SUMMARY:

This activity is a component of a comprehensive prevention education, care and treatment program for

small to medium enterprises (SMEs) with 20-200 employees and other workplaces in South Africa.

PEPFAR funds will be used to support implementation of a peer education prevention program for South

African workers and managers in SMEs. The partner to implement these activities is to be determined. The

major emphasis for this program will be the development of a workplace program, with minor emphasis

given to community mobilization and participation; information, education and communication; and linkages

with other sectors and initiatives. The target population will include adults (men and women of reproductive

age), factory workers, host country government workers and workers in both the public and private sector.

BACKGROUND:

While a growing number of large companies in South Africa are now providing HIV/AIDS related services to

their employees, very few small (20-50 employees) or medium (50-200) sized enterprises have made

progress towards developing comprehensive strategies to combat the epidemic. SMEs face significant

obstacles in providing HIV/AIDS services to employees. In a random sample of SMEs in Gauteng and

KwaZulu-Natal conducted by the Center for International Health and Development (Connelly and Rosen

2005), six major barriers to action on the part of SMEs were identified: 1) lack of information about

HIV/AIDS services; 2) lack of access to these services; 3) little perception of costs or damages being

imposed by AIDS, leading to low willingness-to-pay for services; 4) stigma among employees, who were not

requesting HIV-related programs or benefits; 5) lack of external pressure from labor unions, shareholders,

or advocacy groups; and 6) the relative weight of other problems facing the companies, making HIV/AIDS a

low business priority. The study also reported that the vast majority of AIDS-related attrition occurs among

easily replaceable, non-critical, and/or unskilled employees. Because SMEs offer fewer benefits, have

higher employee turnover, and employ fewer skilled workers than do larger companies, they are less likely

to capture the uncertain benefits of investments in HIV/AIDS programs than are large companies. Given the

complexity of the disease and the widespread impact that HIV/AIDS has on companies, communities and

local economies, diverse resources and skills are needed. This often requires a multifaceted approach

ranging from awareness and prevention to care and treatment to public advocacy. Through public-private

partnerships, businesses can deal more effectively and efficiently with the challenges that HIV/AIDS

present. Businesses possess expertise and skills that, if applied to the HIV/AIDS pandemic could assist in

developing innovative approaches and deploying resources in ways that could greatly assist the fight

against HIV/AIDS. Businesses also have experience in product launches, supply chain management and

manufacturing. They also have the ability to access and understand important subsets of the population,

their employees, major business partners, and customers. Nongovernmental organizations (NGOs), on the

other hand, often have resources that are key in the response to HIV/AIDS. They have complementary

networks, and are trusted by individuals and communities in ways that businesses are not. They have a

tradition within the community of aggressively dealing with crisis and they frequently have the leadership in

place that can marshal the necessary resources. Government brings crucial resources in the form of

infrastructure, policy, regulations, human capacity and the political will to act. Public-private partnerships

provide an opportunity for businesses to leverage the diverse resources of another organization and

generate value above and beyond what the individual organization could generate on their own.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Workplace Programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

SUMMARY:

This activity is a component of a comprehensive prevention education, care and treatment program for

small to medium enterprises (SMEs) with 20-200 employees and other workplaces in South Africa.

PEPFAR funds will be used to support implementation of a palliative care program for South African

workers and managers in SMEs. The partner to implement these activities is to be determined. The major

emphasis for this program will be the development of a workplace program, with minor emphasis given to

community mobilization and participation; information, education and communication and linkages with

other sectors and initiatives. The target population will include adults (men and women of reproductive age),

factory workers, host country government workers and workers in both the public and private sector.

While a growing number of large companies in South Africa are now providing HIV and AIDS related

services to their employees, very few small (20-50 employees) or medium (50-200) sized enterprises have

made progress towards developing comprehensive strategies to combat the epidemic. SMEs face

significant obstacles in providing HIV and AIDS services to employees. In a random sample of SMEs in

Gauteng and KwaZulu-Natal conducted by the Center for International Health and Development (Connelly

and Rosen 2005), six major barriers to action on the part of SMEs were identified: 1) lack of information

about HIV and AIDS services; 2) lack of access to these services; 3) little perception of costs or damages

being imposed by AIDS, leading to low willingness-to-pay for services; 4) stigma among employees, who

were not requesting HIV-related programs or benefits; 5) lack of external pressure from labor unions,

shareholders, or advocacy groups; and 6) the relative weight of other problems facing the companies,

making HIV and AIDS a low business priority. The study also reported that the vast majority of AIDS-related

attrition occurs among easily replaceable, non-critical, and/or unskilled employees. Because SMEs offer

