Frame for Man HIV AIDS

8/8/2019 Frame for Man HIV AIDS

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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


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



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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



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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



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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



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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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Documents

Frame for Man HIV AIDS