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Key Populations: TB in Farms

Among key populations for TB interventions are farms workers. Farm workers are vulnerable to TB infection, and seasonal farm workers are especially at risk of poor outcomes, given that they are a highly mobile population that often has poor access to health services and low retention in care. Contributing factors to high incidence of TB among this group include poor living conditions and residing in inadequate ventilated houses, conditions that favour the spread of respiratory infections. Fears of loss of employment and income due to long distance to health facilities and long waiting periods also contribute to poor health seeking behaviour among this population.

USAID TB South Africa Project implemented the TB in Farms Intervention Model to contribute to improving access to TB services for farm workers. The intervention was launched and piloted in Sarah Baartman District, Eastern Cape Province, in 2017, and subsequently rolled out to other provinces.

The TB in Farms Intervention Model is co-implemented by USAID TB South Africa Project, provincial Departments of Health in Eastern Cape, Limpopo and Western Cape provinces, and farm owners in participating districts. The intervention is implemented to assist the Government of South Africa to identify missing TB cases in the country by targeting this highly mobile population who remain underserved by health services.