Transcript Powerpoint - International AIDS Society

WEPDB107
Business and Government Working Together Against
HIV/AIDS - an innovative, successful PPP- model in the
Buffalo City Municipality of the Eastern Cape Province of
South Africa.
Simeon Odugwu - Siyakhana Health Trust
Clifford Panter - Mercedes-Benz, South Africa
Outline
• Context
• Objectives
• Achievements
• Lessons
• Next Steps
Context
In 2007:
• 22 of 33 million people living with HIV/AIDS are in Sub-Saharan Africa
•
People living with HIV/AIDS in SA - 5,7 million; 5.4m (~ 95%) of them aged 15yrs or more
•
Prevalence in adults aged 15 to 49yrs – 18.1%
•
Prevalence in adults aged 20 to 64 – 19.2%
(2006)
•
Incident HIV cases 527,000 (+/-1450/day)
(2006)
•
Deaths due to HIV - 350,000 (270,000– 420,000), up from 320,000 in 2006
•
HIV/AIDS predominantly affects productive age groups impacting on the entire economy
•
The SA private sector contributes about 42% of the country’s GDP
•
Over half of private sector employees are engaged in small and medium sized businesses
•
HIV/AIDS is a critical risk management focus for Business in South Africa
Objectives
Siyakhana is a model of organized-business response to the HIV epidemic
initiated by MBSA in partnership with BKCOB and DEG to:
1. Stimulate local business (especially SMEs) involvement in HIV/AIDS control.
2. Deliver comprehensive HIV/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.
Project Partners
1.
Mercedes-Benz SA ~ 58%
2.
Border-Kei Chamber of Business – Corporate Members sponsorship ~ 6%
3.
DEG (Deutsche Investitions- und Entwicklungsgesellschaft mbH) ~ 36%
4.
Participating companies
5.
BroadReach Health Care LLC
6.
Buffalo City Municipality
7.
Department of Health, Province of the Eastern Cape
8.
Eastern Cape AIDS Council
9.
Eastern Cape Development Corporation
3 components: SME, PHC, Community levels
Participating Companies – pilot phase 2006/2007
1.
2.
3.
4.
5.
6.
7.
8.
9.
Burmeisters
Defy Appliances
Dimbaza Foundries
Fabkomp
Faurecia – EL Plant
G4 Securicor – EL Operations
Hemmingways Casino
Johnson Controls Int – EL Plant
Lear Corporation – EL Plant
10.
11.
12.
13.
14.
15.
16.
17.
RedAlert
Rehau Polymer
Summerpride Foods
Time Clothing
Venture Otto SA – East London
Daily Dispatch
Kempston Outsourcing
Ronnies Motors
• 6700 employees
• +/- 26,000 dependants
SME Level
1. Workplace HIV Policy - implementation or review
2. Training for
• Management
• Focal Persons
• Employees – compulsory small groups counseling
• Patients – treatment literacy
• Peer Educators
3. Condom distribution
4. On-site voluntary testing of employees
5. Private care for HIV +ve employees/deps at no cost (GP network)
[PHC and Community Levels]
Achievements - VCT
@ 4 717 employees trained/counselled on HIV
@ 3 129 of them tested
@ 272 HIV positives (315 on patient register)
@ 49 patients on currently on ARV treatment
@ A treatment network of GPs – 12 and growing
Table 1: Counselling and Testing Uptake
100
100.0
90
80 85.9
70
60
50
88.0
83.7
74.3
72.7
97.8
97.6
90.9 93.6
93.7
91.5
84.0
78.7
69.44
65.0
56.4
50.2
40
30
20
10
15.1
57.2 47.5 81.8 98.1 72.2 38.4 43.3 73.9 78.3 69.7100.0042.2 86.0 98.7
66.1 85.9 76.1 86.2 66.1
0
Counselling uptake rate
VCT uptake rate/ Testing uptake rate
19.2%
Lessons
1.
Organised business response is a viable model for addressing HIV/AIDS issues at
SMEs and can pave the way for wider and effective public-private partnerships
2.
On-site HIV counselling and testing is widely accepted by SME employees in our
region
3.
It appears that the overall HIV positivity rate in our cohort (8.7%) is much lower
than that (19.2%) projected by the ASA 2003 model published by the Centre for
Actuarial Research
Next Steps
1.
Recruit an additional 50 SMEs into the project in 2008/2009
2.
Open up our treatment programme to the general public under a memorandum
of agreement signed with the Eastern Cape Department of Health
3.
Biannual repeat VCT campaigns in partner SMEs to help ‘normalize’ on-site
testing and increase counselling and testing uptake rates.
Acknowledgements
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MBSA
DEG
BKCOB
BRHC LLC
ECDOH
BCM
TransNet
Clifford Panter
Les Holbrook
Johaan Evertse
Michael Fischer
Sandra
Sabrowsky
Ricarda Horst
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Barbara van
•Ivy Ntlangeni
•Gail Goliath
Heerden
•Valerie Damane
•Brian Harmse
Anton Pretorius •Jenny De Free
•Bukelwa Moya
Michelle Taylor
•Anele Dako
•Bernie Richter
Silvia van Rensburg •Nosipho Goduka •Stella Heuer
•AfA
Lindiwe Geswina •Tania Kilroe
•Sheralee Walker •Andrea Knigge
Clee Waterson
•Zami Meke
•Monty Jagers
Judi Dargie
Janet Bennett
•Janet Shuttleworth •Noxolo Tetyana
Neil Le Roux
•Berenice Timothy •Janet Bennet
•Tanya Starck
•Noxolo Tetyana
•Jenny Inglis
•Sam Rheeder
•Lorna Schoffield
•Mandisa Tyadi
•Lulu Manyadu
•Nopinkie Nibe
•Victor Gladile