Joint Review HIV/TB Workplace Programme (Rev.Agencies, SFO, GWCL/AVRL)

1. Joint Review HIV/TB Workplace Programme (Rev.Agencies, SFO, GWCL/AVRL) Dr. Holger Till 30.07.2008 Dr. Holger Till

2. Estimated Total Population Living with HIV/AIDS (2007) Total: 33.2 million Eastern Europe and Central Asia 1.6 million Western Europe 760,000 North America 1.3 million East Asia and Pacific 800,000 North Africa and Mideast 380,000 Central America 230,000 South East Asia 4,0 million South America 1.6 million Sub-Saharan Africa 22.5 million Australia 75,000 AIDS deaths in 2007: 2.1 million New HIV infections in 2007: 2.5 million Dr. Holger Till (gtz Ghana)

3. per 100,000 pop. <10 10–24 25–49 50–99 100–299 300+ No estimate The highest estimated rates for TB are found in Africa In developing countries: 25% of avoidable death caused by TB Dr. Holger Till (gtz Ghana)

4. Estimated Distribution of Adults Infected with HIV and Tuberculosis, 2000 100,000 50,000 50,000 400,000 150,000 South East Asia 2.3 million Sub-Saharan Africa 9.5 million 450,000 5,000 Global Total : 13 million Dr. Holger Till (gtz Ghana)

5. Background (Ghana) • 300,000 PLWHA (2007) • AIDS deaths up to 2007: >300,000 • HIV-prevalence: 1.9% (2007) • new TB-cases: 45,000 (2004) • Case fatality rate: 10% (2004) • Malaria cases: 3,500,000 (2003) • Malaria deaths: 3,500 (2003) Dr. Holger Till (gtz Ghana)

6. Objectives • Information of risks, preventive measures and impact of HIV/TB and Malaria and other preventable diseases for all beneficiaries • Treatment, care and support for infected persons • Enabling a non-discriminative working environment for infected and affected persons • (Increase access to the National Health Insurance Scheme) Dr. Holger Till (gtz Ghana)

7. WPP: Preventive Measures • Prevention by information and training • yearly conducted IEC programmes for employees, their family and the community • upgrading sessions and training in peer education for managerial staff, staff representatives and community members • Prevention by provisions of • Condoms (male and female) • (Insecticide-treated nets) • Prevention through Voluntary Counselling and Testing (VCT) of HIV and TB Dr. Holger Till (gtz Ghana)

8. Voluntary Counseling &Testing Prevention through Information Dr. Holger Till (gtz Ghana) 26 July 2014

9. WPP: Care and Support • Treatment for illnesses caused by HIV/TB including anti-retroviral treatment for the employees and their core family members (nearest public health center), • (Referral to Malaria and Hepatitis B management), • (Promotion of National Health Insurance Scheme), • Closed cooperation with Ministry of Health and Ghana Health Service. Dr. Holger Till (gtz Ghana)

10. WPP: Non-discrimination • All managers and staff are obliged to prevent discrimination connected with an assumed/actual HIV case - no pre-employment screening, - no direct/indirect screening or questioning on HIV status, • all information in relation to HIV are kept confidential and under lock. • No employee is required to inform employer about his HIV status - it is ensured that HIV infected persons are allowed to work for as long they are medically fit for available/appropriate work, - anti-stigma campaigns for staff and community. Dr. Holger Till (gtz Ghana)

11. Structure of ppp HIV/TB Work Project, Ghana BMZ/GTZ PPP HIV Support (Cash Commitment) Ghana AIDS Commission Private Partner (Commitment in Cash) (Commitment in Kind) Ministry of Health/Ghana Health Service The Responsible Ministry Other public and Private health facilities Public Partner (Commitment in Cash) (Commitment in Kind) National Programmes (HIV, TB Malaria) ?Support Programmes within The Ministry NACP/NTP (Commitment in Kind) GBCAA, UNAIDS, WHO, ILO, GTZ-ACCA private sector, bilat. development partners, other MDAs, NGOs, CBOs (collaboration) HIV/TB Workplace Projects Staff of Org. Core family of staff Supply chain Community National Coordinating/ Implementing Partners Other collaborating partners Donors Beneficiaries Dr. Holger Till (gtz Ghana)

12. Structure of the HIV/TB Workplace Project Team Top Management of Org./ Agencies BMZ/GTZ-HQ Germany And GTZ country office MoH, GHS, NACP, NTP Team leader CIM/NACP/GTZ Regional HIV/ TB Coordinator GHS HIV Working Group (reps from Org./Agencies, GTZ-PPP HIV/TB Project, NACP, NTP, (Malaria Control Program), GAC, MoH/GHS, GTZ-ppp rep GTZ-Project Coordinators Organizations/Agencies NFPs Reg. Workplace Focal Persons Peer Educators Dr. Holger Till (gtz Ghana)

13. Results (1) Dr. Holger Till

14. Results (2) Dr. Holger Till

15. Results (3) Dr. Holger Till

16. Dr. Holger Till (gtz Ghana)

17. Summary Implementation of the HIV/TB Workprojects has successfully started and targets fully met Project and WPP launched Involved partners are sensitised and fully committed Financial commitments are met Additional activities as inclusion of diagnosis for Hypertension, Diabetis, Hepatitis B, Cancer have started (mainly to broaden the approach and increase the VCT uptake) M&E system in place (Mapping ongoing) General HIV/TB documentation ongoing Project approach and first experiences shared on national and international level

18. Way Forward Further activities in active case finding needed (staff often diagnosed too late) Further activities in the area of Stigma reduction needed Inclusion of supply chain and community HIV Workplace Focal Persons should be more motivated by the management (full time HIV/TB Coordinator) Lack of commitment of some heads of stations, therefore top-management should address the issue Further promotion of the Health Insurance Scheme Linkages to high-risk groups have to be explored Possible extension to a preventive health policy Ways should be explored to establish more ppp-projects

19. THANK YOU !!! Dr. Holger Till (gtz Ghana)