The mining sector plays a significant role in the economic growth of Southern Africa. The Republic of South Africa has both the highest number and largest mines in the regions. In South Africa, mining is estimates to a USD1.8 million trillion sector, contributing about 8.6% of South Africa's total annual gross domestic product (GDP). There are about 2,000 registered mining companies in South Africa, and they employ more than 500,000 mine workers. Approximately 40% of the mine workers come from the neighboring countries of Lesotho, Swaziland, and Mozambique. Mine workers in the southern Africa sub-region have one of the highest TB incidence rates in the world. In South Africa, TB incidence is 2500- 3000/100,000 among mine workers— more than three times higher than in the general population (948/100,000) and more than ten times higher than the WHO threshold for characterizing a TB emergency (250/100,000). Mine workers are exposed to a multitude of factors that compound their risk of TB infection. These risk factors include their working conditions (prolonged exposure to silica dust, poor ventilation, exposure to occupational injuries); socio-economic factors (migrant status, cramped and unsanitary living conditions, lack of knowledge of the health system or their rights regarding access to care); and their disease burden (co-exposure to HIV, silicosis, or both). Mine workers frequently travel across provincial and national TB infection in labour-sending areas, and also adversely affects mine workers’ adherence to TB treatment, which contributes to the incidence of drug resistant TB. The World Bank (2014-2015): AQUITY was assigned by the World Bank to conduct training of the healthcare workers on TB in Lesotho, Mozambique, South Africa and Swaziland. This strengthened capacity to implement activities for improved management of TB among miners, ex-miners, their families and surrounding communities. Training emphasis was on infection control, screening, diagnosis, treatment and referral as prescribed by the Framework for Harmonized Management of TB. Among other deliverables, AQUITY: Developed the training modules and materials using the Framework for the Harmonized Guidelines for [...]
The specific objectives of the CSD Project are: To provide support services to the (DSD) for the Children’s Services Directory To promote the maintenance and sustainability of the Children’s Services Directory; and To increase the prognosis for sustainability of the CSD. AQUITY is working in collaboration with the national Department of Social Development (DSD) to raise awareness of the public on the CSD and increase local capacity to use the CSD through networking and targeting services for vulnerable children and their households. Why the Children’s Services Directory? The Government of South Africa has made the needs of all vulnerable children a priority by mounting a multi-sectoral response that involves most government departments, civil society and international donors to ensure that appropriate mechanisms and services are in place to offer concrete support to vulnerable children. In 2006 it was estimated that 3.7 million children had lost one or both parents. Whilst some of these children enjoy the care and support of extended family, the estimated number of those children who have become orphaned and vulnerable stood at 1.5 million as in October 2008. Orphaned and vulnerable children experience a wide range of challenges due to poor health, poverty, inadequate care, lack of social support and many other reasons. Access to quality services and supports is critical to their survival, protection, and development. How will the Children’s Services Directory help children in need? The Children’s Services Directory is designed to help caregivers, service providers and community members access services for vulnerable children in every province of South Africa. The Children’s Services Directory aims to: Help children and their caregivers identify and locate services, Inform government and donors on the availability of services for children, and Facilitate networking and referrals among service providers. The information in the Children’s Services Directory includes service [...]
South Africa is ranked fifth of the 22 high burden tuberculosis countries. Unless effective TB control is achieved quickly, South Africa will have 3.5 million new cases of TB and at least 90,000 TB related deaths over the next decade. Compounding the difficulty in combating TB is the pressure from other, associated epidemics such as HIV/AIDS. Increasingly, a new factor has been recognized which effects TB risk and treatment strategies: diabetes. Although there is little national data on the trends, there is evidence of an increase in the prevalence of diabetes among urban Africans. Today, the annual incidence of diabetes is estimated to be 5.5% among South Africans aged 30 years and older. This has important consequences for TB control, as people with diabetes have three times the risk of developing active TB than people without diabetes. Additional treatment complications are often experienced by co-infected TB and diabetic patients, which may go unaddressed as the patient is most often treated for both diseases separately. University Research South Africa has been awarded a project by the World Diabetes Foundation to help address these issues in KwaZulu Natal Province. Through the two year project which starts in October 2012, AQUITY will work with the Provincial Department of Health and district and facility managers to improve integration of services for patients with TB and diabetes. The project will focus on improving the early detection of TB in persons with diabetes and diabetes in persons with TB; improving the quality of TB and diabetes treatment for identified diabetes-TB patients, and strengthen health information systems to capture and track data to continuously improving services for early detection and evidence-based care for persons with diabetes-TB.
AQUITY works with the University of Free State to Evaluate Intervention to Improve TB Patients’ Uptake of HIV Counselling and Testing in the Free State Province
AQUITY has been a leader in developing the capacities of local communities and public sector partners to manage and scale-up HIV services, particularly in Southern Africa, and has been a strategic partner to the Provincial Departments of Health to implement provider-initiated HIC Counselling and Testing (PICT) in South Africa. In partnership with the University of Free State, AQUITY is contributing to a multi-site study of the comparative effectiveness of PICT service delivery models. The study will examine professional and community health worker training and mentoring interventions to improve uptake of PICT among TB patients and will build on work conducted by AQUITY's staff to support the National and Provincial DOH in the conceptualization of the PICT model. AQUITY will provide training and on-site coaching to healthcare workers on pre- and post-test counseling skills and quality assured HIV testing according to national standards, geared at evaluating the implementation of and outcomes related to PICT.