10 Pres5AIDS

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HIV/AIDS, THE MINING AND MINERALS SECTOR AND SUSTAINABLE DEVELOPMENT IN SOUTHERN AFRICA : 

HIV/AIDS, THE MINING AND MINERALS SECTOR AND SUSTAINABLE DEVELOPMENT IN SOUTHERN AFRICA Dr Ralph Elias, Dr Ian Taylor and Vasna Ramasar MMSD MULTI-STAKEHOLDER WORKSHOP JOHANNESBURG 18-19 SEPTEMBER 2001

HIV/AIDS in Southern Africa: 

HIV/AIDS in Southern Africa 30-50% adult prevalence likely (cure still a way off) Lack of coordination between and within stakeholders Successes are limited & ad hoc HIV/AIDS is a complex Humanitarian issue Socio-economic impacts There are fundamental stakeholder differences Inequalities in life expectancy may prove destabilising

Terms of Reference: 

Terms of Reference Determine extent of HIV/AIDS Document strategies and challenges Identify key success factors

Methodology: 

Methodology International best practice Baseline regional, national & sectoral surveys Targeted case studies of stakeholders Government NGOs & donors Labour Employers Corporate Individual mine-sites Drug companies

Overview: 

Overview HIV/AIDS & MMSD Key issues in best practice Living with the pandemic Guidelines and toolkits

HIV/AIDS & MMSD Moving towards viable structures: 

HIV/AIDS & MMSD Moving towards viable structures HIV/AIDS can be factored into projects and is a real threat to marginal operations MM Sector plays a key role Providing employee HIV/AIDS prevention and care Supporting community mobilisation Partnering & sharing resources Channeling international resources subject to resource availability, shareholders & corporate policy

HIV/AIDS & MMSD Sectoral leadership: 

HIV/AIDS & MMSD Sectoral leadership Historical leadership role is not sustainable Confine leadership role to “employer level” Pursue partnerships Best practice champion Continue to take the initiative

HIV/AIDS & MMSD Information access: 

HIV/AIDS & MMSD Information access Information-sharing is essential Proper planning Effective collaboration Efficient resource allocation Expertise exists within the sector Confidentiality?

HIV/AIDS & MMSD Multi-stakeholder model: 

HIV/AIDS & MMSD Multi-stakeholder model Maximise utility gained from limited resources Genuine cooperation between stakeholders Understanding different stakeholder motivations Ownership is not just a function of material resource contributions Resource-sharing & trust

Overview: 

Overview HIV/AIDS & MMSD Key issues in best practice Living with the pandemic Guidelines and toolkits

Key Issues in Best Practice Three components of best practice: 

Key Issues in Best Practice Three components of best practice Addressing the driving factors Caring for the affected Effectively delivering solutions

Key Issues in Best Practice Addressing the driving factors: Key Issues: 

Key Issues in Best Practice Addressing the driving factors: Key Issues Economic development Widespread poverty Mining & minerals sector provides a critical link to the global economy

Key Issues in Best Practice Addressing the driving factors: Key Issues: 

Key Issues in Best Practice Addressing the driving factors: Key Issues Economic development Eliminating the causes of social and economic instability Breakdown of civil society and economic failure International community can influence stakeholders causing instability for their own purposes

Key Issues in Best Practice Addressing the driving factors: Key Issues: 

Key Issues in Best Practice Addressing the driving factors: Key Issues Economic development Eliminating the causes of social and economic instability Improving public health Transmission reduction Investments in public health benefit all stakeholders

Key Issues in Best Practice Addressing the driving factors: Key Issues: 

Key Issues in Best Practice Addressing the driving factors: Key Issues Economic development Eliminating the causes of social and economic instability Improving public health Ensuring government commitment Creating an enabling environment for HIV/AIDS interventions

Key Issues in Best Practice Caring for the affected: Key Issues: 

Key Issues in Best Practice Caring for the affected: Key Issues Overcoming stigma Difficult, but changing slowly Need to involve and get involved with PLWHA

Key Issues in Best Practice Caring for the affected: Key Issues: 

Key Issues in Best Practice Caring for the affected: Key Issues Overcoming stigma Mobilising communities Informal and formal initiatives need skills & resources CBC can effectively deliver social services & employee support Potential role in enterprise development

Key Issues in Best Practice Caring for the affected: Key Issues: 

Key Issues in Best Practice Caring for the affected: Key Issues Overcoming stigma Mobilising communities Improving the quality of life Wellness programmes are resource intensive & impossible without partnerships Employers can justify investments in local communities Equity of access & logical sequencing of care interventions are essential

Key Issues in Best Practice Effectively delivering solutions: Key Issues: 

Key Issues in Best Practice Effectively delivering solutions: Key Issues Use existing initiatives as hubs Secure resources from all stakeholders Create resource inventories Share knowledge and information National coordination and monitoring

Overview: 

Overview HIV/AIDS & MMSD Key issues in best practice Living with the pandemic Guidelines and toolkits

Living with the Pandemic Priorities: 

Living with the Pandemic Priorities Strengthen community delivery structures, e.g. home-based care, orphanages, support groups Implement VCT and IEC (on wellness, care, stigma and sexual behaviour) Treat opportunistic infections

Overview: 

Overview HIV/AIDS & MMSD Key issues in best practice Living with the pandemic Guidelines and toolkits

Guidelines & Toolkits: 

Guidelines & Toolkits Assessing stakeholder motivation & resources Creating, expanding & coordinating partnerships Supporting, strengthening & mobilising communities Accessing, distributing & managing resources Monitoring & evaluation

Recommendations: 

Recommendations Stimulate economic development Encourage participation in benefit schemes Establish minimum levels of HIV/AIDS care Address deficiencies in service provision End practice of single sex hostels Enter into health care partnerships with the public sector Adopt norms for provision of drug therapy Prioritise treatment options that address highest morbidity Improve motivation amongst workers, conduct IEC Employee benefit schemes

Recommendations: 

Recommendations Produce guidelines for assessing the value of interventions National resource inventory with information on available resources Encourage partnerships Simplify systems for accessing funding to encourage cooperation Build capacity in communities Develop indicators for monitoring progress Promote on-going sentinel testing Undertake tracker studies to understand disease progression

Summary of Recommendations: 

Summary of Recommendations Recognising and addressing HIV/AIDS as a priority Providing leadership and resources to enable action Address risk generating factors Adopt standards for health care provision Develop multi-stakeholder partnerships based on ethical principles

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