Project REBIRTH YGHCC Team #13 Cynthia Chan        Bernice Qi Tammie Kwong        Sisi Wang Joshua Lyons November 10, 2012...
Introduction                                                                                                   Final Prese...
Executive Summary                                                                                      Final Presentation ...
Executive Summary                                                                                            Final Present...
Revitalizing              Improving   Targeting               BusinessEducation                   Rights     Health
Research & Development                                                                                    Final Presentati...
Research and Development                                                                                 Final Presentatio...
Research & Development                                                                                          Final Pres...
Research & Development                                                                                      Final Presenta...
Revitalizing              Improving   Targeting               BusinessEducation                   Rights     Health
Business Policy                                                                                Final Presentation         ...
Business Policy                                                                                             Final Presenta...
Business Policy                                                                                            Final Presentat...
Business Policy                                                                                                           ...
Business Policy                                                                                             Final Presenta...
Business Policy                                                                                                           ...
Revitalizing              Improving   Targeting               BusinessEducation                   Rights     Health
Human Rights Policy                                                                                      Final Presentatio...
Human Rights Policy                                                                                    Final Presentation ...
Human Rights Policy                                                                                Final Presentation     ...
Revitalizing              Improving   Targeting               BusinessEducation                   Rights     Health
Health Education                                                                                                      Fina...
Health Education                                                                                            Final Presenta...
Health Education                                                                                                Final Pres...
Health Education                                                                                  Final Presentation      ...
Budget                                                                                                                   F...
Limitations                                                                                       Final Presentation      ...
Conclusion                                                                                Final Presentation              ...
Thank you!                                                                                Final Presentation              ...
Appendix: Table of Contents                                                                                         Final ...
Appendix A: South African Mineral Resource                                                                                ...
Appendix B: Lifetime of Selected Minerals                                                                                 ...
Appendix C: Fatality Data                                                                                            Final...
Appendix D: R & D Expenditures                                                                                    Final Pr...
Appendix E: Number of Students in Mining                                                                                  ...
Appendix F: Facts on Research & Development                                                                               ...
Appendix G: Safety in Mines (1)                                                                                 Final Pres...
Appendix G: Safety in Mines (2)                                                                                 Final Pres...
Appendix H: Main Contributors of Fatalities                                                                               ...
Appendix I: Mine Health and Safety Council Award ‘00                                                                      ...
Appendix J: Mine Health and Safety Council Award ‘09                                                                      ...
Appendix K: Mine Health and Safety Council Award ‘10                                                                      ...
Appendix L: Mine Safety Achievements                                                                                 Final...
Appendix M: Compensation                                                                                 Final Presentatio...
Appendix N: Demographics of Miners                                                                                        ...
Appendix O: TB Financial Burden                                                                                           ...
Appendix P: HIV Financial Burden                                                                                          ...
Appendix Q: Condom use                                                                                                    ...
Appendix R: Timeline - Pillar 1 Peer Information                                                                          ...
Appendix S: Timeline - Pillar 2 Peer Education                                                                            ...
Appendix T: Timeline - Pillar 3 Peer Counseling                                                                           ...
Appendix U: Impact of HIV                                                                                 Final Presentati...
Appendix V: TB Education Curriculum                                                                                       ...
Appendix W: HIV Education Curriculum                                                                                      ...
Appendix X: TB- HIV Co-Infection                                                                                          ...
Appendix Y: Recruitment Process                                                                                          F...
Appendix Z: Incentives                                                                                 Final Presentation ...
Appendix AA: The Status of Women in South Africa                                                                          ...
Appendix BB: Male Circumcision                                                                                            ...
Appendix CC: Silicosis                                                                                 Final Presentation ...
Appendix DD: Projected Program Costs                                                                                      ...
Appendix EE: Economic Data                                                                                 Final Presentat...
Appendix EE: Economic Data                                                                                 Final Presentat...
Appendix FF: Human Rights Policy                                                                                          ...
Appendix GG– References                                                                                                   ...
Appendix GG– References (Page 2)                                                                                          ...
