UNILEVER PROGRAMMES 25 YEARS

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2 UNILEVER PROGRAMMES 25 YEARS We, as a global Unilever team, celebrate 25 years of programme delivery and a decade of success, reaching ever closer to Getting to Zero. Our incidence and prevalence continues to decrease and stabilize due to successful prevention campaigns, awareness, education, condomize to male circumcision. Our mortality rate continues to decrease and mother to child (parent to child) transmission is now under 1% due to treatment for all, and the quality of life of our employees and families improve through our comprehensive health promotion programme, Lamplighter. It is indeed a time for celebration as we move towards the end of the 2015 Millenium Development Goals and beyond, together developing new strategies for new and old health issues alike. Murray Coombs Head Of Medical And Occupational Health Africa

3 Our approach to HIV/AIDS in Sub-Saharan Africa Our approach to HIV/AIDS within medical and occupational health Our Journey The Unilever HIV Programme Focusing on Education and Prevention Raising Awareness Partnership and Community Involvement The Way Forward

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5 Like many of us, I first became aware of HIV during the late 1980 s. But it was during a visit to the Unilever Boksburg factory at this time that the scale and impact of the epidemic really hit home. As the epidemic progressed faster than our scientific understanding, we continued to live with the frightening reality of more and more individuals with HIV/AIDS presenting at our company clinics, some with really tragic consequences. We knew we had to do something. The impact on our employees, their families, our business and the communities in which we operate was painfully evident and we needed a plan. Given the scale of the challenge, we knew we could not tackle this alone; we needed to partner with the scientific community and international organizations such as the World Health Organization, The World Economic Forum, The Gates Foundation and the Institute of Health and Productivity Management, to better understand the epidemic so we could play our part in tackling HIV/AIDS. Unilever set out an ambitious roadmap with the aim of reducing the number of new cases and to improve the quality of life of those already living with HIV/AIDS. We put in place comprehensive awareness and education programmes to reduce stigma and increase understanding of transmission and safe practices, as well as offering free HIV testing, counselling and treatments to those affected. Unilever was one of the founding members of the Global Business Coalition on HIV/AIDS, Tuberculosis and Malaria and we continue to mobilize the network and resources of multinationals to combat these diseases, supporting 11 business coalitions on AIDS across Africa. Our approach to HIV/AIDS is a reflection of the Unilever Sustainable Living Plan which seeks to positively impact the health of a billion lives in the communities in which we operate. We were deeply saddened by the tragic number of children that were impacted by HIV/AIDS and we created Thokomola in South Africa an initiative to provide children orphaned by this epidemic, a new home in a loving and nurturing family environment. This report captures our journey over 25 years of working to reduce the burden of HIV/AIDS in the workplace and in the communities in which we operate in Africa. As we look back, we can see we have made progress and we are pleased to report a 30-50% drop in mortality across our sites, with an incidence rate that is less than the national average. But we must also continue to look forward. We know we can t be complacent and more needs to be done; particularly in epidemic hot spots and we continue to target these areas. We also know more needs to be done in the workplace and we are committed to the International Labour Organizations recommendation of getting to zero new infections, zero discrimination and zero AIDS-related deaths. We are committed to continuing our efforts to tackle HIV/AIDS in partnership with the international community and reach our goal of getting to zero. Doug Baillie Chief Human Resources Officer, Unilever WE ARE COMMITTED TO CONTINUING OUR EFFORTS TO TACKLE HIV/AIDS IN PARTNERSHIP WITH THE INTERNATIONAL COMMUNITY AND REACH OUR GOAL OF GETTING TO ZERO.

6 what needs to be done to make a difference in Africa?

