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Engaging with Industries through:
Employer Led Model
18th February 2015 .
Presentation for CG State Level Sensitization wo...
Rationale for private sector
engagement in Health
• Indian healthcare sector to reach 97.2 billion by
2015 with 20 per cen...
PPP models and initiatives in
health programs
Contracting
Private Sector as supplier of
service to improve access and
effi...
Employer Led Model
• New Initiative under NACP-IV
• Aim:
Engaging Industries for Reaching migrant workers
with HIV/AIDS pr...
CG State Sensitisation workshop on ELM 518.2.2015
Migrant Labor show HIV risk
States with higher vulnerability due to Migration
Source: NACO HIV Sentinel Surveillance 2010-...
Emerging Vulnerabilities: Migration
States with higher vulnerability due to Migration
Mapped migration corridors with
lar...
CG State Sensitisation workshop on ELM 818.2.2015
CG State Sensitisation workshop on ELM 918.2.2015
Goal
To help prospective employers
to implement a comprehensive
program on HIV and AIDS
prevention to care, by
integrating...
Objectives
• Increase awareness and access to
HIV and AIDS prevention to care
services for the informal workers
• To creat...
Strategic Approach to design of ELM
• Identifying and prioritising
industries for focused advocacy
• Technical Support to ...
Processes for Employer Led Model (Organized Sector – PSU and
Private Sector Industries )
Prioritizing industries basis ris...
Employer Led Model (Unorganized Sector)
Prioritizing Industries based on risk and
vulnerability assessment
Structures/Syst...
Proposed Sectors – across states
Sectors include..
Cement Automobile
Transport
Steel
Textile
Paper
industries
Oil and
Petr...
Key personnel and stakeholders
NACO
•Overall policy
directions and
guidance
SACS/TSU
•Responsible for
roll out and
facilit...
Role of industry level actors for
implementing ELMs
I. Organized Sector with Health Facility (Prevention
Services)
II. Org...
Overall framework of key actors for ELM implementation- Organized Sector
Coordination Committee
- Overall monitoring and
s...
Medical Officers
Conducting Health
Camps
- STI Services
- Referral linkages
report for ICTC/ART
services
- Mobile ICTC ser...
Institutional Arrangements
NACO SACS/TSU Employer
• TI Division on lead in
inter divisional
coordination
• PO TI, Consulta...
CG State Sensitisation workshop on ELM 21
0
2
4
6
8
10
12
14
16
18
TamilNadu
Gujarat
Odisha
Maharashtra
Uttarakhand
Punjab...
CG State Sensitisation workshop on ELM 22
0
2
4
6
8
10
12
14
16 15
8 8 8
6
3 3 3
2 2 2 2 2
1 1 1 1 1
Sector wise industrie...
CG State Sensitisation workshop on ELM 23
64
31
34
5
18
5 3
Total Industries
(69)
0
10
20
30
40
50
60
70
80
Awareness Test...
Key take always of ELM.
• Clear model to be presented to CSR boards
• Sustaining motivation of industries through
constant...
Discussions & Thanks
Dr K Madan Gopal
9999189794
kmadangopal@naco.gov.in
kmadangopal@gmail.com
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Engaging with industries elm model

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Engaging with industries elm model

  1. 1. Engaging with Industries through: Employer Led Model 18th February 2015 . Presentation for CG State Level Sensitization workshop on ELM for industries
  2. 2. Rationale for private sector engagement in Health • Indian healthcare sector to reach 97.2 billion by 2015 with 20 per cent annual growth • Major medico-tourism destination; Indian Pharmaceutical sector being third largest globally • Over 80% of out-patient and 50% of inpatient care sought from the private sector • Difficult for the public sector alone to meet the health care needs of the population to address the public health goals Public-private partnership (PPP) approaches to increase access to health care services, public awareness and equity for health, and introduce technologies and systems that improve efficiencies CG State Sensitisation workshop on ELM 218.2.2015
  3. 3. PPP models and initiatives in health programs Contracting Private Sector as supplier of service to improve access and efficiency CSR Move towards mandatory CSR budgets; Great potential for resource leveraging for health and HIV Social Marketing Increase penetration and sale of subsidized products Health care financing, etc. Demand side financing models-vouchers; health insurance Social Franchising Few models tried; shows potential for financial viability and acceptance by users CG State Sensitisation workshop on ELM 318.2.2015
  4. 4. 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. CG State Sensitisation workshop on ELM 418.2.2015
