1. The Emthonjeni SME Project Selby By Dr Marianne Felix Sister Boitumelo Sehume

2. Overview of presentation The Aurum institute Emthonjeni Programme SME Programme Selby Results

3. The Aurum Institute Vision Who we are “An internationally respected African institution that transforms health in the community.”

4. Aurum’s Focus Aurum’s Focus What we do We focus on researching and implementing integrated approaches to managing HIV and TB

5. The Aurum Institute - Background Section 21, Health Systems, Not for Profit, Public Benefit Organisation and Proudly South African Established 10 years ago PEPFAR grant Testing, Treatment and Care DOH, DCS GP, NGOs Small and Medium Enterprises Technical support to Anglo American ART programmes 55,929 people ever on treatment and care programmes

6. Emthonjeni Programme Purpose In partnership with relevant stakeholders, we make health services more accessible to marginalised workers in a way that promotes behaviour change and involves the communities of these workers, focusing on TB, HIV and STI screening.

7. Emthonjeni Programme Background Started 2007 –Taxi Rank project – (taxi operators & traders) –Mobile units SME’s Campaigns –Schools project – CBD Johannesburg and Burgersfort (Limpopo) 17,000 tested and 1,700 on treatment and care since March 2008

9. Emthonjeni SME Project Objectives 1.To engage with Managers for permission for workers to access our services during work hours. 2.Through interactive theatre raise worker interest in health. 3.To counsel workers about important health issues. 4.To screen workers for 5 important diseases Hypertension, Diabetes, TB, HIV and STI’s. 5.To refer to appropriate service providers. 6.For company to create Wellness Policy, refer for training and develop Wellness Programme.

10. Emthonjeni SME Project - Service Market and Recruit Company Company Commitment Interactive Theatre Medical Screening Follow Up Referral Mobile X-ray van

11. Marketing and Recruiting Companies Visit Email Telephone

12. Interactive Theatre

13. Medical Screening

14. Follow Up

15. Referral – GP’s and Emthonjeni Clinic

16. Referral - Government Clinics

17. Company Commitment HIV/TB Policy, Training, Programme, Condom distribution

18. Selby - Area of current work Identified 173 companies Recruited 68 companies Seen 800 workers in three months Report on 234 workers 60 female 177 male

19. Selby – Prevalence by age group Overall prevalence: Male 34%, Female 23%

20. Selby – Prevalence by age group

22. Selby - Results Male (144)Female (59) Tuberculosis21 High Blood Pressure811 High Blood Sugar01 STI51 Chronic disease45

23. Selby - Results Male (149)Female (60) Weight 7 5% 8 13% Smoking51 34%12 20% Alcohol - daily12 8% 1 2% - weekly40 27% 4 7% - occasionally32 21%10 17% - total84 56%15 25%

24. Selby – Results 81% of male workers and 72% of female workers are testing for the first time

26. Prevalence of HIV according to Age Group

27. Profile of Clients and HIV Prevalence Rate Profile of Clients and HIV Prevalence Rate June – September 2009 Number Prevalence tested Taxi Drivers62 19% Traders 11644% Domestic Workers3549% Learners 208 8%

28. Thank you