7 7 AFRICA LEADERSHIP TEAM We, the Africa Leadership team, celebrate the success of our Africa HIV/ AIDS interventions. As a leadership team we will continue our commitment to fighting HIV/AIDS in Africa. We congratulate our teams in all the African countries for their continual endeavor to support and care in the true spirit of the Unilever business principles, HR and MOH strategy and the Unilever Sustainable Living Plan. The way forward Many African countries have made significant progress in their treatment programs in recent years, especially in reducing new HIV infections among children. Indeed, the number of new HIV infections decreased by 24% since However, this is still far from reaching our objectives of eliminating new HIV infections among children and reducing by half the deaths related to pregnancy by What needs to be done to make a difference in Africa? To ensure sustained domestic commitment to the epidemic in Africa, Successful HIV/AIDS prevention programs need to be highlighted and repeated. In addition, the following should form a part of the continued effort in the journey towards zero: 1. Increased funding for HIV/AIDs; this is one of the most important ways in which the situation in Africa can be improved. African governments need to set aside more money in their budgets towards fighting HIV/AIDs and improve both prevention campaigns and the provision of treatment and care for those living with HIV 2. Domestic financing and commitment: this is not only necessary in scaling up HIV prevention and treatment programs but also in ensuring the sustainability of health programs. In addition, a country s health, education, communication systems and infrastructures must be sufficiently developed to facilitate effective implementation of HIV prevention and treatment programs. However, in many sub-saharan Africa countries these systems were already under strain before the AIDS epidemic and they have experienced increased pressure on their resources as a result of AIDS. 3. Reducing stigma and discrimination: HIV-related stigma and discrimination remains an enormous barrier to the fight against AIDS. Fear of discrimination often prevents people from getting tested, seeking treatment and admitting their HIV status publicly. Since laws and policies alone cannot reverse the stigma that surrounds HIV infection, AIDS education in Africa needs to be scaled-up to combat the ignorance that causes people to discriminate. The fear and prejudice that lies at the core of HIV and AIDS discrimination needs to be tackled at both community and national levels. 4. Helping women and girls: In many parts of Africa, as elsewhere in the world, the AIDS epidemic is aggravated by social and economic inequalities between men and women. Women and girls commonly face discrimination in terms of access to education, employment, credit, health care, land and inheritance. These factors can all put women in a position where they are particularly vulnerable to HIV infection. A greater emphasis needs to be placed on educating women and girls about AIDS, and adapting education systems to their needs. In some Southern African countries the rate of HIV among year old females is far higher than that of year old girls. This suggests prevention activities should target women at a young age and ensure they have the knowledge and skills to avoid HIV infection from when they become sexually active. 5. Prevention of transmission of HIV through mother-child channel must be a public health priority in our continent seeing the growing number of infected children and the fact that women are most affected by the AIDS pandemic. Subsequently, battling AIDS on our continent should be localized and involve women policy makers at the local and regional and levels in a manner that is participatory and inclusive. The aim is to ensure better home-based care at the community levels. It is worth making the effort of mobilizing women as key players in the formulation and implementation of AIDS campaigns. 6. Private sector partnerships with Ministries of education, information, youth, and women s affairs, in African countries to harmonize their interventions through frameworks of cooperation and coordination. In conclusion, there are 3 main enablers in the journey towards zero; uncompromising effort against stigma and discrimination, greater involvement of people living with AIDs and reduction of gender inequalities. The Africa leadership team want to assure all stakeholders of the commitment of Unilever in Africa to participate in the synergy needed to maximize the impact of our interventions for GETTING TO ZERO. In this regard, integrating our HIV/AIDS programme into our wellness strategy, Lamplighter programme will ensure sustainable long term interventions. On behalf of the Africa Leadership team WE SUPPORT THE UNAIDS HIV STRATEGY Alan Jope President Russia, Africa, Middle East, GM Antoinette Irvine VPHR South Africa, HR Mechell Chetty HR VP Central Africa

