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IFC Against AIDS Protecting People and Profitability
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Total: 38 million [35-42 million] Western Europe 580 000 [460 000 – 730 000] North Africa & Middle East 480 000 [200 000 – 1.4 million] Sub-Saharan Africa 25.0 million [23.1 – 27.9 million] Eastern Europe & Central Asia 1.3 million [860 000 – 1.9 million] South & South-East Asia 6.5 million [4.1 – 9.6 million] Oceania 32 000 [21 000 – 46 000] North America 1.0 million [520 000 – 1.6 million] Caribbean 430 000 [270 000 – 760 000] Latin America 1.6 million [1.2 – 2.1 million] East Asia 900 000 [450 000 – 1.5 million] The HIV/AIDS epidemic Number of adults and children living with HIV in 2003 (UNAIDS estimates)
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Feminization of the epidemic Since 1985, the percentage of women among adults living with HIV/AIDS has risen from 35 to 48 percent Young women: 1.6 times more likely to be infected than young men Sub-Saharan Africa: close to 60% of those infected are women, and 75% of young people infected are girls aged 15-24 Caribbean: young women are 2.5 times more likely to be infected than young men
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Why IFC Takes AIDS Seriously A priority for the development community 95% of people infected live in developing countries Most companies not aware of risks Companies don’t know where to start An integral part of IFC’s commitment to sustainable development
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Reputation risk Financial impact Threat to company’s viability The Business Case
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The Reputation Risk
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AIDS: Impact On Bottom Line Medical and other benefits costs Absenteeism and lower productivity Labor turnover, recruitment and training costs Experienced personnel Enabling environment Shrinking markets
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Global Manufacturing and Services Benefits vs. Costs A South African sugar mill found that HIV-positive employees took, on average, 55 additional sick days during the last two years of their lives, incurring economic costs of nearly 8,500 ($1,320) Rand per worker. Costs to the industry were projected to increase 10-fold in the next 6 years. Source: Morris et al. 2000 DaimlerChrysler – South Africa estimated that averting one new HIV infection among its employees saves the equivalent of three to four annual salaries. Source: AmfAR - Treatment Insider Newsletter, January 2003
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Extractive industries Benefits vs. Costs In 2000, Debswana tallied the cost of AIDS care to be 10.7% of its payroll. Source: UNAIDS, 2002 Gold Fields – South Africa’s second-largest gold producer estimated that HIV/AIDS was costing the company US$3.22 per ounce of gold produced. The company estimated that the cost of inaction would have been more than US$10 per ounce by 2009. Source: AmfAR - Treatment Insider Newsletter, January 2003 A petroleum refinery in Zambia found that 84% of worker deaths from 1987-1992 were AIDS-related. Medical expenses were approximately US$225 per patient. Source: Bloom et al. 2001
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SMEs Viability A study of 209 small businesses in South Africa identified HIV/AIDS as one of the three main factors that cause nearly 80% of South African start-up SMEs to fail every year (the other two factors are crime and inadequate management expertise) Source: Xinhua News Agency, 11 July 2001
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Vulnerability and risk factors The company relies on a workforce separated from their families for long periods of time Mining, construction, shipping, trucking, and other industries employing migrant labor Employees’ salaries tend to be higher than in the surrounding community The sector can be a target for activists Extractive industries, companies with a strong brand name, companies sensitive on their “license to operate” The company relies on key jobs/individuals The loss of one of those key individuals can prove catastrophic Large workforce / prevalence The magnitude of direct and indirect costs will be stronger
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IFC Against AIDS Awareness Guidance Training Financing Goal: Accelerate the involvement of private sector in fight against AIDS
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What does the private sector bring? Efficiency, skills and resources Access to people and groups Processes Impact on stigma and discrimination Partnership opportunities
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ODEBRECHT in Angola
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Program Implementation
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ODEBRECHT in Angola Senior management engagement Focal point AIDS committees across operations Awareness campaign Education and training efforts Prevention: STDs, peer education, condom distribution, VCT Medical and counseling capacity ARV Treatment
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ODEBRECHT in Angola - HIGHLIGHTS Women health program Outreach: Reach to contractors Reach to risk groups Partnerships with municipalities for peer education Partnerships with local NGOs for awareness, counseling and medical capacity Estimated reach: 100,000 people Post-conflict country
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“It is inevitable that a firm doing business in the developing world will pay for AIDS. It is just a question of when and how much.” Lee Smith Former President, Levi Strauss International
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IFC Against AIDS Sabine Durier - Program Leader Tel: (1-202) 473-4176, Email: sdurier@ifc.org Gillette Conner - Program Officer Tel: (1-202) 473-4040, Email: gconner@ifc.org Tish Enslin - Program Officer (South Africa Office) Tel: +27-11-731-3062, Email: LEnslin@ifc.org Vlassis Tigkarakis - Program Analyst Tel: (1-202) 473-1394, Email: vtigkarakis@ifc.org http://www.ifc.org/ifcagainstaids
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