Engaging workplaces in TB care and control Evidence base and guidance framework Hannah Monica Yesudian Dias Stop TB Department World Health Organization Geneva, Switzerland

Evidence base Literature review Survey  Disseminated by ILO, GBC, CII, GHI and ITGLWF  57% of 21,000 workplaces responded that they do not address TB within their HIV workplace programmes. Site visits  Bangladesh, Cambodia, Kenya and the Philippines  32 workplace initiatives  Delivery models  Gaps and potential

Unorganized workforce Bangladesh- Partnering with the Garment Industry Shared Corporate Health Centre COMPANY CONTRIBUTIONS NGO NTP TREATMENT M & E COMPANY MEDICAL CENTRE Kenya – Flower farms Cambodia Garment Factories DIAGNOSIS Referral to HC PPMD Unit Philippines COMPANY Referral Form people associations Delivery models

Guidance framework Directed at NTP- business-partner collaboration to initiate and implement workplace programmes Menu of options Practical steps for implementation Case studies

Big Companies Menu of options Increase awareness among workers, families and community Identify TB cases among workers and refer to the public sector Identify TB cases among workers and provide diagnosis at workplace Awareness Referral and Treatment support Diagnosis Treatment and care Provide TB treatment and care at the workplaceInclude TB prevention, diagnosis and treatment in HIV workplace programs Comprehensive workplace programme Families, Communities and beyond Beyond the workplace: Implement comprehensive TB and HIV care programs for workers, families and communities. Support supply chain SMEs Small Companies

Steps to initiate TB workplace programmes Form a tripartite steering committee Situation assessment Identify and link with relevant partners Develop a tripartite collaborative plan Implementation Monitoring

Integrating TB in HIV/OSH workplace programmes HIV/OSH workplace programmes in place in many companies. TB care and control not adequately addressed or incorporated in these programmes. To facilitate this it is essential to: –Identify all possible entry points in the HIV/OSH workplace programme where TB can be integrated. –Ensure that integration is built upon what exists and not through the creation of vertical or duplicate structures which may not be sustainable in the long term.

Entry points for TB/HIV programming within the workplace Some examples Is there a HIV Focal person/coordinator in the workplace? Train the HIV focal person to undertake TB activities Is there a HIV workplace policy? Adapt the HIV policy to address TB (TB/HIV Policy) Have IEC materials been developed for HIV? Incorporate TB information in HIV IEC material Is there a monitoring and evaluation framework for the HIV workplace programme? Include TB indicators

“A good company delivers excellent products and services, and a great company does all that and strives to make the world a better place." William Ford Jr., Chairman, Ford Motor Co. “We can’t fight AIDS unless we do much more to fight TB as well." Nelson Mandela Bangkok, July 15, 2004 Source: From the CREATE project Nelson Mandela, Former President of South Africa and Nobel peace prize winner 1993