Workplace & HIV/AIDS Unit Department of HIV/AIDS Prevention & Care

 An initiative that dates back to 1990s  Health Workers the backbone of the health care system- forefront of prevention, treatment, care and support services  Impact of HIV/AIDS on Botswana Health Care System -Increased physical and emotional demand on Health Worker -Emerging and re-emerging health problems impacting further on already over-stretched workforce -Work environment a major source of stress, discontent and burnout for health workers Health workforce a scarce resource with chronic shortages hence the TTR WHO initiative 2006 Health Workers seek services late due to fear, stigma and discrimination hence the WWP

2005/2006  MOH providing leadership and technical guidance with PEPFAR support  Programme Coordinator appointed in 2005 (supported by PEPFAR)  National steering committee in place for technical guidance  National needs assessment conducted in 2005  Sensitization of leadership at national and district level  Development of Programme’s 3 year plan GOAL: GOAL: To provide services and support to enhance the well- being and job-satisfaction of health workers in order to improve their emotional and physical health, prevent burnout, enhance staff retention and have a positive impact on patient care.

2007  Facility Readiness Assessment conducted  Supportive structures in place to drive implementation o Operational Guidelines developed- minimum package services to be offered o Workplace Wellness Committees (18 hospitals, 3 headquarters units) o Quarterly reporting tool developed o Facility Support Visits conducted  Development of Health Promotion Materials  Development of Capacity Building Modules on Stress Management, Occupational Health Safety, Death & Dying and Team Building o Commenced Training of TOTs and Support Group Facilitators

Programme Materials STRESS MANAGEMENT A Handbook for Health Workers STRESS MANAGEMENT A Handbook for Health Workers STRESS MANAGEMENT A Handbook for Health Workers STRESS MANAGEMENT A Handbook for Health Workers January 2008 TEAM BUILDING A Handbook for Health Worker January 2008 s OCCUPATIONAL HEALTH HAZARDS A Handbook for the Workforce January 2008 FXB Republic of Botswana OCCUPATIONAL HEALTH HAZARDS A Handbook for the Workforce January 2008 FXB Republic of Botswana OCCUPATIONAL HEALTH HAZARDS A Handbook for the Workforce January 2008 FXB Republic of Botswana OCCUPATIONAL HEALTH HAZARDS A Handbook for the Workforce January 2008 FXB Republic of Botswana Handbooks Posters Journals Brochures Workplace Wellness Program for Health Workers Workplace & HIV/AIDS Unit/ Department of HIV/AIDS Prevention & Care Ministry of Health Caring for the Caregiver Project Nurses Association of Botswana Support Groups for Health Workers Support Groups For Health Workers Government of Botswana Wellness Program for Health Workers Ministry of Health Botsogo jwa Badiri Lephata la Botsogo Government of Botswana Staff Morale A Handbook for Supervisors and Managers In Health Institutions August 2007 WellnessProgramforHealthWorkers Therapeutic Recreation Support Groups Health Screening Counselling Training/Education Department of HIV/AIDS Prevention & Care Ministry of Health / EmpoweringYOU to be Healthy! to be Healthy! Get Involved Today! WellnessProgramforHealthWorkers Therapeutic Recreation Support Groups Health Screening Counselling Training/Education Department of HIV/AIDS Prevention & Care Ministry of Health / EmpoweringYOU to be Healthy! to be Healthy! Get Involved Today! Folders Pens Lanyards

Capacity Building Modules - Facilitator Manuals - Participant Journals - Facilitator’s Guide - Member’s Guide

2008  Scaling up training at facility level on Stress Management, Occupational Health Safety, and Team Building including support groups  Launch of the Programme by the Honorable Minister of Health  Held the First Annual National Review and Planning Seminar - Focal Officers opportunity for sharing Best Practices  Poster presentation of 2 Abstracts at the HIV/AIDS International Conference in Mexico  Commenced development of M&E Framework  Developed Post Exposure Prophylaxis Algorithm

Hon. Minister of Health – Opening Remarks MOH Staff Hon. Minister of Health – Touring Wellness Stalls MOH Staff enjoying Healthy refreshments MOH Staff – Aerobics SessionWWP Launch – Organizing Committee

2009  TB/HIV Education and Care for high risk health care workers commenced in collaboration with BNTP, ARV and Upenn. Infection Prevention and Control an integral component of this initiative  WWP contributed to the DHAPC website  Completion of ‘Facility Resource Toolkit’  Development of the ‘Daily Health Promotion /Inspiration Book’  Development of Programme Logo

Recreation Health screening Treatment and care Psychosocial support Spiritual care Capacity building Lifestyle Stress management

Statistical HIGHLIGHTS  Stress Management/Team Building/Occupational Health o TOTs – 273 o Managers – 84 (+ 20 I H S Managers on SM)  Support Group Facilitators – 190  Aerobics Instructor Training – 56  Monitoring & Evaluation – 70  TB/HIV – 2232, screened for TB - 941, screened for HIV (Dec 2009 for PMH, SEDC incl BLH, Kgatleng incl DRM) expansion ongoing to incl Kanye Nyangabgwe,SLH, Athlone etc  22/28 Hospitals plus MOHHQ, CMS, NHL offering wellness services (at varying levels of implementation)  49 Support Groups in 19 health facilities  15 Hospitals scaled up training to over 800 health workers  16 Hospitals have conducted annual wellness days  Over 400 Peer Educators trained

 Continuation of capacity building scale up at facilities  Development of Workplace Peer Counsellor Manual  Evaluation of Peer Education  Dissemination of PEP Algorithm  Facilitation of training on infection control protocols  Scale up of TB/HIV Education and Care for high risk health workers  Development of target specific health promotion materials especially for youth, men and women  Quarterly technical support visits

THANK YOU Ministry of Health