Conference abstract
Barriers to TB services: experiences from mining communities in Tanzania
Pan African Medical Journal - Conference Proceedings. 2024:21(15).29
Apr 2024.
doi: 10.11604/pamj-cp.2024.21.15.2346
Archived on: 29 Apr 2024
Contact the corresponding author
Keywords: Tuberculosis, health services, mining activities
Oral presentation
Barriers to TB services: experiences from mining communities in Tanzania
Meckie Achayo1,&, Alistair Elias1, Azizi Khamisi1, Dickens Bwana1, Willy Mbawala1
1Mwitikio wa Kudhibiti Kifua Kikuu na UKIMWI Tanzania, Mkuta, Tanzania
&Corresponding author
Introduction: TB service beneficiaries in the mines face countless challenges in accessing quality TB services. Community-led monitoring (CLM) efforts empowered mining communities to report barriers preventing access to TB services in Tanzania. We aim to describe the challenges experienced by mining communities when receiving TB services.
Methods: Mwitikio wa Kudhibiti Kifua Kikuu na Ukimwi Tanzania (MKUTA), in collaboration with East, Central and Southern Africa Health Community (ECSA-HC), adopted and customized a digital CLM tool (OneImpact - TBKiganjani), to investigate challenges experienced by mining communities receiving TB treatment in Manyara, Shinyanga and Geita, Tanzania.
Results: a total of 7,155 challenges were reported by 50 trained community health volunteers. Of these, barriers to TB support services were reported 3,962 times (55%), followed by TB-services barriers (availability, accessibility, affordability, and quality) - 1,365 times (19%); stigma-related barriers - 1,059 times (15%); and human rights violations - 769 times (11%). Seventy-two percent of all challenges were reported by men. Miners reported 43% of all challenges, ex-miners - 16%, family members of miners - 6%, and those living around the mines - 4%. The remaining challenges (32%) were reported by other KPs (PLHIVs, Fisher folks, children, etc.). Lack of social protection schemes predominated.
Conclusion: the oneImpact approach is essential in engaging communities, giving them the opportunity to participate in improving TB services. Barriers to social support services, health services, stigma, and human rights violations are prevalent in mining communities. Interventions to address noted challenges are important to ensure TB services are accessible to all mining communities.
Barriers to TB services: experiences from mining communities in Tanzania
Meckie Achayo1,&, Alistair Elias1, Azizi Khamisi1, Dickens Bwana1, Willy Mbawala1
1Mwitikio wa Kudhibiti Kifua Kikuu na UKIMWI Tanzania, Mkuta, Tanzania
&Corresponding author
Introduction: TB service beneficiaries in the mines face countless challenges in accessing quality TB services. Community-led monitoring (CLM) efforts empowered mining communities to report barriers preventing access to TB services in Tanzania. We aim to describe the challenges experienced by mining communities when receiving TB services.
Methods: Mwitikio wa Kudhibiti Kifua Kikuu na Ukimwi Tanzania (MKUTA), in collaboration with East, Central and Southern Africa Health Community (ECSA-HC), adopted and customized a digital CLM tool (OneImpact - TBKiganjani), to investigate challenges experienced by mining communities receiving TB treatment in Manyara, Shinyanga and Geita, Tanzania.
Results: a total of 7,155 challenges were reported by 50 trained community health volunteers. Of these, barriers to TB support services were reported 3,962 times (55%), followed by TB-services barriers (availability, accessibility, affordability, and quality) - 1,365 times (19%); stigma-related barriers - 1,059 times (15%); and human rights violations - 769 times (11%). Seventy-two percent of all challenges were reported by men. Miners reported 43% of all challenges, ex-miners - 16%, family members of miners - 6%, and those living around the mines - 4%. The remaining challenges (32%) were reported by other KPs (PLHIVs, Fisher folks, children, etc.). Lack of social protection schemes predominated.
Conclusion: the oneImpact approach is essential in engaging communities, giving them the opportunity to participate in improving TB services. Barriers to social support services, health services, stigma, and human rights violations are prevalent in mining communities. Interventions to address noted challenges are important to ensure TB services are accessible to all mining communities.