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Team 13 presentation

  1. 1. Project REBIRTH YGHCC Team #13 Cynthia Chan Bernice Qi Tammie Kwong Sisi Wang Joshua Lyons November 10, 2012 Confidential Presentation
  2. 2. Introduction Final Presentation Introduction Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Our goals:  Provide the South African government with a set of innovative, effective, and feasible recommendations for reforming and developing the mining industry  Understand the demands of competing stakeholders, including: – Government – Private sector – Mine employees – Non-governmental organizations Client goals:  Appropriately respond to recent crisis in the mining sector  Implement reforms designed to promote long-term business growth  Strive to improve the health, freedom, and economic security of South Africa’s citizens
  3. 3. Executive Summary Final Presentation Key Problem Areas Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Inadequate protection of human rights High rates of Disease Insufficient economic incentives Weak support for education and research
  4. 4. Executive Summary Final Presentation Key Recommendations: REBIRTH Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Revitalizing Education & Business, Improving Rights, Targeting Health1. Research & Development – Bernice Qi2. Business Policies – Joshua Lyons3. Human Rights – Cynthia Chan4. Health Education – Sisi Wang & Tammie Kwong
  5. 5. Revitalizing Improving Targeting BusinessEducation Rights Health
  6. 6. Research & Development Final Presentation Current Challenges Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Low productivity due to:  Lack of innovative techniques for efficient mining  Lack of skilled workers and researchers Health and safety hazards Competition with other countries
  7. 7. Research and Development Final Presentation Benefits from Improved Research Capacity Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Increased productivity  Better technology: discovery of new mines  More skilled practitioners Expansion of manufacturing sector Improved strategies to ensure safety and health for mine workers
  8. 8. Research & Development Final Presentation Proposed Solution Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Increase funding for research and education in mining Expand Attract more education researchers programs Increase Postgraduate: Undergraduate research funds research grants and contracts
  9. 9. Research & Development Final Presentation Beneficiaries Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Research institutions and programs  The Council for Scientific and Industrial Research (CSIR) Natural Resource and Environment – CoalTech, PlatMine  Mine Health and Safety Council  The Mining Industry Growth Development and Employment Task Team (MIGDETT) Educational institutes  University of the Witwatersrand  University of Pretoria
  10. 10. Revitalizing Improving Targeting BusinessEducation Rights Health
  11. 11. Business Policy Final Presentation Key Areas Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Wage growth Employment growth Investment growth
  12. 12. Business Policy Final Presentation Wage Growth Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Policy recommendation:  For each $1 year-on-year increase in average miner wage above the increase in South Africa’s CPI, offer a $0.18 tax credit against mineral royalties per worker employed (restricted to citizens of South Africa) Effects:  Stimulate wage growth beyond rate of inflation  Flexible and non-disruptive policy to improve wages (alternative to minimum wage)
  13. 13. Business Policy Final Presentation Employment Growth Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Policy recommendations:  Offer an employee retention credit: $500 for miners each year that have been retained as employees for at least one year (restricted to citizens of South Africa)  Develop the rare earth mineral sector: – Offer a 5-year waver of royalties on rare earth mineral investment projects that commit to minimum cleanup and human rights standards – Offer a new hire credit: $500 for new miners hired and retained for at least 3 months – Offer an employee retention credit: $500 for miners each year that have been retained as employees for at least one year
  14. 14. Business Policy Final Presentation Employment Growth Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Effects:  Induce new miner hiring within existing industries (estimated 10,000)1  Create approximately 1,000 to 2,000 new jobs in the rare earth mineral sector2  Promote fair treatment and continued employment of miners by incentivizing longer- term work arrangements (at least one year)1 Calculated based on a similar hiring credit employed in the U.S. (approximately same value/per capita GDP, yielded 2% employment growth)2 Extrapolating from the Steenkampskraal project, estimated to create 100 jobs, to additional possible investment projects, and job growth due to processing/export business3 Based on the turnover rate at AngloGold Ashanti in 20114,5 Calculated by multiplying credit value by projected job creation
  15. 15. Business Policy Final Presentation Investment Growth Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Policy recommendations:  Adjust royalty policy to bias towards extraction of locally-refined minerals – Refined mineral rate: 0.5 + [EBIT / (gross sales of mineral resource x 12.5)] x 100 – Unrefined mineral rate: 0.5 + [EBIT / (gross sales of mineral resource x 9)] x 100 – We suggest changing the divisor multiples from 12.5 and 9 to 13.5 and 7  Adjust royalty collection formula to use EBT as a measure of profitability instead of EBIT – EBIT artificially raises the measure of profitability and raises the royalty rate for those companies which invest in new production (by ignoring interest payments)
