frame for man hiv aids
TRANSCRIPT
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A Framework for Managing
HIV/AIDS in the Workplace
Geoff Verschoor
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Who is Rand Water? Established 1903
Governed by own Act until 1998
Fully non-executive Board appointed by Minister
Financially independent
Supply more than 10 million people over an area
of 16 800 km2
Employ 3 300 staff based on 5 main sites, over
90% unionised
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Adding Value to WaterFROM HERE
TO HERE
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High Risk Demographic Profile History of migrant
labour
Single sex hostels
Bipolar skills profile
Large numbers in 30
to 40 year age group
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HIV/AIDS Programme ObjectiveTo minimise the total impact of the
HIV/AIDS epidemic on the company & all
stakeholders, primarily by focusing on saving
lives & supporting those who are affected,
whilst ensuring ensuring that the cost
implications are quantified & contained,thereby supporting the long-term
sustainability of business operations
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Rand Water HIV/AIDS
Framework
HIV/AIDS Policy
Epidemic
Impact
Containment
Economic
Impact
Containment
Living with
AIDS
Research,
Continuing
Education
Communication Strategy
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HIV/AIDS Framework
HIV/AIDS Policy
Communication Strategy
Epidemic
Impact
Containment
Economic
Impact
Containment
Living with
AIDS
Research,
Continuing
EducationTo minimise
t e impacton
employees &
t eir families
by limiting t espread
To limit t e
economic
impacton t e
organisation
To support t e
wellness of
employees
already
infected
To sustain &
improve t e
effectiveness
of t e
programme
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HIV/AIDS Policy Framework A safe working environment for all employees
Support & non-discrimination
Confidentiality Cost-effective resources & support
Behaviour change programme
Action plan on GUIs
Support services to those living with HIV/AIDS
Containing economic impact (organisation &employees)
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Key Role Players & Structures
Non-executive Board
Management andsupervisors
Trade union leadership
Project Manager
Participative structures(Rand Waters PCP
structures HIV/AIDS Project Team,
site committees
Peer counsellors
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Participative Structures
SteeringCommittee
TaskGroups
MonitoringGroups
Stakeholders
Forum
Plant Level
Forums
Task
Groups
Task
Groups
Workplace
Meetings
Workplace
Meetings
Workplace
Meetings
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Communication Strategy To communicate with all stakeholders; gain
support, understanding & participation;
ensure effective roll-out of strategic plan
elements
Industrial theatre
Presentations & discussions Posters
Brochures, pamphlets
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HIV/AIDS Framework
HIV/AIDS Policy
Epidemic
Impact
Containment
Economic
Impact
Containment
Living with
AIDS
Research,
Continuing
Education
Communication Strategy
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Containing the Epidemic Knowledge, attitude & perceptions (KAP)
study
Peer counselling, education & training
STD education & treatment programme
Increasing condom usage
Hostels: recreation & phasing out
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HIV/AIDS Education & Training
HIV/AIDS
Kno le e
Managers
Employees Shop StewardsSkills
M naging erfor ance,
incapacity, e ployee
relations
Supporting, coaching
e ers hen HIV/AIDS
affecting ell- eing,
perfor ance
Re ucingriskof infection
/or anagingHIV/AID
status
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HIV/AIDS Framework
HIV/AIDS Policy
Epidemic
Impact
Containment
Economic
Impact
Containment
Living with
AIDS
Research,
Continuing
Education
Communication Strategy
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Reducing the Economic Impact Quantifying current levels of
infection
Predicting epidemiologicalcurves
Impact studies
Financial
Practices, performance, strategy Medical, employment benefits
Remedial actions
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Assessing the Real Risk Risk analysis (actuarial study)
Cost impact study
HIV surveillance study
Voluntary confidential testing
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HIV Surveillance Testing Anonymous saliva testing
72.3% of all staff on duty participated (varied
from 6099% at various sites) 12.6% of the sample tested HIV positive (ranging
from 9.116.7% at different sites)
Amongst contract staff: 20.6% HIV positive
Age group 3039 showed highest incidence of15.9%
Certain demographic groups (e.g. support staff atparticular station) up to 23.1% incidence
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Implications
Peak incidence of HIV infection likely between 1996
1999 HIV prevalence predicted to increase to 481 cases (14%)in 2004
AIDS curve is HIV curve + 8 years
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HIV Prevalence in Rand Water
0
10
20
30
4050
60
70
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
Ne
HIV
Ifec
s
..
0
100
200
300
400
500
No.of
oyees
HIV+
Ne HIV I fec on Accu HIV+ oyees
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Predicted AIDS Epidemic
010
20
30
40
50
60
70
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Ne
AID
C
ses
..
0
100
200
300
400
500
Accu
u
veAID
C
ses
Ne AID C ses Accu AID C ses
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HIV/AIDS Framework
HIV/AIDS Policy
Epidemic
Impact
Containment
Economic
Impact
Containment
Li ing with
AIDS
Research,
Continuing
Education
Communication Strategy
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Living with AIDS Employee relations
Employee Enhancement Programme (EEP/EAP)
Diagnosis
Medical management
Aid for AIDS
Treatment commitment Procedures for termination of services (early
retirement)
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Voluntary Confidential Testing Labour Court decision
Pre- and post-test
counselling
Confidential blood
tests
Issuing of results toindividuals
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Vital Statistics 25 per cent of staff complement
were tested
21 per cent of sample werewomen (15% of workforcefemale)
Even age group distribution
9.4 per cent of sample tested
positive 50 per cent of sample collected
results (12+ per cent of staffcomplement)
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Critical Challenge
Persuadingevery e ployee to e
testedfor HIVando tain theresults thereof
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HIV/AIDS Framework
HIV/AIDS Policy
Epidemic
Impact
Containment
Economic
Impact
Containment
Living with
AIDS
Research,
Contin ing
Ed cation
Communication Strategy
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Research, Continuing Education KAP Survey (re-test)
Benchmarking
Greater focus on
GUI/STD control
Community Outreach
Programme
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