1. #AIDS2016 | @AIDS_conference

2. Workplace Based HIV Treatment – A Debswana Experience Dr. Mwamba Nsebula

3. #AIDS2016 | @AIDS_conference The Case for Intervention 1987 - First case of HIV confirmed at a Debswana Facility 1996 – impact on productivity becoming evident – Increasing sickness absenteeism Loss of skills – Retirements due to ill health – In service HIV related deaths up to 59% Conflicting information on HIV transmission impacting on employee morale

4. #AIDS2016 | @AIDS_conference Key Milestones 1999 - 2001 Development of Workplace HIV Policy Establish the disease burden through prevalence survey Identify and agree on interventions Determine cost of HIV prevention, care and treatment Demonstration of leadership commitment Stakeholder engagement

5. #AIDS2016 | @AIDS_conference Workplace Disease Management Program - 2001 Dissemination of HIV & Aids related information Workplace accommodation of infected and affected employees Access to care – During employment – Post employment with Debswana Resourcing of the program

6. #AIDS2016 | @AIDS_conference Success factors Use of peer educators Financial support to employees enrolled in DMP Prevailing political environment supported at the highest level Improved community access to HIV & Aids prevention and care through partnership with Government

7. #AIDS2016 | @AIDS_conference Conclusion Response to HIV epidemic through workplace treatment program was not just a business imperative, it was the right thing to do. Productivity has been maintained due to – Reduction in sickness absenteeism – Reduction in HIV related ill health separation – Reduction in HIV related mortality The 90:90:90 is Debswana’s next challenge

8. #AIDS2016 | @AIDS_conference Acknowledgements UNAIDS CASE STUDY, September 2002, Private Sector Responds to Epidemic, Debswana a global benchmark Debswana Pension Fund Ministry of Health, Republic of Botswana Balisi Bonyongo, MD, Debswana