  16. 16. Business Policy Final Presentation Investment Growth Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Effects:  Increase prevalence of mineral extraction that favors creation of refinement and processing jobs  Improve fairness of royalty collection by eliminating the investment penalty  Encourage investment by including interest payments in profitability calculation1 South African mineral industry, analyst research2 Based on proxy measurement for firms in the mining sector, calculated by finding average interest expense, determining impact on average royalty rate
  17. 17. Revitalizing Improving Targeting BusinessEducation Rights Health
  18. 18. Human Rights Policy Final Presentation Right to Life and Compensation - Current Challenges Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget 1. Right to Life 2. Right to Compensation  Unsafe working  The two main existing conditions  lower statutes complicate the health and productivity, application process  increase in death and unrreliable injury rate (e.g., 277 mining deaths 2008- 2009)(these challenges  frustrated workers  violence and strikes)
  19. 19. Human Rights Policy Final Presentation 1. Right to Life Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Background  Existing Millionaires Award awards one million fatality-free shifts  Exchange rate: 1 USD = 8.7 South African Rand Goal  Increase incentive for longer term workplace safety Method: Millionaire’s Club (MC)  Increasing rewards for consecutive achievements  Publicize the members list  Award immediate towns $50k for public projects  Use saved funds for new team, development, and publicity
  20. 20. Human Rights Policy Final Presentation 2. Right to Compensation Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Background  ODMWA under DOH; COIDA under DOL Goals  Maximize efficiency and funds  Minimize waste, overhead, overlap Method: Consolidate  Equalize compensation ranges  Increase employer contribution for funding
  21. 21. Revitalizing Improving Targeting BusinessEducation Rights Health
  22. 22. Health Education Final Presentation Current Challenges Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetHIV TB • Rates of HIV infection among miners • Crowded living conditions range from 22 to 30% • Exposure to silica dust • Low status of women • Put families at risk • Low levels of condom use • Lack of access to basic health and • Low levels of male circumcision social services • Multiple sexual relationships • Lack of surveillance and post- employment follow-up • High mobility and worker migration • People living with HIV are 20-30 times more likely to develop TB
  23. 23. Health Education Final Presentation Peer Education Program Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetWho? • Motivated sex workers and minersHow many? • A ratio of 1:20What approaches? • ICE Approach: Information, Counselling and EducationWhat are the impacts? • Reduce mortality, morbidity and health costs • Set example for future HIV/TB programs • Generate research hypothesis and values
  24. 24. Health Education Final Presentation 3 Pillar Strategy Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Peer Information Peer Education Peer CounsellingTarget Population Disease-free High-risk DiseasedObjectives Awareness, information, Self-esteem, behavior- Coping skills, psycho- and attitude to change change communication, social support, problem- and prevention skills solving, and referral to clinicians for treatmentConfidentiality None Important EssentialExample of activities Material distribution (i.e. Repeated structured Clinic-based counselling Condom) workshops
  25. 25. Health Education Final Presentation Group Assignment Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  26. 26. Budget Final Presentation Budget Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget 2012-2014 2014-2016 2016-2018 2018-2020 2020-2022Research andDevelopmentResearch $1.4 billion $1.4 billion $1,4 billion $1.4 billion $1.4 billionBusiness PolicyEmployment Policy $230 million $230 million $230 million $230 million $230 millionInvestment Policy $40 million $40 million $40 million $40 million $40 millionHuman RightsMillionaire’s Club - - - - -Mining Project FundHealth EducationTraining & Supplies $140 million $120 million $90 million $90 million $80 millionScreening $350 million $275 million $275 million $225 million $200 millionIncentives & other $3 million $3 million $3 million $3 million $3 millionTotal Costs: $2.163 billion $2.068 $2.038 $1.9678 $1.953 billion $10.19 billion billion billion Billion
  27. 27. Limitations Final Presentation Limitations Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  Lack of cross-border referral system for foreign mine workers  Financial and time constraints:  Limited capability to address treatment-related issues  Impact of expanded education system not immediately observable
  28. 28. Conclusion Final Presentation Conclusion Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Through Revitalizing Education and Business, Improving Rights, and Targeting Health, REBIRTH will be able to promote safety, increase accountability, spread healthy practices, promote economic growth and improve the general condition and caliber of mining.
