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A Workplace HIV Project for SMEs in Buffalo City Municipality, Eastern Cape

A Workplace HIV Project for SMEs in Buffalo City Municipality, Eastern Cape. Dr Simeon Odugwu Project Manager June 6, 2007 ICC Durban. Background. In 2006 25 of 40 million living with HIV/AIDS are in Sub-Saharan Africa People living with AIDS - 5,5 million; 91% of them aged 20 – 64 years

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A Workplace HIV Project for SMEs in Buffalo City Municipality, Eastern Cape

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  1. A Workplace HIV Project for SMEs in Buffalo City Municipality, Eastern Cape Dr Simeon Odugwu Project Manager June 6, 2007 ICC Durban

  2. Background In 2006 • 25 of 40 million living with HIV/AIDS are in Sub-Saharan Africa • People living with AIDS - 5,5 million; 91% of them aged 20 – 64 years • Prevalence in adults aged 15 to 49 – 18.8% • Adults aged 15 yrs and over living with HIV - 5,3 million • Orphans aged 0 – 17 due to HIV – 1.2 million • Percentage of infected men and women on antiretrovirals – 21% • Prevalence in ANC attendees in 2005 – 30.5% • Incident HIV cases 527,000 (+/-1400/day; ~ 88% in adults) • Deaths due to HIV - 320,000 (270,000– 380,000)

  3. Background -contd • STI, HIV/AIDS & TB epidemics closely linked • Many socio-economic factors fuel the epidemic • AIDS deaths will peak around 2012 • HIV/AIDS predominantly affects productiveage groups impacting on the entire economy • HIV/AIDS is a key development challenge • HIV/AIDS is a critical risk management focus for business in South Africa

  4. Which way is the HIV epidemic headed in SA I? Source of data: www.assa.org.za/aids

  5. Which way is the HIV epidemic headed in SA II? Source of data: www.assa.org.za/aids

  6. ‘Everyone can help fight the disease …’

  7. Objectives • Provide leadership for/stimulate local organized business response to HIV/AIDS. • Deliver comprehensive HIV and AIDS prevention, care, support, treatment and risk management services at SME level in the Buffalo City Municipality. • Build innovative partnerships for effective service delivery. • Strengthen comprehensive primary health care services in both public and private sectors.

  8. Project Partners • DaimlerChrysler SA • Border-Kei Chamber of Business • DEG (Deutsche Investitions- und Entwicklungsgesellschaft mbH) • Participating companies • BroadReach Health Care LLC • Aid For AIDS Pty Ltd • Buffalo City Municipality & Amathole District Municipality • Department of Health Province of the Eastern Cape • Eastern Cape AIDS Council • Eastern Cape Development Corporation

  9. DCSA / BKCOB / DEG HIV/AIDS Project 2006 - 2007 Participating Companies – pilot phase 2006/2007 • RedAlert • Rehau Polymer • Summerpride Foods • Time Clothing • Venture SA – East London • Daily Dispatch • Kempston Outsourcing • Ronnies Motors • 6700 employees • +/- 26000 dependants • Burmeisters • Defy Refrigeration • Dimbaza Foundries • Fabkomp • Faurecia – EL Plant • G4 Securicor – EL Operations • Hemmingways Casino • Johnson Controls Int – EL Plant • Lear Corporation – EL Plant

  10. DCSA / BKCOB / DEG HIV/AIDS Project 2006 - 2007 SME Level • Policy implementation & / or review • Training for • Management • Focal Persons & support – 27 trained, monthly meetings. • Employees – compulsory small groups training/counseling • Occupational health service staff • Patients • Peer Educators • On-site voluntary testing of employees • Private care for HIV +ve employees/deps at no cost (GP network) • Risk assessment & risk management advisory services

  11. DCSA / BKCOB / DEG HIV/AIDS Project 2006 - 2007 PHC Component • Quality of care audit & support of public PHC facilities • Training of public sector PHC nurses & GPs in VCT & STI/TB/ HIV/AIDS Clinical Care Community outreach component • Community Wellness Days – 1/year • Extension of HIV & AIDS care, support & treatment to an additional 1,000 patients in the public sector ART queue. These include BCM employees.

  12. Achievements to date and lessons learned

  13. Defy Refrigeration 30 Dimbaza Foundries 27 Faurecia 8 Johnson Controls Int 9 Lear Corporation 11 Daily Dispatch 29 Venture SA 8 Fabkomp 17 Summerpride Foods 14 Red Alert 30 Rehau Polymer 8 Time Clothing 28 G4 Securicor 39 Burmeisters 18 Kempston 4 Ronnies 18 Hemingways 37 1. HIV Training for Managers Total 352

  14. DCSA / BKCOB / DEG HIV/AIDS Project 2006 - 2007 2. C & T completed in 15 companies over 12 months • Venture SA – East London • Daily Dispatch • Lear Corporation – EL Plant • RedAlert • Ronnies Motors - April • Hemmingways Casino • G4 Securicor – June • Kempston Outsourcing - yet • Burmeisters • Defy Refrigeration • Dimbaza Foundries • Fabkomp • Faurecia – EL Plant • Johnson Controls Int – EL Plant • Rehau Polymer • Summerpride Foods • Time Clothing

  15. Trained 3767 Tested 2333 Positive 196 CUR 88.0% TUR 61.6% ECR 54.2% PR 7.7% As of April 2007

  16. 4. Others • 241 patients referred into our treatment programme • 26 Nurses on STI/TB/HIV management • 43 doctors on HIV management – refresher • 32 nurses on voluntary counselling and testing • 62 Peer Educators – new and refresher

  17. Lessons • Pre-existing good employer-employee relationship is essential for success. • Owners/managers are keen to roll out workplace programmes but would rather leave implementation to the experts. • Employees are eager to participate but confidentiality remains a big issue. • Denial remains a hindrance to accessing treatment. • We need to find another way of reaching employee dependants.

  18. Nita Laine M. Mapenyane Janet Bennett H. Dwatyana Neil Le Roux Joyce Sauls Tanya Starck Zami Meke Noxolo Tetyana Clee Waterson Phumla Bazi Judi Dargie Vuyokazi Bata Reshma Khandoo Lyndy Loraine-Grens Margie McKitterick Ermel Robert Dave Roger Barbara van Heerden Anton Pretorius Mike Kilroe Ivy Makapela Acknowledgements • Joseph Sihlahla • Ivy Ntlangeni • Valerie Damane • Bukelwa Moya • Anele Dako • Stella Heuer • AfA • BRHC LLC • Clifford Panter • Tanya Hosford • Les Holbrook • Lynn Paxton • Zuki Jombile • Jenny Inglis • Janet Shuttleworth • Lorna Schoffield • Phyllis • Andrea Knigge • Gail Goliath • Brian Harmse • Jenny De Free • Bernie Richter • Nosipho Goduka • Tania Kilroe • Sheralee Walker • Monty Jagers • Michelle Taylor • Silvia van Rensburg • Siva Govender • Lindiwe eswina

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