Representative Engagement
Strengthening Occupational Health Systemsfor Southern Africa's Former Mineworkers
Advisory leadership with SAMA and partner organisations, connecting silica and tuberculosis prevention with recognition, referral and long-term worker health protection.
The Challenge
Former mineworker health needs systems that work beyond a single mine.
Former mineworkers across Southern Africa face occupational health needs shaped by historic silica exposure, tuberculosis risk, fragmented records, cross-border movement, and uneven access to recognition, referral, and support systems.
The engagement centred on advisory support with SAMA and partner organisations: strengthening practical pathways for prevention, surveillance, referral, records, and institutional coordination so worker health protection can continue beyond employment.
Prevention and surveillance
Connect silica and tuberculosis prevention with health-surveillance pathways that can support workers beyond a single employer or jurisdiction.
Records and referral
Organise exposure history, occupational health information, and follow-up responsibilities so affected workers can be recognised and directed toward support.
Regional coordination
Support associations, institutions, and partners working across borders, worker histories, and health-system responsibilities.
Implementation evidence
Translate occupational health evidence into practical decisions on system design, prioritisation, and disease-prevention infrastructure.
Strategic Approach
A framework for prevention, information, and coordination.
The advisory framework organises the work around four practical functions that help institutions move from evidence to prevention infrastructure.
Governance
Clarifies institutional responsibilities, accountability, and coordination between associations, ministries, health-system partners, and industry stakeholders.
Occupational Health
Organises work history, exposure context, and worker health information so long-latency occupational disease risk can be understood over time.
Prevention Systems
Links surveillance, recognition, and referral pathways with prevention-oriented decisions and practical follow-up.
Regional Coordination
Supports a shared advisory frame for partners working across borders, worker histories, and health-system boundaries, with capability to maintain and strengthen prevention systems over time.
A Long-Term Measure
The success of this engagement is measured years after the final meeting, when the prevention system continues to protect workers without us.
DISCUSS AN ENGAGEMENT
Discuss your occupational health challenge.
We work with governments, industry, worker organisations and international partners to strengthen occupational health systems and prevent work-related disease.
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