  29. 29. Thank you! Final Presentation Thank you! Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Questions?
  30. 30. Appendix: Table of Contents Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget A: South African Mineral Resource P: HIV Financial BurdenB: Lifetime of Selected Minerals Q: Condom UseC. Fatality Data on South African Mines R: Timeline- Pillar 1 Peer InformationD: R & D Expenditures S: Timeline- Pillar 2 Peer EducationE: Number of Students in Mining T: Timeline- Pillar 3 Peer CounselingF: Facts on Research and Development U: Impact of HIVG: Safety in Mines (1-2) V: TB Education CurriculumH: Main Contributors of Fatalities W: HIV Education CurriculumI: Mine Health and Safety Council Award ‘00 X: TB-HIB Co-InfectionJ: Mine Health and Safety Council Award ‘09 Y: Recruitment ProcessK: Mine Health and Safety Council Award ‘10 Z: IncentivesL: Mine Safety Achievements AA: Status of Women in South AfricaM: Compensation BB: Male CircumcisionN: Demographics of Miners CC: SilicosisO: TB Financial Burden DD: Projected Health Education Program Costs EE: Economic Data FF: Human Rights Policy Timeline GG: References (1-3)
  31. 31. Appendix A: South African Mineral Resource Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetMajor South African mineral resources and production as a percentage of global resources and production.The commodities are ranked by share of global known mineral resource (Chamber of Mines, 2009).
  32. 32. Appendix B: Lifetime of Selected Minerals Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetThe lifetime of selected South African mineral resources based on 2008 production figures andresource estimates (data from Chamber of Mines, 2009).
  33. 33. Appendix C: Fatality Data Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetThe recent fatality record on South African mines compared to the 2003 summit target rate. (Vogt elal., 2011)
  34. 34. Appendix D: R & D Expenditures Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget SouthParameters Australia Canada Brazil AfricaPopulation (million) 48.2 20.5 32.6 19.7GDP (US$ billion) 255 780 1426 1366GDP/capita (US$) 10401 31794 33375 10200R&D spend (US$ billion) 4 11.4 28.1 14Expenditure on R&D as % of GDP 0.9 1.8 2 1.1Full-time equivalent (FTE) R&D personnel 377 4053 3922 696per million inhabitantsSource: World Bank
  35. 35. Appendix E: Number of Students in Mining Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget University of the University of Witwatersrand PretoriaUndergraduate 360* 210*Coursework 290 17PostgraduateResearch 38 6Postgraduate*50-60% can graduate with a degree and out of the graduates, 15% remain in the employ of miningcompanies as long-term career.
  36. 36. Appendix F: Facts on Research & Development Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget • Funding from Mine Health and Safety Council: $8 million in 1996 vs $2 million in 2010 • 500 mining engineers currently with an estimated shortage of 15% • Number of students need to be trained = 1.5 X number of engineers required • It requires 15 years to train a student from undergraduate level to reach substantive managerial capacity • Mining researchers: 800 in 1980s versus < 80 now
  37. 37. Appendix G: Safety in Mines (1) Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  38. 38. Appendix G: Safety in Mines (2) Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  39. 39. Appendix H: Main Contributors of Fatalities Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  40. 40. Appendix I: Mine Health and Safety Council Award ‘00 Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  41. 41. Appendix J: Mine Health and Safety Council Award ‘09 Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  42. 42. Appendix K: Mine Health and Safety Council Award ‘10 Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  43. 43. Appendix L: Mine Safety Achievements Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget8 Million Fatality Free Shifts: Modikwa Platinum Mine4 Million Fatality Free Shifts: Impala Platinum 1 Shaft and 7A Shaft2 Million Fatality Free Shifts: Impala Platinum 12# Mine, Marula PlatinumMine, Karee Platinum Mine, Western Platinum Mine, Grootegeluk Colliery12 Million FOG Fatality Free Shifts: Rowland Mine1 Million Fatality Free Shifts: Cullinan Diamond Mine, AssmangManganese Mine, Doornkop Gold Mine, Barberton Gold Mines, Tao TonaGold Mine, Blyvooruitzicht Gold Mine, Impale Platinum 7, 16, 17, 20 Shafts,Bafokeng Rasimone Platinum Mine, Bokoni Platinum Mine12 Thousand Fatality Free Shifts: Tselentis Colliery, Forzando CollieryNorth9 Thousand Fatality Free Shifts: Graspan Colliery8 Thousand Fatality Free Shifts: Sedibeng Diamonds
