Hips General presentation August 2009


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Description of what the Uganda USAID funded \'Health Initiatives for the Private Sector\' does and how it partners with the private sector in Uganda.

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  • 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
  • An innovate communications platform designed to promote healthy productive workforces and communities. by breaking down messages into simple steps people can take every day to improve their quality of life
  • 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.
  • 18 month results.
  • Hips General presentation August 2009

    1. 1. Health Initiatives for the Private Sector (HIPS) <ul><li>Engaging the Private Sector for Improved Access and Utilization of Health Services </li></ul>HIPS Health Initiatives for the Private Sector Project
    2. 2. Health Initiatives for the Private Sector (HIPS) <ul><li>USAID funded, 2007-2010 (+2 year extension) </li></ul><ul><li>Works with the Uganda business community to find cost-effective ways to improve access and utilization of health services </li></ul><ul><li>Based on a public-private partnership model </li></ul><ul><li>Supports Orphans and other Vulnerable Children </li></ul><ul><li>Strengthens Private Sector Employer organizations </li></ul>HIPS Health Initiatives for the Private Sector Project
    3. 3. What is Going on in Uganda Industry? <ul><li>53% of employers have HIV prevention programs </li></ul><ul><li>33% explicitly offer Voluntary Counseling and Testing </li></ul><ul><li>29% offer Anti-retrovirals (ARVs) </li></ul><ul><li>39% of employers offer TB diagnosis and treatment </li></ul><ul><li>All insurance companies are now covering HIV/AIDS care and treatment </li></ul>Source: Federations of Uganda Emplyers (FUE) and HIPS, company survey HIV/AIDS in Uganda April 2009 HIPS Health Initiatives for the Private Sector Project
    4. 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)
    5. 5. HIPS as an Advisor to Private Sector <ul><li>Business case for investing in health of employees, dependants and community </li></ul><ul><li>Health delivery options </li></ul><ul><ul><li>Onsite workplace programs and clinic </li></ul></ul><ul><ul><li>Referral to private clinic in company vicinity </li></ul></ul><ul><ul><li>Employer based insurance plan </li></ul></ul><ul><li>HIPS works with 88 clinics (50% company clinic and 50% private for profit clinics) </li></ul>Source: Federations of Uganda Emplyers (FUE) and HIPS, company survey HIV/AIDS in Uganda April 2009 HIPS Health Initiatives for the Private Sector Project
    7. 7. The Good Life at Work <ul><li>A communications platform that uses a entertainment - education format to train company employees and communities on prevention and health maintenance behaviors </li></ul><ul><ul><li>Health Information & Communication Materials </li></ul></ul><ul><ul><li>Peer Education </li></ul></ul><ul><ul><li>Health Fairs </li></ul></ul><ul><ul><li>Lunch Time Videos </li></ul></ul><ul><ul><li>Good Life Products </li></ul></ul>HIPS Health Initiatives for the Private Sector Project
    8. 8. Company to Community Partnership Model <ul><li>Disseminate Policy to workers </li></ul><ul><li>Co-fund Peer Education trainings </li></ul><ul><li>Co-fund Health Fairs and VCT </li></ul><ul><li>Open company clinic to community members/support local existing HC </li></ul><ul><li>Continue paying for clinical staff, lab tests and essential drugs (at subsidized prices) </li></ul><ul><li>Provide HIV/AIDS, TB, Malaria and RH/FP services to employees and surrounding community </li></ul><ul><li>Develop HIV/AIDS/TB workplace policy </li></ul><ul><li>Train peer educators & develop communications materials </li></ul><ul><li>Conduct community Health Fairs and onsite VCT </li></ul><ul><li>Access to low cost health products </li></ul><ul><li>Assist company clinic in MOH accreditation for free ARV/TB drugs </li></ul><ul><li>Train company/private healthcare providers and establish referral systems </li></ul><ul><li>Equip clinic laboratory </li></ul><ul><li>Links to insurance companies </li></ul>USAID/HIPS Company HIPS Health Initiatives for the Private Sector Project
    9. 9. Orphans and Other Vulnerable Children <ul><li>Incorporate OVC support in Corporate Social Responsibility strategies </li></ul><ul><li>Link companies with local organizations providing care to OVC households, aligned with national/district Plans </li></ul><ul><li>Train OVC caregivers </li></ul><ul><li>HIPS OVC matching grant program </li></ul>HIPS Health Initiatives for the Private Sector Project
    10. 10. HIPS Achievements to-date <ul><li>250,000 individuals reached with prevention and treatment message on HIV/AIDS, TB, Malaria, RH/FP </li></ul><ul><li>88 companies clinics and private clinics accredited for HIV/AIDS </li></ul><ul><li>4500 individuals accessing free MOH ARV’s through private clinics </li></ul><ul><li>6000 individuals receiving palliative care </li></ul><ul><li>40,000 individuals received HIV Counseling & Testing </li></ul><ul><li>900 healthcare providers trained In AIDS Treatment, TB and HIV- related palliative care </li></ul><ul><li>3000 Peer Educators trained </li></ul><ul><li>35 workplace sites providing integrated health services in HIV/AIDS, TB, Malaria, RH/FP </li></ul><ul><li>2500 Orphans and other Vulnerable Children served </li></ul>HIPS Health Initiatives for the Private Sector Project
    11. 11. Current Partners Xclusive Cuttings (U) Ltd TORORO CEMENT