De Beers Response to HIV/AIDS 19 th June 2006 World Bank Group- CommDev Workshop

HIV/Aids Workplace programmes Why do we do it? HIV/Aids is not only a business risk but a threat to sustainable development. In today’s global economy, a disease that has killed more than 30 million people is everyone’s problem … and every company’s responsibility.

Country HIV Prevalence according to UNAIDS

General HIV Prevalence in RSA ESTIMATED 4.8 MILLION TO 5.5 MILLION LIVING WITH HIV IN SA

HIV Prevalence in RSA Mines

HIV/Aids Workplace programmes HIV Negative HIV Positive Status Known HIV Positive Status Unknown DISEASE MANAGEMENT PROGRAMME: INFORMATION, WELLNESS & ART PREVENTION AND SERVICES: VOLUNTARY COUNSELLING AND TESTING (VCT) PREVENTION: EDUCATION AND TRAINING, PEER EDUCATORS

Strategy Saving Lives Minimising the economic impact Living with AIDS Communications Stakeholder Engagement WORKPLACE HIV/AIDS STRATEGY COMMUNITY

Key interventions: VCT Knowledge is power Targeted VCT campaigns at all our mines led to around 80% uptake in South Africa in 2005 Service extended to contractors and, where possible, spouses and community

Key interventions: Treatment Treatment Model: THIRD PARTY DISEASE MANAGEMENT SERVICE PROVIDER Clinical expertise and advice Counselling support Clinical data management NETWORK OF TRAINED SERVICE PROVIDERS Including mine doctors and private practitioners EMPLOYEES (incl retired and retrenched) SPOUSES OR LIFE PARTNERS COMMUNITY (incl contractors) State or donor funded And children in Debswana

Key interventions: Treatment There is no cost to the employee Comprehensive programme which covers wellness advice, doctors’ consultations, pathology, counselling and support, prophylactic medication to prevent opportunistic infections such as TB, nutritional supplements, PEP and PMTCT, and anti- retrovirals when clinically required Debswana was the first company in the world to provide a comprehensive disease management programme outside of medical insurance De Beers was the first mining company in South Africa to provide free anti-retroviral treatment for spouses and retired and retrenched employees for life

Are we making a difference? Treatment Uptake: While uptake has not been as high as hoped, it is not dissimilar from other corporate programmes Relatively low numbers of total HIV positive employees registered but large percentage (75% in SA) of those who require treatment right now are receiving it Research project to investigate uptake in workplace and social context

Are we making a difference? Over 1200 people registered on the treatment programmes of the three companies (962 employees and 259 spouses) Leading productive lives, earning a living and contributing to the well-being of their families Minimising the economic impact on the companies

Way Forward Monitoring and measuring, setting definable goals Making HIV testing part of health management and business processes Moving from focus on treatment registration to treatment compliance

Challenges Providing services for contractors, families and community members (Avoiding an “Us and Them” scenario) – integration Extending HIV/Aids programmes to other parts of the De Beers Family of Companies where this can be done in a responsible and sustainable manner Partnerships

Thank You