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 productive age 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?

6. ‘Everyone can help fight the disease …’

7. Objectives 1.Provide leadership for/stimulate local organized business response to HIV/AIDS. 2.Deliver comprehensive HIV and AIDS prevention, care, support, treatment and risk management services at SME level in the Buffalo City Municipality. 3.Build innovative partnerships for effective service delivery. 4.Strengthen comprehensive primary health care services in both public and private sectors.

8. Project Partners 1.DaimlerChrysler SA 2.Border-Kei Chamber of Business 3.DEG (Deutsche Investitions- und Entwicklungsgesellschaft mbH) 4.Participating companies 5.BroadReach Health Care LLC 6.Aid For AIDS Pty Ltd 7.Buffalo City Municipality & Amathole District Municipality 8.Department of Health Province of the Eastern Cape 9.Eastern Cape AIDS Council 10.Eastern Cape Development Corporation

9. DCSA / BKCOB / DEG HIV/AIDS Project 2006 - 2007 1.Burmeisters 2.Defy Refrigeration 3.Dimbaza Foundries 4.Fabkomp 5.Faurecia – EL Plant 6.G4 Securicor – EL Operations 7.Hemmingways Casino 8.Johnson Controls Int – EL Plant 9.Lear Corporation – EL Plant 10.RedAlert 11.Rehau Polymer 12.Summerpride Foods 13.Time Clothing 14.Venture SA – East London 15.Daily Dispatch 16.Kempston Outsourcing 17.Ronnies Motors 6700 employees +/- 26000 dependants Participating Companies – pilot phase 2006/2007

10. DCSA / BKCOB / DEG HIV/AIDS Project 2006 - 2007 SME Level 1.Policy implementation & / or review 2.Training for Management Focal Persons & support – 27 trained, monthly meetings. Employees – compulsory small groups training/counseling Occupational health service staff Patients Peer Educators 3.On-site voluntary testing of employees 4.Private care for HIV +ve employees/deps at no cost (GP network) 5.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. 1. HIV Training for Managers 1.Defy Refrigeration30 2.Dimbaza Foundries27 3.Faurecia8 4.Johnson Controls Int9 5.Lear Corporation11 6.Daily Dispatch29 7.Venture SA8 8.Fabkomp17 9.Summerpride Foods14 10. Red Alert30 11. Rehau Polymer8 12. Time Clothing 28 13. G4 Securicor39 14. Burmeisters18 15. Kempston4 16. Ronnies18 17. Hemingways37 Total352

14. DCSA / BKCOB / DEG HIV/AIDS Project 2006 - 2007 1.Burmeisters 2.Defy Refrigeration 3.Dimbaza Foundries 4.Fabkomp 5.Faurecia – EL Plant 6.Johnson Controls Int – EL Plant 7.Rehau Polymer 8.Summerpride Foods 9.Time Clothing 10.Venture SA – East London 11.Daily Dispatch 12.Lear Corporation – EL Plant 13.RedAlert 14.Ronnies Motors - April 15.Hemmingways Casino 16.G4 Securicor – June 17.Kempston Outsourcing - yet 2. C & T completed in 15 companies over 12 months

15. Trained3767 Tested2333 Positive196 CUR88.0% TUR61.6% ECR54.2% PR7.7% 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 1.Pre-existing good employer-employee relationship is essential for success. 2.Owners/managers are keen to roll out workplace programmes but would rather leave implementation to the experts. 3.Employees are eager to participate but confidentiality remains a big issue. 4.Denial remains a hindrance to accessing treatment. 5.We need to find another way of reaching employee dependants.

18. Acknowledgements 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 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 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