fewer benefits, have higher employee turnover, and employ fewer skilled workers than do larger companies,

they are less likely to capture the uncertain benefits of investments in HIV and AIDS programs than are

large companies. Given the complexity of the disease and the widespread impact that HIV and AIDS have

on companies, communities and local economies, diverse resources and skills are needed. This often

requires a multifaceted approach ranging from awareness and prevention to care and treatment to public

advocacy. Through public-private partnerships, businesses can deal more effectively and efficiently with the

challenges that HIV and AIDS present. Businesses possess expertise and skills that, if applied to the HIV

and AIDS pandemic could assist in developing innovative approaches and deploying resources in ways that

could greatly assist the fight against HIV and AIDS. Businesses also have experience in product launches,

supply chain management and manufacturing. They also have the ability to access and understand

important subsets of the population, their employees, major business partners, and customers. Non-

governmental organizations (NGOs), on the other hand, often have resources that are key in the response

to HIV and AIDS. They have complementary networks, and are trusted by individuals and communities in

ways that businesses are not. They have a tradition within the community of aggressively dealing with crisis

and they frequently have the leadership in place that can marshal the necessary resources. Government

brings crucial resources in the form of infrastructure, policy, regulations, human capacity and the political

will to act. Public-private partnerships provide an opportunity for businesses to leverage the diverse

resources of another organization and generate value above and beyond what the individual organization

could generate on their own.

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.08:

SUMMARY:

This activity is a component of a comprehensive prevention education, care and treatment program for

small to medium enterprises (SMEs) with 20-200 employees and other workplaces in South Africa.

PEPFAR funds will be used to support implementation of an HIV Treatment program for South African

workers and managers in SMEs. The partner to implement these activities is to be determined. The major

emphasis for this program will be the development of a workplace program, with minor emphasis given to

community mobilization and participation; information, education and communication and linkages with

other sectors and initiatives. The target population will include adults (men and women of reproductive age),

factory workers, host country government workers and workers in both the public and private sector.

While a growing number of large companies in South Africa are now providing HIV and AIDS related

services to their employees, very few small (20-50 employees) or medium (50-200) sized enterprises have

made progress towards developing comprehensive strategies to combat the epidemic. SMEs face

significant obstacles in providing HIV and AIDS services to employees. In a random sample of SMEs in

Gauteng and KwaZulu-Natal conducted by the Center for International Health and Development (Connelly

and Rosen 2005), six major barriers to action on the part of SMEs were identified: 1) lack of information

about HIV and AIDS services; 2) lack of access to these services; 3) little perception of costs or damages

being imposed by AIDS, leading to low willingness-to-pay for services; 4) stigma among employees, who

were not requesting HIV-related programs or benefits; 5) lack of external pressure from labor unions,

shareholders, or advocacy groups; and 6) the relative weight of other problems facing the companies,

making HIV and AIDS a low business priority. The study also reported that the vast majority of AIDS-related

attrition occurs among easily replaceable, non-critical, and/or unskilled employees. Because SMEs offer

fewer benefits, have higher employee turnover, and employ fewer skilled workers than do larger companies,

they are less likely to capture the uncertain benefits of investments in HIV and AIDS programs than are

large companies. Given the complexity of the disease and the widespread impact that HIV and AIDS have

on companies, communities and local economies, diverse resources and skills are needed. This often

requires a multifaceted approach ranging from awareness and prevention to care and treatment to public

advocacy. Through public-private partnerships, businesses can deal more effectively and efficiently with the

challenges that HIV and AIDS present. Businesses possess expertise and skills that, if applied to the HIV

and AIDS pandemic could assist in developing innovative approaches and deploying resources in ways that

could greatly assist the fight against HIV and AIDS. Businesses also have experience in product launches,

supply chain management and manufacturing. They also have the ability to access and understand

important subsets of the population, their employees, major business partners, and customers. Non-

governmental organizations (NGOs), on the other hand, often have resources that are key in the response

to HIV and AIDS. They have complementary networks, and are trusted by individuals and communities in

ways that businesses are not. They have a tradition within the community of aggressively dealing with crisis

and they frequently have the leadership in place that can marshal the necessary resources. Government

brings crucial resources in the form of infrastructure, policy, regulations, human capacity and the political

will to act. Public-private partnerships provide an opportunity for businesses to leverage the diverse

resources of another organization and generate value above and beyond what the individual organization

could generate on their own.

New/Continuing Activity: Continuing Activity

Continuing Activity: 21166

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

21166 21166.08 U.S. Agency for To Be Determined 9226 9226.08 TBD Public

International Private

Development Partnership

USAID

Table 3.3.09: