Managing risk through wellness Wellness in the Workplace Conference 17 & 18 April 2007

1. Managing risk through wellness Wellness in the Workplace Conference 17 & 18 April 2007 Bloemfontein Daniel Kotton Health & Wellness Advisor Standard Bank Africa

2. Who are we?

3. Our African Bank Footprint Nigeria Uganda Angola Ghana Kenya Tanzania Congo (DRC) Zimbabwe Malawi Namibia Mauritius Swaziland Zambia Mozambique South Africa Lesotho

4. There are 26 000 banks in the world In 2004 we were ranked at 125

5. 2006 we ranked at 116

6. Overview • Improving staff effectiveness in the workplace, • by implementing appropriate Health Risk Management practices. • Corporate Health Function • HIV/Aids – Strategy

9. The Group Corporate Health Function • “Health Risk management” • - Mitigating the impact of ill health on productivity • - Mitigating the impact of work on an individual’s health • Ensuring the long term sustainability of the Group’s • operations • “Sustainability Reporting” • - Gathering & reporting on data required in terms of • the Global Reporting Index

10. The Group Corporate Health Function cont. “Compliance” Ensuring Group complies with legislative requirements regarding health and employment issues. A large (and in RSA, increasing) body of legislation is operative in this sphere, e.g. • Basic Conditions of Employment Act • Occupational Health & Safety Act • Compensation for Occupational Injuries & Diseases Act

11. The Group Corporate Health Activities Establish protocols, manage and report on all the medical risk management requirements of the Group • Pre Benefit Medicals • Travellers & Expats Medicals • Health Surveillance Medicals • Incapacity Investigations • Executives & Snr Managers Programme • Emergency Support (in H/O)

12. Lifestyle Script INTERVENTION Assessment of Risk and Readiness to Change Recommendations made Channelling into Programmes Monitoring and Tracking

13. Treat Test Educate • Supportive HR Policy & Practice • LTD  TTI/TAPD  Performance Management • Absenteeism  Sick Leave  Etc Group Strategy: HIV/Aids  Focusing on our staff Employee Wellness Programme (e.g. ICAS) Educate, counsel, support (External Service Supplier) Medical Aid (External Service Supplier) Test, Treat and Maintain health Enables individual choice, protects Confidentiality & Encourages uptake Prevention of New Infections Counsel and Support Treat HIV+ve to Increase lifespan Prudent Risk Management Retire Recruit Induct Train & Develop Talent Pool Pension Fund and other Insured Benefits (x% +ve) Develop programmes to manage and mitigate impacts of HIV on the organisation Communications

14. Essential Components of a HIV/Aids Workplace Programme

15. Leadership commitment

16. Internal communications strategy- Sound internal workplace policy in place- Support and care structures in place- Internal surveys, studies, projects and programmes effectively using all internal media

18. Implement employee wellness programme (ICAS)

19. ICAS Data Ltd HIV Disclosed Identifying HIV Risk 59+ HIV Testing Support due to HIV+ Dependant 116+ HIV High Risk Rape/Sexual Abuse Domestic Violence Infidelity Substance Abuse 526+ Trending Towards HIV Risk? Relationship – Partner/Spouse Relationship – Sexual Issues Relationship – Interpersonal Conflict Relationship – Emotional Abuse 1 160+

20. Voluntary counselling and testing • Know your status

21. Disease management programme • Treatment and care via medical aid scheme

22. 2002 2003 21.23% inc. 2004 41.63% inc. 2005 20.33% inc. 106.60% increase Measuring and evaluating Standard Bank demographics Male Female Total

23. Code of Good Practice • Membership of National Coalition against HIV/Aids

24. Wellness - champions

25. Key innovative business strategies to fight HIV/Aids • People are key • Community activity • Supply chain • Working closely with NBC and donor organisations • Reposition HIV as a line issue

26. Thank You