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Blue print for Business Action on HIV/AIDS
Treatment module
Dr. Henriette Meilo
Cameroon
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CONTEXT
HIGH COSTS •OI Treatment•cART•Biology (diagnostic and follow-up)
COMPLEX MANAGEMENT OF PLWAs
Reluctance of company’s CEOs
INCREASING ACCESS TO cART IN DW Reluctance
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OBJECTIVES OF TREATMENT & CARE FOR BUSINESSES
• Design • Implementation• Evaluation
Preserve Human resources by decreasing morbidity and mortality
Participate in the global response against HIV/AIDS as part of social responsibility
But Major challenges for employers:
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TREATMENT & CARE MODULE OBJECTIVES IN THE BLUEPRINT FOR BUSINESS ACTION ON HIV/AIDS
Reinforce capacity of decision-makers in:
• Deciding priorities• Developing treatment & care action plan• Monitoring & evaluating the program
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HOSPITAL: DoctorsPharmacistsNurses BiologistsSocial workers Associations/
NGOs/CBOs Tradi pratitioners
COMPANY POLICY Company physican
FAMILY
PATIENT
REQUIRES MULTIDISCIPLINARY TEAM & APPROACH
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sero-négativity seropositivity AIDS DEATH
Prevention Prevention Prevention Prevention Prevention
Pre-test counselling Post -test Counseling Follow-up Counseling
VCT
OI Prevention OI treatment
nutritional support
Combined ART
Home base care
REQUIRES CONTINUUM OF CARE
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1 Needs AnalyzisQuestionnaires
DiscussionsFile analyzisNational data
2 Ressources analyzis
National treatt centresNGO/CBO sevices
Company medical services•Material•Human •finances
3 Option choices
External servicesInternal services
Combined services
steps
STEPS IN DECISION-MAKING
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In-house Treatment
& care
Partnership with Public/private
Or Co. hospitals NGOs
Agreement with
privatedoctors
Managed care/ insurance schemes
VariousOptions
EXAMPLE OF TREATMENT OPTIONS
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4Training
• AIDS committee• HR managers
• Health personnel • Social workers
5 Communication • to employees
• to public
6 Implementation
Of treatment & careFollowing national/
International guidelines
7 M&E
• the program organization
• the treatment outcomes
Steps
STEPS IN IMPLEMENTATION
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TopManagementCommitment
Internal& external Communication
Ensure confidentialité
Non discriminatory policy And fight against stigma
Employees involved in program design/implementationVoluntary employee participation in the program
Extension of treatment to family to employees after retirement & dismissal
SUCCESS FACTORS