  5. 5. CG State Sensitisation workshop on ELM 518.2.2015
  6. 6. 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 18.2.2015 CG State Sensitisation workshop on ELM 6
  7. 7. Emerging Vulnerabilities: Migration States with higher vulnerability due to Migration Mapped migration corridors with large volumes of out-migration to high prevalence destinations 36% in the age group of 15-24 yrs 66% Married 56% had paid sex with female partner in last six months 9% had sex with male partners in last six months 4.5% injected drugs in last 12 months Need to increase coverage of migrants at destinations, transit points & source villages, along with their spouses at source Source: NACO HIV Sentinel Surveillance 2010-11; Bridge Population… 18.2.2015 CG State Sensitisation workshop on ELM 7
  8. 8. CG State Sensitisation workshop on ELM 818.2.2015
  9. 9. CG State Sensitisation workshop on ELM 918.2.2015
  10. 10. Goal To help prospective employers to implement a comprehensive program on HIV and AIDS prevention to care, by integrating awareness, service delivery with existing systems, structures and resources, within their business agenda. CG State Sensitisation workshop on ELM 1018.2.2015
  11. 11. Objectives • Increase awareness and access to HIV and AIDS prevention to care services for the informal workers • To create enabling environment by reducing stigma and discrimination against PLHIV • To encourage and help prospective employers to integrate and sustain the HIV and AIDS Intervention Program within existing systems and structures CG State Sensitisation workshop on ELM 1118.2.2015
  12. 12. Strategic Approach to design of ELM • Identifying and prioritising industries for focused advocacy • Technical Support to ensure ownership by Industries • Leveraging structures and systems • Service Delivery Partnerships and quality assurance • Linkages with mainstream services • Facilitating an enabling environment CG State Sensitisation workshop on ELM 1218.2.2015
  13. 13. Processes for Employer Led Model (Organized Sector – PSU and Private Sector Industries ) Prioritizing industries basis risk and vulnerability of Informal workers (Mapping Completed during AAP, vulnerability assessment to be carried out during intervention) Senior Management Sensitization from Identified Industries in collaboration of sectoral associations Structures/Systems to be leveraged Existing health facilities, cost of providing services, HR/Welfare/health safety program With Health Facility (Prevention Services)  Integrating ICTC/PPTCT/STI & TB services  CSM through SMOs Without Health Facility (Prevention Services)  On site health camps  Referral linkages to ESIC, empanelled doctors  Referrals/Mobile ICTC from SACS-Cost by company  CSM through SMOs Outreach Awareness  Medical Doctor to lead in case of health facility  Through safety sessions  Integrating within existing activities of HR/Welfare/H & S With Health Facility (Prevention and ART)  Integrating ART, ICTC/PPTCT/STI & TB services within the health facilities  CSM through SMOs MOU with SACS and training of staffs CG State Sensitisation workshop on ELM 1318.2.2015
  14. 14. Employer Led Model (Unorganized Sector) Prioritizing Industries based on risk and vulnerability assessment Structures/Systems to be leveraged Associations/Federations/contractors/sub contractors/trade unions etc. from Identified Industries Outreach Awareness • Integrating in existing Health and Safety programs • Through contractors/sub contractors • Through trade unions e.g Nirman majdur sangh for construction workers Service Delivery (Prevention Services ) On site STI clinics in collaboration with Associations/Federations/ Unions Referral linkages to Public health system, Referrals linkages/Mobile ICTC from SACS CSM through SMOs CG State Sensitisation workshop on ELM 1418.2.2015
  15. 15. Proposed Sectors – across states Sectors include.. Cement Automobile Transport Steel Textile Paper industries Oil and Petroleum Fertilizer Manufactur ing Power plantsConstructio n Seasonal harvesting Tea Plantation Mining Quarry workers Service Sector (Hotel Industry) Fishing Leather and Tannery CG State Sensitisation workshop on ELM 1518.2.2015
