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3 icohe session v 24.9.2016 dr kmg


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Paper presented during plenary session of 3rd International conference of Occupational Health and environment , Sept 2017,New Delhi

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3 icohe session v 24.9.2016 dr kmg

  1. 1. Benefits of Engaging in CSR: The Emerging Trend that helps National AIDS Control Programme and Indian Industries reaching out to Informal Workers with HIV/AIDS services Dr K Madan Gopal
  2. 2. The presentation flow • Context • The Employer led model • Achievements • Benefits. 24-Sep-16 3rd IOCEH New Delhi 2
  3. 3. • India has the third largest population globally with an estimated 2.1 million people living with HIV globally • The majority of infections are in the most productive age group of 15-49 years. • Launched in 1992 , the national program is globally acclaimed is being implemented as a comphrensive program for prevention and control of HIV in India • Focus has shifted from • Raising awareness to Behavioral change and • from national response to a decentralized response and to increasing involvement of civil societies and network of PLHIV 24-Sep-16 3rd IOCEH New Delhi 3 The Context-1
  4. 4. 3rd IOCEH New Delhi 424-Sep-16 The Context-2
  5. 5. Context -3 Migrant Labor show HIV risk States with higher vulnerability due to Migration Source: NACO HIV Sentinel Surveillance 2010-11 – Provisional Findings; Source: Population Council Study -- Reference: Saggurti N, Mahapatra BB, Swain SN, Jain AK. Male out-migration and sexual risk behavior in India: Is the place of origin critical for HIV prevention programs?. BMC Public Health. 2011. 11:S6; Higher HIV Prevalence among Pregnant Women with a Migrant Spouse Migrants over-represented (80%) among HIV+ men (Ganjam) 0.00 0.20 0.40 0.60 0.80 1.00 1.20 1.13 0.39 Migrant Non-Migrant 19.7 55.6 52.8 18.7 27.6 25.7 0% 20% 40% 60% 80% 100% HIV Positive Cases HIV Negative Controls 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 24-Sep-16 3rd IOCEH New Delhi 5 • Evidence project high risk of HIV AIDS among the migrant labors and their spouses • About 41 percent new infections are reported from high out migration states. • Evidence shows that Migrant laborer are significantly more likely to practice high risk behavior which might cause HIV infection.
  6. 6. • HIV among migrant informal workers may lead to a huge economic impact on the industries and requires timely intervention • Employers can play a crucial role in limiting the spread of the HIV, particularly among the formal and informal workers employed by them. • The companies Act 2013 with provision for 2% profits being used for CSR, offers a unique opportunity to the corporate sector to enter into a win – win situation. 24-Sep-16 3rd IOCEH New Delhi 6 The Context- 4
  7. 7. • Government Industry partnership for HIV/AIDS prevention to care program and services • Engaging Industries to Reach migrant / informal workers and supply chain workers and communities. • Enhancing access by integrating, leveraging systems, structures and resource of the industry • Two models • Industry with Health facilities • Industries without health facilities. • Services • IEC , Condom Programming, STI Management • Integrating / creating linkages for testing and treatment • Partnerships executed through respective State AIDS Control Societies 24-Sep-16 3rd IOCEH New Delhi 7 Employer Led Model
  8. 8. Discussion with senior management of company Identifying systems and structures Signing of MOU with the Industry for Integrating HIV/AIDS Program Identifying Nodal Person in the Industry Training of health staff, supervisors /contractors /employee volunteers Integrating HIV/AIDS Services within exiting set ups Mentoring/ Technical Support by SACS and Reporting by Industries to SACS Implementation Steps 24-Sep-16 3rd IOCEH New Delhi 8
  9. 9. Achievements 24-Sep-16 3rd IOCEH New Delhi 9 Major Activities conducted in the Industry Total Total no. of informal workers associated with the industries partnered under ELM 794267 Total number of functional outlets established for social marketing of condoms , in and around the industry 200 Total number of individuals provided counselling and tested. 3701 Total number of individuals referred for ART services. 6 Total number of persons treated for STI symptoms 968 No. of master trainers trained in the industry for HIV AIDs ( champions) 1225 No of Industries have formed coordination Committee 130 No. of industries partnered 292 292 industries across 110 districts in 23 States.
  10. 10. Benefits ( Indirect) 10 •Being responsible corporate citizen : To be good corporate citizens, extending welfare for contract workers and communities •For a positive image among workers : have both economic and social returns •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) •Sustainability reporting. 24-Sep-16 3rd IOCEH New Delhi
  11. 11. Partners’ Contributions ( Industries) in kind for the services rendered- benefit to the program. Services Unit cost ( INR) per person year Coverage Approx.. Contributions in INR ( Lakhs) Outreach 90 266259 239.63 STI 152 1019 1.54 HIV Testing 117 3633 4.25 ART 26400 63 16.63 Training of Master trainers 15000 1435 215.25 Mid media actives 2500 4340 108.5 Condom SM* *Per outlet 5000 5173 258.65 Services through Health Facilities 120,000 147 176.4 Total 1020.86 1124-Sep-16 3rd IOCEH New Delhi
  12. 12. THANKS 24-Sep-16 3rd IOCEH New Delhi 12 Dr K Madan Gopal Coordinator- National Migration Unit National AIDS Control Organisation, 6th Floor, Chandralok Building 36 , Janpath Road, New Delhi-110070 Tel:011-43509998 email: