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Employers have long recognized the importance of promoting employee health, as it contributes to an organization’s overall success, both in keeping employees productive and in maintaining a higher level of employee retention. Particularly in high-hazard industries, such as the mining industry, employer-sponsored medical services for employees are essential. Despite this crucial role of employee health in successful business enterprises, there is a lack of in-depth published research considering employee health issues from the employees’ perspective. Research into healthcare issues in Africa and the African mining industry, with an emphasis on its employees, helps to fill this gap and to identify key factors in fostering better employee health – particularly the health of mine workers – worldwide. Our study research focuses on the Konkola Copper Mines (KCM) in Zambia, Africa, surveying 285 KCM employees and nine management staff in 2016. The study identified the following factors that make company-sponsored healthcare services important both to KCM and to its employees: employee financial protection, employee health and productivity, employee retention, and employee morale. Our findings affirm that multi-level solutions – including strategies that better engage different participants in healthcare services delivery – will more successfully promote both mine workers’ health and also greater mining company profits through a reduction in human resource costs. These multi-level strategies can include employer commitment to increasing the quality of company-sponsored healthcare, removing inefficiencies in healthcare delivery and procurement of services, increasing investment in medical equipment, increasing employee and union buy-in, banking and earmarking employee contributions for their more specific healthcare needs, and attracting commercial healthcare sponsorship and pharmaceutical co-branding.

What Multi-Level Solutions Can Simultaneously Promote Zambian Mine Workers’ Health and Benefits to Mining Companies?