Health Initiatives for the Private Sector (HIPS)Engaging the Private Sector for Improved Access and Utilization of Health Services

HIPSHealth Initiativesfor the PrivateSector Project

Health Initiatives for the Private Sector (HIPS)

USAID funded, 2007-2010 (+2 year extension) Works with the Uganda business community

to find cost-effective ways to improve access and utilization of health services

Based on a public-private partnership model Supports Orphans and other Vulnerable

Children Strengthens Private Sector Employer

organizations

HIPSHealth Initiativesfor the PrivateSector Project

What is Going on in Uganda Industry?

53% of employers have HIV prevention programs

33% explicitly offer Voluntary Counseling and Testing

29% offer Anti-retrovirals (ARVs) 39% of employers offer TB diagnosis and

treatment All insurance companies are now covering

HIV/AIDS care and treatment

Source: Federations of Uganda Emplyers (FUE) and HIPS, company survey HIV/AIDS in Uganda April 2009

HIPSHealth Initiativesfor the PrivateSector Project

Costs Per Worker Lost to HIV/AIDS In Uganda

*Source: Adapted from Feeley et al. “The Impact of HIV/AIDS on Productivity and Labor Costs in Two

Ugandan Corporations”, October, 2004

HIPSHealth Initiativesfor the PrivateSector Project

Estimate *

Absenteeism USH 348,500 ($166)

Death Benefits USH 425,000 ($202)

Medical Care USH 280,500 ($134)

Reduced Productivity USH 3,621,000 ($1724)

Train Replacement USH 297,500 ($142)

Supervisor Time USH 1,402,500 ($668)

TOTAL USH 6,375,000 ($3036)

HIPS as an Advisor to Private Sector

Business case for investing in health of employees, dependants and community

Health delivery options Onsite workplace programs and clinic Referral to private clinic in company

vicinity Employer based insurance plan

HIPS works with 88 clinics (50% company clinic and 50% private for profit clinics)

Source: Federations of Uganda Emplyers (FUE) and HIPS, company survey HIV/AIDS in Uganda April 2009

HIPSHealth Initiativesfor the PrivateSector Project

HIPS’ Menu of Services

HEALTH SERVICES HIV/AIDS TB MALARIA OVC FP/RH COST SHARE

WORKPLACE POLICY DEVELOPMENT ✔ ✔ ✔ ✔ ✔ ✔

PEER EDUCATION ✔ ✔ ✔ ✔ ✔ ✔

HEALTH FAIRS ✔ ✔ ✔ ✔ ✔ ✔

VOLUNTARY COUNSELING & TESTING ✔ ✔

✔

HEALTH COMMUNICATION MATERIALS ✔ ✔ ✔ ✔ ✔ ✔

LOW COST HEALTH COMMODITIES ✔ ✔ ✔ ✔ ✔PRIVATE CLINICS MOH ACCREDITATION ✔ ✔ ✔

ACCESS TO FREE ARV'S/TB DRUGS/IPT2 FOR MALARIA ✔ ✔ ✔

LAB. EQUIPMENT & TRAINING ✔ ✔ ✔ ✔ ✔ CLINICAL & COMMUNITY BASED TRAININGS ✔ ✔ ✔ ✔ ✔ ✔

The Good Life at Work

A communications platform that uses a entertainment - education format to train company employees and communities on prevention and health maintenance behaviors Health Information & Communication Materials

Peer Education

Health Fairs

Lunch Time Videos

Good Life Products

HIPSHealth Initiativesfor the PrivateSector Project

Company to Community Partnership Model

• Disseminate Policy to workers

• Co-fund Peer Education trainings

• Co-fund Health Fairs and VCT

• Open company clinic to community members/support local existing HC

• Continue paying for clinical staff, lab tests and essential drugs (at subsidized prices)

• Provide HIV/AIDS, TB, Malaria and RH/FP services to employees and surrounding community

• Develop HIV/AIDS/TB workplace policy

• Train peer educators & develop communications materials

• Conduct community Health Fairs and onsite VCT

• Access to low cost health products

• Assist company clinic in MOH accreditation for free ARV/TB drugs

• Train company/private healthcare providers and establish referral systems

• Equip clinic laboratory

• Links to insurance companies

USAID/HIPS Company

HIPSHealth Initiativesfor the PrivateSector Project

Orphans and Other Vulnerable Children

Incorporate OVC support in Corporate Social Responsibility strategies

Link companies with local organizations providing care to OVC households, aligned with national/district Plans

Train OVC caregivers HIPS OVC matching grant program

HIPSHealth Initiativesfor the PrivateSector Project

HIPS Achievements to-date

250,000 individuals reached with prevention and treatment message on HIV/AIDS, TB, Malaria, RH/FP

88 companies clinics and private clinics accredited for HIV/AIDS

4500 individuals accessing free MOH ARV’s through private clinics

6000 individuals receiving palliative care 40,000 individuals received HIV Counseling & Testing 900 healthcare providers trained In AIDS Treatment,

TB and HIV- related palliative care 3000 Peer Educators trained 35 workplace sites providing integrated health

services in HIV/AIDS, TB, Malaria, RH/FP 2500 Orphans and other Vulnerable Children served

HIPSHealth Initiativesfor the PrivateSector Project

Current Partners

TORORO CEMENT

Xclusive Cuttings (U) Ltd