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WEPDB107

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

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WEPDB107

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  1. 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

  2. Outline • Context • Objectives • Achievements • Lessons • Next Steps

  3. 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 productiveage 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

  4. Objectives • Siyakhana is a model of organized-business response to the HIV epidemic initiated by MBSA in partnership with BKCOB and DEG to: • Stimulate local business (especially SMEs) involvement in HIV/AIDS control. • Deliver comprehensive HIV/AIDS prevention, care, support, treatment and risk management services at SME level in the Buffalo City Municipality. • Build innovative partnerships for effective service delivery. • Strengthen comprehensive primary health care services in both public and private sectors.

  5. Project Partners • Mercedes-Benz SA ~ 58% • Border-Kei Chamber of Business – Corporate Members sponsorship ~ 6% • DEG (Deutsche Investitions- und EntwicklungsgesellschaftmbH) ~ 36% • Participating companies • BroadReach Health Care LLC • Buffalo City Municipality • Department of Health, Province of the Eastern Cape • Eastern Cape AIDS Council • Eastern Cape Development Corporation • 3 components: SME, PHC, Community levels

  6. Burmeisters • Defy Appliances • Dimbaza Foundries • Fabkomp • Faurecia – EL Plant • G4 Securicor – EL Operations • Hemmingways Casino • Johnson Controls Int – EL Plant • Lear Corporation – EL Plant Participating Companies – pilot phase 2006/2007 • RedAlert • Rehau Polymer • Summerpride Foods • Time Clothing • Venture Otto SA – East London • Daily Dispatch • Kempston Outsourcing • Ronnies Motors • 6700 employees • +/- 26,000 dependants

  7. SME Level • Workplace HIV Policy - implementation or review • Training for • Management • Focal Persons • Employees – compulsory small groups counseling • Patients – treatment literacy • Peer Educators • Condom distribution • On-site voluntary testing of employees • Private care for HIV +ve employees/deps at no cost (GP network) • [PHC and Community Levels]

  8. 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

  9. 19.2%

  10. Lessons • 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 • On-site HIV counselling and testing is widely accepted by SME employees in our region • 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

  11. Next Steps • Recruit an additional 50 SMEs into the project in 2008/2009 • Open up our treatment programme to the general public under a memorandum of agreement signed with the Eastern Cape Department of Health • Biannual repeat VCT campaigns in partner SMEs to help ‘normalize’ on-site testing and increase counselling and testing uptake rates.

  12. Acknowledgements • Barbara van Heerden • Anton Pretorius • Michelle Taylor • Silvia van Rensburg • Lindiwe Geswina • Clee Waterson • Judi Dargie • Janet Bennett • Neil Le Roux • Gail Goliath • Brian Harmse • Jenny De Free • Bernie Richter • Nosipho Goduka • Tania Kilroe • Sheralee Walker • Monty Jagers • Janet Shuttleworth • Berenice Timothy • MBSA • DEG • BKCOB • BRHC LLC • ECDOH • BCM • TransNet • Clifford Panter • Les Holbrook • Johaan Evertse • Michael Fischer • Sandra Sabrowsky • Ricarda Horst • Ivy Ntlangeni • Valerie Damane • Bukelwa Moya • Anele Dako • Stella Heuer • AfA • Andrea Knigge • Zami Meke • Noxolo Tetyana • Janet Bennet • Tanya Starck • Noxolo Tetyana • Jenny Inglis • Sam Rheeder • Lorna Schoffield • Mandisa Tyadi • Lulu Manyadu • Nopinkie Nibe • Victor Gladile

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