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HIV and AIDS

HIV and AIDS. The management of HIV and AIDS is an ongoing challenge for Anglo companies operating in countries with a high burden of HIV disease Strategy remains unchanged: Strong line management leadership Prevention through education, reproductive health, condoms

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HIV and AIDS

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  1. HIV and AIDS • The management of HIV and AIDS is an ongoing challenge for Anglo companies operating in countries with a high burden of HIV disease • Strategy remains unchanged: • Strong line management leadership • Prevention through education, reproductive health, condoms • Voluntary counselling and testing (VCT) • the entry point for both prevention and treatment • Care, support and treatment for HIV +ve employees • Results focus • Community partnerships

  2. HIV and AIDS data 2005 and 2006Southern Africa Includes AngloGold Ashanti, excludes De Beers

  3. Voluntary Counselling and Testing Our main strategic thrust is getting all employees to know their HIV status through VCT Target for 2007 = 70%

  4. Antiretroviral Therapy (ART) • 4598 employees on ART at end December 2006 • Although this is approx 20% of estimated HIV +ve population, we believe that about 30% are in need of treatment now • Further successful VCT drives will help us close the treatment gap • Those who start treatment before they get sick have much better treatment outcomes • Treatment started late (Advanced AIDS) Mortality 20% • Treatment started before the onset of AIDS Mortality 5% • Over 94% of employees on treatment carry out their normal work and live healthy productive lives • Ensuring meticulous adherence to the treatment regimens is the most important long-term issue

  5. Economic impact • HIV/AIDS cost to companies would be 5% of payroll without access to ART • The estimated average cost to the Anglo Group of not having a worker on treatment is: • R 235, 500 (Range R65,000 – R300,000) (constant 2006 Rand) • US $31,824 (Range $8,783 - $40,540) • Cost of providing ART in the first year is R1,650 ($223) per patient per month • Costs reduce over time due to economies of scale and declining drug prices • The cost of ART is more than covered by reduction in absenteeism and reduced health care costs • Savings from reduction in absenteeism cover 20 – 60% of ART costs • Savings from reduced hospitalisation cover 45 – 70% of ART costs Conversion to US $ at spot rate as on 8 March 2007 Work carried out by the Health Economics Unit, Aurum Institute for Health Research

  6. Cost of HIV Cost of HIV to the business (without ART) in 2006 would amount to just over 5% of payroll (Range = 0.1% - 6.7%) Without ART this is predicted to continue to increase through 2015

  7. Trends in cost of ART provision

  8. ART start Absenteeism patterns by CD4 count before and after commencement of ART

  9. Table of average net cost / savings over 24 months on treatment Shows the importance of patient retention as savings start to accrue between 12 and 18 months period on treatment Note that these figures change as new patients reach these periods on treatment and this table therefore represents a snap shot of trends to the end of 2005 Conversion to US $ at spot rate as on 20 March 2007 Source: Economic impact assessment carried out by Ms D Muirhead, Aurum Institute for Health Research

  10. HIV and AIDS Community Partnerships • Community programmes are designed to build capacity for comprehensive HIV and AIDS services in communities associated with our operations • In partnership with local government, NGO’s, trade unions andprivate health service providers • Business in the Community international award recognised Anglo American’s leading HIV/AIDS responses in the workplace and in the community • Anglo Community HIV and AIDS Partnership programme$4.7 million over 3 years – started in 2003 • Presence across eight regions of South Africa • Focus on youth education, awareness and leadership • New initiatives being developed in rural health care delivery • Business training on HIV and AIDS in China • Community education and awareness in Brazil • Seeking to extend community based initiatives to cover all our global operations • Focus on youth andthe vulnerability of young women and girls to HIV infection

  11. Stop AIDS Now! For any given workplace community,measured over one year Target three zeroes: • ZEROnew HIV infections • ZEROpeople get sick or die from AIDS • ZERObabies born HIV positive on a foundation of • ZEROtolerance of discrimination; stigmatisation or any breach of the human rights framework

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