team 17 presentation
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TRANSCRIPT
Global Health Case Competition
Team #17 Yvette Odu
Teshika Jayewickreme Chukwuma Onyebeke
Feras Alajmi
Current Situation
Social Issues
August 16th 2012
34 Miners KILLED by POLICE
An estimated 1 MILLION miners have left the industry in
the last 20 years
WHITE miners earn nearly
2x as much as BLACK miners
Economic Impact
Economic growth
slowed to only 1.5%
An estimated 1 MILLION miners have left the industry
in the last 20 years
86 88 90 92 94 96 98
100 102
Inde
x
SACCI Business Confidence Index 2012
Health Challenges
13.8 in every 1,000 miners afflicted by
silicosis
5.7 million South
Africans infected with HIV. Miners most at risk.
Stakeholders
Investors Police Forces
Mining Companies Trade Unions
Miners Health System
Affected Groups
Interventions
Dialogue to Strike Dissolution
• Third party moderation of dialogue between strike leaders, union heads and mining companies
• Streamline the process for legal
demonstrations • Monitoring police response to strikes
Direct Intervention
• In Mining Companies
• Corporate behavioral taxes
• Employee education on compensation rights
• For Miners’ Well-Being
• Governmental trust fund for miners
• Long-term compensation plan
Occupational Health Facilities
• Expand onsite medical facilities • Industrial care units in large regional hospitals • Anti-retroviral therapy for HIV positive miners • 100% condom use
Implementation
Phase 1 – First 3 Months
• Assign a third party to moderate dialogue • Engage in discussion to understand needs of each
group • Prepare groundwork for sustainable negotiations • Scale back police response
Phase 2 – Year 2
• Enforce employee education on compensation rights
• Treat infected miners with CDC counts below 240 with ART
• Begin 100% condom use protocol
Phase 3 – Years 3 -6
• Begin corporate tax scheme
• Use funds towards a governmental trust fund
• Educate people towards treatment of specific occupational diseases encountered
• Equip regional hospitals with facilities to treat complex occupational injuries
Phase 4 – Years 7 – 10
• Continue 100% condom use protocol
• Continue ART treatment
• Expand medical facilities on mining camps to ensure quick access to care
• Increase the compensation for occupational diseases after retirement
Even a tiny health budget, if spent well, can make a difference
Questions?
Appendix Slides Research and Data
Appendix A: Geographical Landscape
Souce: CIA
70.99%
8.772%
1.923%
18.32%
African ColouredAsian_Indian White
Africans comprise over 70% of miners in South Africa
Racial Breakdown of South African Miners
Appendix B: Racial Distribution of South African Miners
02,
000
4,00
06,
000
8,00
010
,000
Ave
rage
Gro
ss In
com
e fo
r Min
ers
in S
outh
Afri
ca (r
and)
African Coloured Asian_Indian WhiteSource: Graphic derived using data from NIDS data comprised by SALDRU
Racial Breakdown of Average Gross Income for Miners
Appendix C: Income Disparities Among Miners by Race
.0139%3.141%
18.34%
35.08%
26.6%
16.5%.3329%
Born Ages 70-79 Ages 60-69Ages 50-59 Ages 40-49Ages 30-39 Ages 20-29Ages 10-19
Graphic derived using data from NIDS as compiled by SALDRU
Age Distribution of Miners in South Africa
Appendix D: Miner Demographics
050
01,
000
1,50
02,
000
Ave
rage
Am
ount
(R
and)
African Coloured Asian_Indian WhiteGraphic derived using data from NIDS as complied by SALDRU
Distribution by RaceAverage Amount Miners Spent on Health Insurance in Last 30 Days
Appendix E: Miners Monthly Expenditure on Health Insurance
Appendix F: SACCI Business Confidence Index (Base Year: 2010)
Appendix G: Economic Indicators
Phase 1 Phase 2 Phase 3 Phase 4
Dialogue $3,775 $10,660 $20133 $20133
Employee Education $16,400 $181,200 $362,400 $362,400
Police Audits and Retraining
$ $10,000,000 $5,000,000 $-*
Condom Distribution $- $100,000 $ 200,000 $200,000
Expansions in Regional Hospitals
$-
- $ 6 Billion $2 billion
Upgrading in on-site health facilities in mining camps
$-
- $3.5 billion $1.5 billion
Anti-Retroviral Therapies
$- $840,000 $1,680,000 $1,680,000
Mining Company Audits
$- $181,200 $362,400 $362,400
Appendix H: Detailed Budget
* Depends on effectiveness in previous phase
Appendix I: References
Blair Gifford, A. K. (20120). Building local legitimacy into corporate social responsiblity: Gold mining firms in developing nations. Elsevier , 304-311.Campbell, B. (2012). Corportate Social Responsibility and development in Africa . Elsevier , 138- 143.Imbum, B. Y. (2007). Connot Manage withoiut The "significant Other': Mining, Corporate Social Responsibilty and Local Communit. Journal of Business Ethics , 177-192.Jonathan E. Meyers, J. t. (2002 ). Nervous System Effects of Occupational Manganese Exxposure on South African Manganese Mineworkers . Johannesburg , South Africa: Elsevier Science INc. .Kaepelus, R. H. (2004). Corporate Social Responsiblity in Mining in South Africa: Fair accountability or just greenwash. Sociery for INternational Development , 85-92.Leanne A. Farrell, R. H. (2011). A clash of cultures (and awyers); Anglo Platinum and mine-affected communities in Limpopo Province, South Africa . Elsevier , 194-204.Perera, F. P. (2012). Current needs and future directions of coccupational safety and health in a globalized world . Elsevier , 805-809.Stein, G. (2012, October 6). 12,00 sacked as S AFrica mine strike turns deadly. Retrieved November 08, 2012, from ABC News : www.abc.net.au/news/2012-10-06/122c000- sacked-as-south-africa-mine-strike-turns-deadly/4298968