency for International DevelopmentZimbabweartisanal minershuman immunodeficiency virusoccupational healthsilicosistuberculosis

Identifiers

PMID38248534
PMCPMC10815506
OpenAlexW4390662915

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.