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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