  16. 16. Key personnel and stakeholders NACO •Overall policy directions and guidance SACS/TSU •Responsible for roll out and facilitation state level DAPCU •Facilitation at district level or in a cluster of districts Employer Structures •Initiate, Finance and sustain ELM •Overall implementation of ELM •Ownership of ELM PIPPSE •Support NACO in developing Operational guidelines •Technical support and handholding of SACS in roll out of ELM Employer Associations •Advocacy with Employers •Sensitization of Employers on the issue of HIV/AIDS PLHIV Networks •Involvement in Advocacy with key stakeholders MOLE/DOL •Roll out of the National Policy on HIV/AIDS and World of Work Trade Unions •Need based Implementation support to Employers •Facilitate interventions along with employers Other Stakeholders •Facilitate an enabling environment CG State Sensitisation workshop on ELM 1618.2.2015
  17. 17. Role of industry level actors for implementing ELMs I. Organized Sector with Health Facility (Prevention Services) II. Organized Sector without Health Facility (Prevention) III. Unorganized Sector (Prevention Services)
  18. 18. Overall framework of key actors for ELM implementation- Organized Sector Coordination Committee - Overall monitoring and supervision of activities along with Nodal officer Medical Officer at the Health Facility Linked with Industries - Outreach - STI Services - ICTC Services Report - ART services in case industry integrating ART services Medical Officers Conducting Health Camps in case no health facility - STI Services - Referral linkages report for ICTC/ART services SMOs at State Level - Ensuring availability of condoms at Industry level - Reporting of condom uptake from the outlets nearby the industries to nodal officer Nodal Officer Identified by Industries (CSR/HR in charge, Medical Officer. Health safety in charge) Key Roles - Coordinate with different departments for implementation - Coordinate for reporting - Compiling monthly ELM report SACS / TI Division Support and Facilitation by SACS Outreach - 1 volunteer :250 workers - One to one and one to group sessions conducted by peers - No of Informal workers reached Supervisors/ Contractors Senior Management at Industry CG State Sensitisation workshop on ELM 1818.2.2015
  19. 19. Medical Officers Conducting Health Camps - STI Services - Referral linkages report for ICTC/ART services - Mobile ICTC services Nodal Officer Identified by Industries (Supervisor, Chief Contractor, Secretary of society, federation, industry association, Representative from trade unions) - Coordinate with different departments for implementation - Coordinate for reporting - Compiling monthly ELM report Coordination Committee - Overall monitoring and supervision of activities along with Nodal officer SMOs at State Level - Ensuring availability of condoms at Industry level - Reporting of condom uptake from the outlets nearby the industries to nodal officer SACS / TI Division Support and Facilitation by SACS Outreach - 1 volunteer :250 workers - One to one and one to group sessions conducted by peers - No of Informal workers reached Supervisors, Contractors Overall framework of key actors - Unorganized Sector 18.2.2015 CG State Sensitisation workshop on ELM 19
  20. 20. Institutional Arrangements NACO SACS/TSU Employer • TI Division on lead in inter divisional coordination • PO TI, Consultant PPP (2) • Tech support through PIPPSE • ELM Coordination Committee (CC) at NACO • Dedicate PO-ELM at SACS/TSU • JD TI (SACS) on lead and inter divisional coordination • TL (TSU) on support at Districts level • 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 • Reporting from industries (Nodal officer) to SACS • Monitoring and Supervision by Coordination Committee 2018.2.2015 CG State Sensitisation workshop on ELM
  21. 21. CG State Sensitisation workshop on ELM 21 0 2 4 6 8 10 12 14 16 18 TamilNadu Gujarat Odisha Maharashtra Uttarakhand Punjab UttarPradesh Ahmadabad Goa Bihar Kerala W.Bengal Chhatisgarh Mumbai AndhraP Delhi Rajasthan Jharkhand 17 7 6 6 5 4 4 3 3 3 3 2 1 1 1 1 1 1 Statewise no of industries under ELM 18.2.2015
  22. 22. CG State Sensitisation workshop on ELM 22 0 2 4 6 8 10 12 14 16 15 8 8 8 6 3 3 3 2 2 2 2 2 1 1 1 1 1 Sector wise industries under ELM 18.2.2015
  23. 23. CG State Sensitisation workshop on ELM 23 64 31 34 5 18 5 3 Total Industries (69) 0 10 20 30 40 50 60 70 80 Awareness Testing STI ART Condom (free/SM) Onsite health camps Any other Service wise seggregation of industries Number of industries involved Total industries 18.2.2015
  24. 24. Key take always of ELM. • Clear model to be presented to CSR boards • Sustaining motivation of industries through constant interaction and support through SACs CG State Sensitisation workshop on ELM 2418.2.2015
  25. 25. Discussions & Thanks Dr K Madan Gopal 9999189794 kmadangopal@naco.gov.in kmadangopal@gmail.com

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