{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:01:29Z","timestamp":1787065289962,"version":"build-2736575974"},"reference-count":28,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T00:00:00Z","timestamp":1727308800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development (USAID)","doi-asserted-by":"publisher","award":["72061319CA00003"],"award-info":[{"award-number":["72061319CA00003"]}],"id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>In Zimbabwe, artisanal and small-scale miners (ASMs) are a key vulnerable group with high risk for tuberculosis (TB), HIV, and silicosis. The main purpose of this study was to investigate treatment outcomes of TB among ASMs. We conducted a follow-up observational study using secondary data. We analyzed data from 208 ASMs treated for TB at two occupational health clinics. We found a high treatment success rate of 87%, comparable to the national average for drug-sensitive TB. Unsuccessful outcomes were due to death (5%) and loss to follow-up (7%). Over a quarter of ASMs had unknown HIV status. Our study is the first to document treatment outcomes of TB among ASMs in Zimbabwe. Encouragingly, this study demonstrates the possibility of achieving good TB treatment outcomes even among highly mobile populations like ASMs. Further research is needed to analyze leakages across the whole TB patient pathway among ASMs. Additionally, addressing the high rate of unknown HIV statuses among ASMs is crucial to further improve overall TB treatment outcomes in this population.<\/jats:p>","DOI":"10.3390\/ijerph21101282","type":"journal-article","created":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T06:55:52Z","timestamp":1727333752000},"page":"1282","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Treatment Outcomes of Tuberculosis Among Artisanal and Small-Scale Miners in Zimbabwe: A Follow-Up Observational Study Using Secondary Data"],"prefix":"10.3390","volume":"21","author":[{"given":"Dingani","family":"Moyo","sequence":"first","affiliation":[{"name":"Baines Occupational Health Services, Harare 024, Zimbabwe"},{"name":"Faculty of Medicine, National University of Science and Technology, Bulawayo 029, Zimbabwe"},{"name":"Occupational Health Division, School of Public Health, University of the Witwatersrand, Johannesburg 2000, South Africa"},{"name":"College of Health Sciences, University of Kwa-Zulu Natal, Durban 4001, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fungai","family":"Kavenga","sequence":"additional","affiliation":[{"name":"Ministry of Health and Child Care, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4668-0868","authenticated-orcid":false,"given":"Ronald Thulani","family":"Ncube","sequence":"additional","affiliation":[{"name":"The Union Zimbabwe Trust, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Moyo","sequence":"additional","affiliation":[{"name":"Baines Occupational Health Services, Harare 024, Zimbabwe"},{"name":"Faculty of Health Sciences, Zimbabwe Open University, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Chiboyiwa","sequence":"additional","affiliation":[{"name":"Ministry of Health and Child Care, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Nyambo","sequence":"additional","affiliation":[{"name":"Ministry of Health and Child Care, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Godknows","family":"Madziva","sequence":"additional","affiliation":[{"name":"Baines Occupational Health Services, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mpokiseng","family":"Ncube","sequence":"additional","affiliation":[{"name":"Baines Occupational Health Services, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orippa","family":"Muzvidziwa","sequence":"additional","affiliation":[{"name":"Baines Occupational Health Services, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tafadzwa","family":"Mperi","sequence":"additional","affiliation":[{"name":"Baines Occupational Health Services, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blessings","family":"Chigaraza","sequence":"additional","affiliation":[{"name":"Baines Occupational Health Services, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0750-9586","authenticated-orcid":false,"given":"Victoria Varaidzo","family":"Chizana","sequence":"additional","affiliation":[{"name":"The Union Zimbabwe Trust, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Plassey Ropafadzo","family":"Chinove","sequence":"additional","affiliation":[{"name":"Ministry of Health and Child Care, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4134-999X","authenticated-orcid":false,"given":"Frank","family":"Mudzingwa","sequence":"additional","affiliation":[{"name":"Hospice and Palliative Care Association of Zimbabwe, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kudzaishe","family":"Mutungamiri","sequence":"additional","affiliation":[{"name":"Jointed Hands Welfare Organization, Gweru 054, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0997-9799","authenticated-orcid":false,"given":"Collins","family":"Timire","sequence":"additional","affiliation":[{"name":"Ministry of Health and Child Care, Harare 024, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,26]]},"reference":[{"key":"ref_1","unstructured":"(2024, July 24). Global TB Report Zimbabwe Country Profile, 2023. Available online: https:\/\/worldhealthorg.shinyapps.io\/tb_profiles\/?_inputs_&entity_type=%22country%22&iso2=%22ZW%22&lan=%22EN%22."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Humayun, M., Chirenda, J., Ye, W., Mukeredzi, I., Mujuru, H.A., and Yang, Z. (2024, July 24). Effect of Gender on Clinical Presentation of Tuberculosis (TB) and Age-Specific Risk of TB, and TB-Human Immunodeficiency Virus Coinfection | Open Forum Infectious Diseases | Oxford Academic. Available online: https:\/\/academic.oup.com\/ofid\/article\/9\/10\/ofac512\/6748964.","DOI":"10.1093\/ofid\/ofac512"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Mbuya, A.W., Mboya, I.B., Semvua, H.H., Mamuya, S.H., and Msuya, S.E. (2023). Prevalence and factors associated with tuberculosis among the mining communities in Mererani, Tanzania. PLoS ONE, 18.","DOI":"10.1371\/journal.pone.0280396"},{"key":"ref_4","unstructured":"(2024, July 24). 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