  44. 44. Appendix M: Compensation Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  45. 45. Appendix N: Demographics of Miners Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetTo date, most mineworkers are in betweenthe ages of 15-48 To date, the average age of sex workers is 25-30 years old
  46. 46. Appendix O: TB Financial Burden Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Annual Financial Burden of TB -Annual cost of the TB epidemic in the South African mining sector $886 million -Annual cost of implementing best- practice interventions $570 million -Annual savings as a result of implementing best-practice interventions $316 million -Annual productivity increase from implementing interventions $467 million Total annual benefit: $783million
  47. 47. Appendix P: HIV Financial Burden Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Financial Burden (2010 USD) Total cost (millions) $282 Total annual cost (millions) $14 Mean annual cost per $11,792 HIV-positive employeeImpact of HIV/AIDS on Mining- 20% of coal miners and 30% of gold miners are HIV+ (these prevalence rates are 16% higher than base population)- Total productivity loss of 20%- Attacks 25-45 year olds who subsidize benefits of retirees- Savings used to treat illness, reducing retirement of benefits
  48. 48. Appendix Q: Condom use Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Condom use and relationship characteristics with most recent partner in past 12 months (in 2001) and individual characteristics (in 1999) by sex, Black South African Transitions sample Condom Use in 2001 Overall Male Female P-value % Did not use condom at last sex 40.6% 33.6% 47.1% 0.002 Condom Use Consistency % Always 42.5% 55.1% 30.9% % Intermittent 34.9% 26.0% 43.2% <0.001 % Never 22.5% 18.9% 25.9% <0.001 % Somewhat/ Not confident in 54.7% 36.9% 71.1% <0.001 Knowledge of Condom Use % Believe Using condoms Means 32.7% 32.2% 33.2% <0.803 Not Trusting Partner
  49. 49. Appendix R: Timeline - Pillar 1 Peer Information Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetPriority Reform Goals Monitorable Outcomes Area (Year 1-10)Provide awareness, Risk reduction, including condom Increased condom-useinformation, and distributionattitude to change Identify current high risk populations Formation of disease-free, but at risk clusters Develop peer health support groups for both sex workers and miners Train health workers Incorporate annual screening into Increase detection rate workplace Reduce stigma and discrimination of people living with and affeced by HIV and Heightened acceptance of peer health key populations education programs
  50. 50. Appendix S: Timeline - Pillar 2 Peer Education Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetPriority Reform Goals Monitorable Outcomes Area (Year 2-8)Provide information Establish supportive environments and Greater sense of wellness andon self- esteem, promote sense of community within mining connection within communitybehavior-change communities and sex workers respectivelycommunicationand prevention Further reducing vulnerability andskills expanding choices regarding health Continued increase in condom use, along with greater awareness to health options Create and maintain a new pool of health educators to ensure sustainability of peer Increased participation of local miners health education program and sex workers
  51. 51. Appendix T: Timeline - Pillar 3 Peer Counseling Final Presentation Supporting data Human Health Business Timeline & Introduction R&D Conclusion Appendix Rights Education Policy BudgetPriority Reform Goals Monitorable Outcomes Area (Year 1-10)Provide coping Identify diseased individuals and reduce Higher rates of treatment of HIV andskills, psycho-social personal stigma on illness awareness of health optionssupport, problem-solving and referral Alleviate anxiety and stress associated withto clinicians fortreatment Educate early stages of TB and HIV cases Lower rates of MDR-TB with effective with treatment options primary intervention Refer all TB and HIV cases to NGOs for treatment
  52. 52. Appendix U: Impact of HIV Final Presentation Supporting data Human Health Business Timeline & Introduction R&D Conclusion Appendix Rights Education Policy Budget
