By Loyd Matare
The Union Zimbabwe Trust (UZT), with support from the Stop TB Partnership (Global), has launched a mobile TB and silicosis screening project aimed at reaching artisanal miners in hard-to-access communities in Mberengwa and Zvishavane.
The project is using ultra-portable digital X-rays enabled with AI-powered Computer Aided Diagnosis (CAD-AI) to detect TB and lung-related illnesses in real time.
Health workers are conducting screenings at mine sites during the day and at bars and social spots at night — a model they call “moonlight screening.”
Speaking at the launch event held at Vanguard Business Centre in Mberengwa, Midlands Provincial Medical Director Dr Mary Muchekeza said the mobile outreach brings services directly to those most at risk.
“We are here to launch a game changer project in the diagnosis of TB and silicosis, particularly in settings like these mining communities targeting artisanal miners and ex-miners,” she said.
Miners screened on-site are also tested for related conditions such as malnutrition, alcohol use disorders, and silicosis a common occupational disease caused by prolonged exposure to silica dust.
According to UZT Executive Director Dr Ronald Ncube, the project shifts away from the traditional passive health system, which relies on patients visiting clinics on their own.
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“What sets this model apart is its integration of TB screening with services for silicosis, malnutrition, and alcohol use disorders, offering comprehensive care closer to where people live and work,” he said.
So far, four of 33 planned screening campaigns have been conducted.
Out of 999 clients screened for symptoms, 925 received X-rays, and 271 specimens were collected and tested.
Results show 10 people were diagnosed with TB, six with silicosis, and four with both TB and silicosis also known as Silico-TB.
“This project closes critical gaps in TB detection and care.
“Artisanal miners are often left out of routine services, and this model brings healthcare right where it’s needed most,” he said.
The programme is being rolled out in 25 health facility catchment areas across the two districts.
A total of 270 community health workers have been trained to support the initiative.
Zvishavane District TB and Leprosy Coordinator Nkulumo Ncube said the outreach will boost early detection and treatment in remote areas.
“We are happy to be one of the districts selected to implement the project. It is an opportunity to improve TB case finding and bring us closer to a TB-free Zimbabwe.”
