Evaluation of the Basic Healthcare Project for Artisanal and Small-Scale Gold Miners in Gwanda, Zimbabwe

The Basic Healthcare Project for Artisanal and Small-Scale Gold Miners (ASM) in Gwanda, Zimbabwe, seeks to reduce morbidity and mortality among artisanal miners, sex workers, and surrounding host communities by expanding access to integrated basic healthcare through mobile clinics, outreach, and health promotion. The intervention addresses a broad burden of disease, including HIV, TB, STIs, NCDs, SRH, silicosis, and mental health, while tackling environmental and occupational risks through water, sanitation, and hygiene initiatives and advocacy for safer mining practices. It also serves as a learning and innovation model within MSF’s broader public health programming.

This evaluation examined the project’s relevance, effectiveness, efficiency, and sustainability midway through its three-year implementation (December 2023–2026). It aimed to generate practical learning to inform adaptation and transition planning for the remainder of the project cycle.