490 Tb treatment outcomes in mine health facilities south africa 2015 -2018: preliminary findings

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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.

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