  53. 53. Appendix V: TB Education Curriculum Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetPart 1- Identifying what TB, symptoms, and treatment plans- Transmission of TB- Prevention of TB Transmission- STIs and TB, specifically relationship between HIV+ and TB- How to assess personal risk and formulate behavior change plans;Part 2- TB testing facilities and processes- The rights of infected and affected employees (including rights to confidentiality)- How to treat a co-worker with TB- Treatment, care and support for infected employees- Infection control in the workplacePart 3- TB, as part of broad-based wellness programs- The workplace TB policy and current programs- Non-discrimination and equality (in terms of benefits etc)- Referral sources and services
  54. 54. Appendix W: HIV Education Curriculum Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetPart 1- Transmission of HIV- Prevention of HIV Transmission- STIs and TB- How to assess personal risk and formulate behavior change plans;- Safer sex and condom usePart 2- HIV testing facilities and processes- The rights of infected and affected employees (including rights to confidentiality)- How to treat a co-worker with HIV/AIDS- Treatment, care and support for infected employees- Infection control in the workplacePart 3- HIV/AIDS, as part of broad-based wellness programes- The workplace HIV/AIDS policy and current programes- Non-discrimination and equality (in terms of benefits etc)- Referral sources and services
  55. 55. Appendix X: TB- HIV Co-Infection Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Most cases of TB in HIV-Positive patients are not caused by drug-resistant strain of TB (this means that early detection and prompt treatment with first line antibiotics)
  56. 56. Appendix Y: Recruitment Process Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget • Identify selection criteria o Educational background, experience, commitment, communication skill, willingness to learn, leadership qualities • Pre-selection workshop o Provide general information about programme, information on training process, roles and responsibilities, and time commitment required • Written contracts o With statement on minimum time commitment, roles and responsibilities o Sign by staff of NGOs, peer educators, and workplace manager • Establish feedback mechanism • Determine incentives
  57. 57. Appendix Z: Incentives Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetProfessional incentives: locally-agreed accreditation system, with opportunities for increasing involvement and responsibility offered -e.g. peer educators can develop to become peer trainersSocial incentives: friendship and team building -e.g. provision of social and recreational opportunities; linkages established with other similar organizations for experience exchange (and travel) opportunities.
  58. 58. Appendix AA: The Status of Women in South Africa Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget Predicted Probability of not using a condom at last sex by gender confidence in condom use knowledge
  59. 59. Appendix BB: Male Circumcision Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  44.7% of adult males are circumcised, with significant regional variation  Scaling up male circumcision to reach 80% can:  Avert more than 1.2 million adult HIV infections 16 years  Yield total net savings of $6.5 billion in 16 yearshttp://www.malecircumcision.org/programs/documents/South_Africa11209.pdf
  60. 60. Appendix CC: Silicosis Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget  The prevalence ranges from 31% in Botswana, 24 to 36% in the Transkei, and 24% in laid-off, older, longer- service Basotho men.
  61. 61. Appendix DD: Projected Program Costs Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget 2012-2014 2014-2016 2016-2018 2018-2020 2020-2022Training Costs $60 million $40 million $20 million $20 million $20 millionMaterials $80 million $80 million $70 million $70 million $60 millionSafe SexSuppliesIncentives* $1 million $1 million $1 million $1 million $1 millionScreeningHIV $150 million $125 million $125 million $100 million $100 millionTB $200 million $150 million $150 million $125 million $100 millionMisc $2 million $2 million $2 million $2 million $2 millionTotal Costs: $493 million $398 million $368 million $318 million $283 million $1.86 Billion
  62. 62. Appendix EE: Economic Data Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  63. 63. Appendix EE: Economic Data Final Presentation Supporting data Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education Budget
