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490 Tb treatment outcomes in mine health facilities south africa 2015 -2018: preliminary findings
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  1. Muzimkhulu Zungu1,2,
  2. Nosimilo Mlangeni1,
  3. Kerry Wilson1,
  4. Sikhumbuzo Mabunda3,
  5. Ziyanda Vundle3,
  6. Refilwe Mokgetle4
  1. 1National Institute for Occupational Health a division of the National Health Laboratory Services, Johannesburg, South Africa
  2. 2School of Health Systems and Public Health, University of Pretoria, South Africa
  3. 3Walter Sisulu University, uMthatha, South Africa
  4. 4Gauteng Department of Health, TB Directorate, Johannesburg, South Africa

Abstract

Introduction The mining industry in South Africa is home to mine workers, a key population in the fight against human immunodeficiency virus (HIV) and tuberculosis (TB). Following the UNAIDS inspired and bold HIV strategy of ‘90–90–90’, the South African Ministry of Health announced its plans to emulate a similar HIV and TB strategy for the period 2015 – 2018. In support of this HIV and TB strategy the South African mining industry has pledged to implement and set a similar ambitious HIV and TB strategy of ‘90–90–09’ for itself. This report aims to evaluate and report the preliminary TB treatment outcomes in health facilities of the South African mining industry.

Methods A retrospective cohort study conducted on mine health facilities with access to the electronic TB register (ETR.Net); and all reported TB cases from the 2015 cohort (1 January 2015 – 31 December 015). The analysis was done on Microsoft excel and basic descriptive proportions were calculated. The proportions were determined following the definitions provided by the World Health Organisation (WHO) for all TB treatment outcomes.

Results The ETR. Net had 912 TB patients registered for the 2015 cohort in the pilot health facilities. Eight hundred and fifty seven (94%) patients knew their HIV status and a 617 (68%) were HIV positive. The TB treatment outcomes showed that 86% were successfully treated, 79 (8.6%) not evaluated and 44 (4.4%) died.

Conclusion Mine health facilities have TB Control programme performs well but an opportunity for strengthening exists.

  • Mine health systems
  • Tuberculosis Control
  • Occupational Health Perfomance

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