1. Integrating health prevention information and services for employees in the private sector structures Experiences and lessons learned from Zimbabwe
Theresa Gatsi GIZ HIV Prevention Project

2. Zimbabwe Context 2013 incidence population
National HIV prevalence among adults years is 15%
HIV prevalence is higher among the employed (17%) than among the unemployed (13%)
HIV incidence dropped from about 5.5% in adults in 1992 to approximately 0.98% in 2013
Incidence decline is attributed to the successful prevention strategies especially behaviour change, high condom use, and reduction in multiple sexual partners
Source: NAC 2015

3. Background
GIZ Zimbabwe implemented HIV workplace programmes for its partners and selected companies since 2006
Approach extended to Employee Wellbeing in 2011 based on demand from companies to address health topics beyond HIV/ AIDS including: TB, Malaria, hypertension, Diabetes and Cancer
8 companies in Mashonaland West and Manicaland Province supported; mainly from the agricultural and forestry sector with ~ 9,000 workers/ year
Objective of Employee Wellbeing Programmes (EWP): Employees of selected companies in project intervention areas adopt preventive behaviours including the use of relevant health services

4. EWP approach
INTEGRATION with Company Safety, Health and Environmental (SHE) SERVICES
BCC: Peer led information sessions on TB, Malaria, HIV and AIDS, hypertension, Diabetes and Cancer combined with:
HEALTH SERVICES:
Mobile HTC testing and counselling via PSI,
Referral for VMMC and VIAC
In-house clinical services including HTC, TB screening, ART initiation, care and treatment for PLWHA, PMTCT, malaria treatment, STI screening and treatment, SRH services such as FP, condom distribution, ANC/deliveries
BACKSTOPPING and FUNDING of supporting NGO Family AIDS Caring Trust (FACT), involvement of in-house nurses, trainings, exchange visits among companies, monitoring of activities and results

5. Results
Proportion of HIV tests performed by PSI and company clinics per year
Number of person exposure to EWP session per year

6. Impact – Decreasing illness related absenteeism example from Border Timber Company
Start of EWP

7. Impact – decreasing health costs per year example Border Timber Company.

8. Impact – improved productivity per year example Border Timber Company
Start of EWP .

9. Showcasing return of investment

10. Lessons learned
It is evident that EWP can effectively strengthen access to health information and services for employees in the private sector, if well integrated in given company structures, supported by medical staff and provision of multi- dimensional combination of tools, clinical services and approaches.
The success of EWP interventions is dependent on management buy-in and partnership with key service providers.
Documentation of results and impact should be an integral part of results-based monitoring and continued advocacy for financial buy-in from companies needs to be achieved.
Use of Cost Benefit Projection Tool by companies in Zimbabwe and in the region to be extended.