  64. 64. Appendix FF: Human Rights Policy Final Presentation Timeline Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetShort term: Y1-2 Medium term: Y3-5 Long term: Y6-10 Action Plan Indicators Indicators • Amend MA • 25 (1), 10 (1+) • 30 (1), 15 (1+) policy, publicize MC [$275k] Indicators • # of mines and mining towns expressing interest (90%)
  65. 65. Appendix GG– References Final Presentation References Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetSouth African National AIDS Council. (April 2011). South Africa: HIV Epidemic, Response and Policy Synthesishttp://www.hst.org.za/sites/default/files/South%20Africa%20national%20synthesis%20report%20rev1%20with%20covers.pdfJoint United Nations Programme on HIV/AIDS (UNAIDS). (June 2012) A people-centered investment tool towards ending AIDS. Geneva Switzerland.http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2012/JC2359_investing-for-results_en.pdfJoint United Nations Programme on HIV/AIDS (UNAIDS). (2012). Meeting the Investments Challenge- Tipping the Dependency Balance. Geneva Switzerlandhttp://www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2012/20120718_investmentchallengesupplement_en.pdf18Twenty8. (June 2009). The Status of Women in South Africa.http://www.18twenty8.org/index.php?option=com_content&view=article&id=67&Itemid=71Burgard, S. & Kusunoki Y. (July 2009). Gender and Condom Use among Black South African Young Peoplehttp://www.psc.isr.umich.edu/pubs/pdf/rr09-683.pdfInternational Federation of Red Cross and Red Crescent Societies. (2009) Standards for HIV peer education programmes. Geneva Switzerlandhttp://www.ifrc.org/Global/Publications/Health/hiv_peer_education-en.pdfInternational Finance Corporation- World Bank Group (2004). HIV/AIDS Guide for the Mining Sector- A resource for developing stakeholder competency andcompliance in mining communities in Southern Africahttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2005/02/03/000090341_20050203151830/Rendered/PDF/313740hiv0aids0mining0toolkit.pdfCourtwright, A. (2010). Tuberculosis and Stigmatization: Pathways and Interventions.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2882973/USAID (September 2009). The Potential Cost and Impact of Expanding Male Circumcision in South Africa.http://www.malecircumcision.org/programs/documents/South_Africa11209.pdfThe World Bank. (June 2010) AIDS & Mining.http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTOGMC/0,,contentMDK:20220933~menuPK:509392~pagePK:148956~piPK:216618~theSitePK:336930~isCURL:Y,00.htmlMyer-Rath, G., J. Pienaar, B. Brink, and A. van Zyi. (July 2012) Company-level ART provision to employees is cost saving: a modelled cost-benefit analysis of theimpact of HIV and antiretroviral treatment in a mining workforce in South Africa. United Kingdomhttp://pag.aids2012.org/abstracts.aspx?aid=16160
  66. 66. Appendix GG– References (Page 2) Final Presentation Business Human Health Timeline & Introduction R&D Conclusion Appendix Policy Rights Education BudgetStop TB Partnership. A Challenge to a Key Southern African Economic Sector.http://www.stoptb.org/assets/documents/news/TBMining2.pdfStop TB Partnership. (2009) South Africa Country Profilehttp://www.stoptb.org/assets/documents/about/cb/meetings/17/2.09-12%20South%20Africa/2.09-12.2%20South%20Africa%20WHO%20Country%20Profile%202009.pdfVogt, D., Durrheim, R., McGill, J. (2011) State Intervention in the Mining Industry. CSIR.Kaplan, D. (2011) South African mining equipment and related services: Growth, constraints and policy. University of Cape Town.Stacey, T.R., Hadjigeorgiou, J., Potvin, Y. (2009) Technical skills—a major strategic issue. Journal of the South African Institute of Mining and Metallurgy.The World Bankhttp://data.worldbank.orgThe Council for Scientific and Industrial Research (CSIR) websitehttp://www.csir.co.zaChamber of Mines of South Africahttp://www.bullion.org.za/content/?pagename=About&pid=122Mine Health and Safety Council websitehttp://www.mhsc.org.zaSouth African Regional Poverty Network. (2011) Coventry Poverty Papershttp://www.sarpn.org/CountryPovertyPapers/SouthAfrica/taylor/report11.pdfMillionaire’s Award: http://www.dmr.gov.za/mine-health-a-safety/mhsc-award-scheme.htmlCOIDA and ODMWA:http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1995466, http://www.anglogold.com/subwebs/informationforinvestors/reporttosociety06/worker-compensation.htmMHSC Summit OHS Action Plan. ( 2011) Mine Health & Safety Council “Zero Harm Through Action”http://option1.mhsc.co.za/images/stories/pledges/OHS-Action-Plan1.pdfAuthorities: Mine Health and Safety Act created the Mine Health and Safety Council and the Mine Health and Safety Inspectorate

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