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Engaging workplaces in TB care and control

This report provides evidence-based guidance and frameworks for implementing TB care and control programs in workplaces, based on literature reviews, surveys, and site visits. It highlights gaps, potential delivery models, and case studies from Bangladesh, Cambodia, Kenya, and the Philippines.

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Engaging workplaces in TB care and control

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  1. Engaging workplaces in TB care and control Evidence base and guidance framework Hannah Monica Yesudian Dias Stop TB Department World Health Organization Geneva, Switzerland

  2. Evidence base • Literature review • Survey • Disseminated by ILO, GBC, CII, GHI and ITGLWF • 57% of 21,000 workplaces responded that they do not address TB within their HIV workplace programmes. • Site visits • Bangladesh, Cambodia, Kenya and the Philippines • 32 workplace initiatives • Delivery models • Gaps and potential

  3. Form people associations COMPANY MEDICAL CENTRE Referral to HC NTP PPMD Unit Delivery models Bangladesh- Partnering with the Garment Industry Kenya – Flower farms Philippines Cambodia Garment Factories Unorganized workforce DIAGNOSIS Shared Corporate Health Centre COMPANY Referral COMPANY CONTRIBUTIONS NGO M & E TREATMENT

  4. Directed at NTP-business-partner collaboration to initiate and implement workplace programmes Menu of options Practical steps for implementation Case studies Guidance framework

  5. Menu of options Every business counts! Big Companies Identify TB cases among workers and provide diagnosis at workplace Beyond the workplace: Implement comprehensive TB and HIV care programs for workers, families and communities. Support supply chain SMEs Increase awareness among workers, families and community Provide TB treatment and care at the workplace Include TB prevention, diagnosis and treatment in HIV workplace programs Identify TB cases among workers and refer to the public sector Families, Communities and beyond Comprehensive workplace programme Treatment and care Small Companies Referral and Treatment support Diagnosis Awareness

  6. Steps to initiate TBworkplace programmes • Form a tripartite steering committee • Situation assessment • Identify and link with relevant partners • Develop a tripartite collaborative plan • Implementation • Monitoring

  7. Integrating TB in HIV/OSH workplace programmes • HIV/OSH workplace programmes in place in many companies. • TB care and control not adequately addressed or incorporated in these programmes. • To facilitate this it is essential to: • Identify all possible entry points in the HIV/OSH workplace programme where TB can be integrated. • Ensure that integration is built upon what exists and not through the creation of vertical or duplicate structures which may not be sustainable in the long term.

  8. Entry points for TB/HIV programming within the workplace Some examples Is there a HIV Focal person/coordinator in the workplace? Train the HIV focal person to undertake TB activities Adapt the HIV policy to address TB (TB/HIV Policy) Is there a HIV workplace policy? Have IEC materials been developed for HIV? Incorporate TB information in HIV IEC material Is there a monitoring and evaluation framework for the HIV workplace programme? Include TB indicators

  9. “We can’t fight AIDS unless we do much more to fight TB as well." Nelson Mandela Bangkok, July 15, 2004 Source: From the CREATE project Nelson Mandela, Former President of South Africa and Nobel peace prize winner 1993 “A good company delivers excellent products and services, and a great company does all that and strives to make the world a better place." William Ford Jr., Chairman, Ford Motor Co.

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