4. Costs Per Worker Lost to HIV/AIDS In Uganda *Source: Adapted from Feeley et al. “The Impact of HIV/AIDS on Productivity and Labor Costs in Two Ugandan Corporations”, October, 2004 HIPS Health Initiatives for the Private Sector Project Estimate * Absenteeism USH 348,500 ($166) Death Benefits USH 425,000 ($202) Medical Care USH 280,500 ($134) Reduced Productivity USH 3,621,000 ($1724) Train Replacement USH 297,500 ($142) Supervisor Time USH 1,402,500 ($668) TOTAL USH 6,375,000 ($3036)
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6. HIPS’ Menu of Services HEALTH SERVICES HIV/AIDS TB MALARIA OVC FP/RH COST SHARE WORKPLACE POLICY DEVELOPMENT ✔ ✔ ✔ ✔ ✔ ✔ PEER EDUCATION ✔ ✔ ✔ ✔ ✔ ✔ HEALTH FAIRS ✔ ✔ ✔ ✔ ✔ ✔ VOLUNTARY COUNSELING & TESTING ✔ ✔ ✔ HEALTH COMMUNICATION MATERIALS ✔ ✔ ✔ ✔ ✔ ✔ LOW COST HEALTH COMMODITIES ✔ ✔ ✔ ✔ ✔ PRIVATE CLINICS MOH ACCREDITATION ✔ ✔ ✔ ACCESS TO FREE ARV'S/TB DRUGS/IPT2 FOR MALARIA ✔ ✔ ✔ LAB. EQUIPMENT & TRAINING ✔ ✔ ✔ ✔ ✔ CLINICAL & COMMUNITY BASED TRAININGS ✔ ✔ ✔ ✔ ✔ ✔
The HIPS project began in late 2007 and will run through 2010. This project builds on the success of a previous project called Business Part. HIPS like its predecessor, is built on a partnership model. We will work with the Ugandans companies to find cost-effective ways to improve access and utilization of health services. Over 50 partnerships with Companies, all with a minimum of a 1 to 1 match on resources but in most cases companies are matching on a 1 to 3 basis. HIPS will also partners with companies to support the needs of orphans and other vulnerable children in your community Additionally ,HIPS will work with Private Sector Employers Organizations such as Federation of Uganda Employers to strengthen capacity among employers associations to support workplace programs among their members.
Before we get into the detail of the project, just a bit of information on whats happening in the Uganda Industry regarding health Note we have just updated these numbers from the 2004 study In 2004 only 43% of employers were offering HIV prevention programs, only 27% were offering VCT, and 32% were offering ART, this number has gone down slightly which, this is probably explained by the changes in the market, as ART are now more available and free in all public and many private clinics the numbers demonstrate, that much work is being done on behalf of Industry in the response to HIV/AIDS, but much more still needs to be done. A very positive recent development is that many insurance companies in Uganda have incorporated HIV/AID treatment in to their coverage program. This was not true a couple of years ago, IAA, ARR and MicroCare are pioneers in this area.
These number are being updated currently. Slide shows the costs associated with HIV infection for the last 24 months before death/departure from workplace. This is also consistent with the pattern of the disease in the absence of ART----that relatively few people survive more than two years after they develop full blown AIDS (which drives up medical costs and absenteeism). don’t want to reduce loss of life from HIV/AIDS into a calculation but we also know that financial losses and numbers speak to business people, after all you do have a business to run and have to make investment decision. This slide demonstrates that there is a real business cost to HIV/AIDS. The HIPS project can assist companies in understanding HIV/AIDS financial losses and design a program that is appropriate for your company, one that makes ‘good business sense’. We do not yet have these numbers for TB and Malaria but hope to conduct the same type of financial analysis.
Typcially company clinics do not charge employees/community for services Private for profit clinics do charge for consultation/drugs other than ART/lab tests Employee insurance plans typically cover 4 dependants
Menu of services, not a one size fits all, we sit with Company management to develop a program that is appropriate for the company, with the understanding that we will cost share investments on a minimum of 1:1 basis HIPS does not pay for staff, drugs or operational cost. HIPS investments help to get companies and clinics at the level to provide quality health services on a sustainable basis, such as training staff in ART/TB/M/RH, improving the lab if needed, facilitating accreditation for free drugs, linking them to district health teams for support supervision
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This is what the partnership looks like, Basic Principle: Company clinics have spare capacity that can be used for community testing and treatment at a low marginal cost. Public Private Partnership Model Partners: USAID/HIPS, The GOU/Global Fund, Uganda businesses Not just usaid and companies, product companies (UHMG), insurance company, MOH for drugs/referral
In addition to expanding health services, the HIPS programs also will support OVCs With over 2 million orphans in Uganda, we all need to be part of the response in supporting and caring for OVCs Many Ugandan companies have a tradition of giving back to the communities in which they operate through corporate social responsibility programs. HIPS will encourage companies to incorporate OVC into their CSR programs and foster holistic, comprehensive programs that support OVC households, in areas such as, protection & shelter, nutrition, education, health services, psycho-social support and economic strengthening. We will do so by linking companies with local organizations in their communities providing care to OVC households HIPS will also train and support OVC care givers HIPS will launch an matching grants program to co-invest with companies in OVC programs in your communities.