Employer Led Model : The Government Industry

partnership

11th June 2015 .Bhopal

Presentation for state level workshop for Public and Private industries.

2

Killer Diseases…

Cardiovascular disease(17 m)

Malaria(500 m people fall severely ill)

Diarrhea related diseases (2.2 m)

then why

HIV/AIDS?

3

Because…

• HIV/AIDS affects the most productive age group of 15-49 years - about 83 percent.

• HIV infections can be prevented• It is never possible to get the exact magnitude of the

HIV • Impact beyond health – socio economic • Key challenges in HIV prevention:

• There are no immediate and exclusive symptoms of HIV

• Discussion on sexual issues is a taboo • High levels of stigma and discrimination

Epidemic Scenario: Global & India

2001 20120

0.51

1.52

2.53

3.54 3.4

2.3

No.

(In

Mill

ion)

2005 20120

0.5

1

1.5

2

2.5 2.3

1.6

No.

(In

Mill

ion)

33% Reduction

30% Reduction (8 yrs)

2001 20120

0.050.1

0.150.2

0.250.3 0.26

0.13

No.

(In

Mill

ion)

2006 20120

0.05

0.1

0.15

0.2

0.25 0.21

0.14

No.

(In

Mill

ion)

35% Reduction (6 yrs)

50% Reduction

AIDS related deaths

New Infections

Source: UNAIDS Global Report 2013; NACO HIV Estimations 2012

Global Acclaim for India’s AIDS Control Programme

• India’s NACP appreciated in UN General Assembly Special Session as one of the three success stories in the world (June 2011)

• India elected the Chair of UNAIDS Board for 2013• Over 20 International governmental delegations

visited India to learn from India’s AIDS Control efforts

• Wide recognition of India’s role in ensuring access to ARV medicines for millions of PLHIV across the world

Challenges

Migrant Labor show HIV risk

Higher HIV Prevalence among Pregnant Women with a Migrant Spouse

Migrants over-represented (80%) among HIV+ men (Ganjam)

RAJ UP BIH WB JHAR ORI CHHT MP0.00

0.20

0.40

0.60

0.80

1.00

1.20 1.13

0.39

Migrant Non-Migrant

HIV Positive Cases HIV Negative Controls0%

10%20%30%40%50%60%70%80%90%

100%

19.7

55.6

52.8

18.7

27.6 25.7

Non-Migrants Returned Migrants Active Migrants

Role of Migration- Low HIV among High risk groups in source states- Higher HIV in rural than urban- Higher HIV in spouses of migrants than non-migrants

Increasing Informalisation of work

• “More than 90% of the workforce and 50% of the domestic product are accounted for by the informal economy”

• Faster and inclusive growth needs special attention to informal economy.

Formal Sector Formal Jobs; 4.4

Formal Sector In-formal Jobs; 10.9

Informal Sector Formal Jobs; 0.1

Informal Sector In-formal Jobs; 84.6

Percent Distribution of Formal and In-formal Sector Jobs, India (2004-05)

Source: National Statistical Commission, 2012

For SLW for industries at Bhopal 11

Employer Led Model

• New Initiative under NACP-IV• Aim: Engaging Industries for Reaching

migrant workers with HIV/AIDS prevention to care program and services through their CSR commitments.

11-06-2015

What is ELM?

Integration of HIV /AIDS prevention to care programme within the structures and systems of the industry for the benefit of informal workers linked in the supply chain and communities.

What we are looking at

• Awareness and outreach sessions • Prevention and Provision of treatment for STI• HIV testing and counselling.• Creating an enabling environment by

reducing stigma and discrimination.

How we can partner industries -with or without health facilities

• Awareness and outreach activities.• STI management• HIV testing and counselling • ART Services• Mix of above.

Institutional Arrangements

NACO SACS/TSU Employer

• TI Division

• ELM Coordination Committee (CC) at NACO

• JD TI (SACS) on lead and inter divisional

• Dedicated PO-ELM at SACS/TSU

• Coordination Committee at SACS level

• Senior Management• Nodal Officer - Health Facility in

Charge - CSR Head/Head HR• Coordination

Committee involving SACS

Institutional Framework• Intend letter from industries • Proposal of Activities : Co created by SACS/TSU and Industries, signed by all

parties • Identification of Nodal Officer by the industries • Formation of Coordination Committee involving all stakeholders, including

SACS/TSU representation • MOU for the services in PPP mode • Sharing of information from industries (Nodal officer) to SACS • Monitoring and Supervision by Coordination Committee

15

Status as on 31st May 2015

Tamil Nadu

Gujarat

Odisha

Uttar Pradesh

Chhattisgarh

Kerala

Rajasthan

Delhi

Mumbai MACS

Andhra Pradesh

0 5 10 15 20 2523

1613

119

88

6555

44

3333

21

State wise performance n=132

TextileManufacturing

SteelConstruction

Automobile & TransportCement

Power plants Pharmaceuticals

DairyFertilizer Manufacturing

Service SectorMiningFMCG

Association & CooperativeElectronics

Tea plantationPort

Oil & PetroleumJute

TobaccoDiamond Manufacturing

Leather & Tannery

0 5 10 15 20 25 3026

1515

1411

96

444

3333

2222

1111

Sectorwise seggregation of industries

Awareness

Testing STI ART Condom (free/SM)

Onsite health camps

Any other

0

20

40

60

80

100

120

103

50 52

6

28

12

5

Services provided by partner industriesN

o of

indu

strie

s

Opportunities

19

•Positive image and branding.

•Activities can be included as sustainability reporting as part of Corporate Social Responsibility (Schedule VII of Company Bill, 2012)

•Contributor to National Program and Millennium Development Goal (MDG)

Come Join in India’s Voice against HIV AIDS.

……………Your small step will help millions of people dream big.