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HCT in the mining industry

HCT in the mining industry. Chamber of Mines Khanyile Baloyi 12 October 2011. Contents. Introduction TB and HIV Stats Health Management Model Challenges 5. Conclusion. Introduction. Food for thought

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HCT in the mining industry

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  1. HCT in the mining industry Chamber of Mines Khanyile Baloyi 12 October 2011

  2. Contents • Introduction • TB and HIV Stats • Health Management Model • Challenges • 5. Conclusion

  3. Introduction Food for thought “If TB and HIV are a snake in the SADC Region, the head of the snake is here in South Africa in the mines. People come from all over the SADC Region to work in our mines and export TB and HIV, along with their earnings. If we want to kill a snake, we need to hit it on its head”. Dr Aaron Motsoaledi, South African Health Minister, June 2010 Paula Akugizibwe of the Aids and Rights Alliance for Southern Africa (ARASA) stressed that the mining sector, which she referred to as a ‘TB factory’, was over a century behind schedule in its response to TB.

  4. WHO Global Report 2010

  5. Factors determining the incidence of TB in a mining community

  6. Legal obligation Voluntary Legal /Voluntary Referral Systems Fitness to work assessments Disclosure & clinical assessment Monitor effectiveness of controls TB & HIV Disease Prevention, treatment, care & support • Disease Management provided by treating doctors • Treatment protocol • Determine severity and prognosis of the condition with proper referral systems • Prevention • Education(induction, posters etc.) • Condom distribution

  7. Health Policy Committee Decisions HPC Meeting May 2010 Support the National HCT Campaign Strengthening of company HCT campaigns Integration of TB and HIV Care Test 100% workforce Promote access to HIV/AIDS prevention and treatment services for employees, their spouses, family members and the surrounding communities. Submit data to Nerve centres and SABCOHA Annual Industry surveys on HCT contribution.

  8. HIV/AIDS Intervention Strategy – Business Review – Impact Analysis • Not intervening will cost the companies more • Intervening too late has opportunity costs that cannot be recovered • Savings only happen ‘at scale’ (because of overhead costs) • Externalized benefits accrue with high levels of uptake & if ‘done properly’ • Sustainability depends on the design and approach (a human development process!)

  9. Other ‘externalized’ benefits • Corporate image (e.g. GBC awards) • Transformed workplace culture & highly motivated employees on treatment • Improved relationships in workplace • Safe working environment • Mining Charter obligations fulfilled • Public-private partnership with Government

  10. Roadmap Towards a “Blue-chip” Response to HIV/AIDS

  11. Take Home message • Given the challenges we have with respect to data, we appreciate the initiative by • SABCOHA for establishing the web based date tool. • Business need to be organized to ensure a coordinated response to the epidemics. • Today’s workshop acknowledges the important role of engaging in such a • multi-sectoral approach. • The availability of data enable the sector to do effective advocacy and beyond.

  12. Two hands clap and there is a sound. What is the sound of one hand clapping?

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