8 8 OUR AFRICA FOOTPRINT Today, across our sites in sub-saharan countries, the company offers free HIV testing, as well as education programmes to raise awareness, teach safe practices and prevent discrimination. We support the destigmatisation of HIV/AIDS through voluntary confidential testing by healthcare providers Key 1. Nigeria Cote D ivoire Ghana Uganda Kenya Tanzania Zambia Zimbabwe Malawi Mozambique South Africa Southern Sudan

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11 MEDICAL AND OCCUPATIONAL HEALTH IN UNILEVER 11 Medical and Occupational Health is a worldwide responsibility for Unilever. Our Global Medical and Occupational Health strategy revolve around the twin pillars of Health Protection and Health Promotion with three strategic thrusts. Health Protection: To protect Unilever s people from work related hazards to their health. Health Promotion: To promote, maintain & enhance the health of Unilever s people so as to maximize their fitness to work safely and effectively STRATEGY 1 Health, Well Being & Performance STRATEGY 2 Prevention of Occupational Health STRATEGY 3 Travel related medical & occupational Health Key activities Key activities Key activities 1. Lamplighter program 1. Prevention of work related illness & 1. Business travellers and 2. Mental wellbeing & resilience occupational diseases expatriates coverage 3. Addressing risks like HIV/AIDS 2. Ergonomics at the workplace 2. Advise on immunizations & 4. Addressing pandemic threats & 3. Environmental health chemoprophylaxis business continuity 4. Control of allergens at the workplace 5. Agile working Unilever HIV/AIDS programmes are an integral component of our Medical and Occupational Health strategy. During 2009 we introduced a new corporate strategy for HIV/ AIDS, together with regional teams to implement it. An important outcome of this work was the unveiling, on World Aids Day 2011, of a new company-wide standard to reinforce our commitment to the care and protection of employees living with the disease and to help prevent new infections. The standard underpins Unilever s approach to prevent discrimination against employees based on HIV status and to offer care and support when needed. The standard is based on the principle of treating HIV/AIDS like any other chronic disease and providing appropriate steps to combat it. Our global approach to the prevention of control of HIV/AIDS also resonates with the Unilever Sustainable Living Plan which seeks to help more than a billion people by 2020 to take action to improve their health and hygiene. Dr T Rajgopal VP, Global Medical And Occupational Health, Unilever UNILEVER SUSTAINABLE LIVING PLAN IMPROVING HEALTH & WELLBEING REDUCING ENVIRONMENTAL IMPACT ENHANCING LIVELIHOODS 1. HEALTH & 2. IMPROVING 3. GREENHOUSE 4. WATER 5. WASTE 6. SUSTAINABLE 7. HYGIENE NURITION GASES SOURCING BETTER LIVELIHOODS We estimate that we helped 224 million people to take action to improve their health and wellbeing in 2013.

12 12 COSTS OF HIV/AIDS IN THE WORKFORCE

13 13 THE BUSINESS CASE FOR HEALTH INTERACTION COSTS OF HIV/AIDS IN THE WORKFORCE Increased expenses (direct costs) Lost productivity (indirect costs) From one employee with HIV/AIDS (individual costs) Benefits payments Medical care Recruitment of a replacement employee Training of a replacement employee Increased leave and absenteeism Reduced on-the-job productivity Supervisor s time Vacancy until replacement is hired Poor performance due to replacement s inexperience From many employees with HIV/AIDS (organisational costs) Benefits premiums Accidents due to sick or inexperienced employees Litigation over benefits, dismissals, etc. Production or service failures or disruptions due to missing skills, accidents, vacant positions, etc. Loss of institutional memory and experience Breakdown of workforce memory and experience Breakdown of workforce morale and cohesion Diversion of senior managers time Deteriorating labour relations Total Workforce - Related Costs of HIV/AIDS

14 14 BUSINESS CASE The Impact of HIV/AIDS on Labour Productivity in Kenya Few discussions of the potential economic impact of the global AIDS epidemic fail to observe that HIV/AIDS, unlike most other infectious diseases, strikes working-age adults during what should be their most productive working years. The mortality component of this loss is clear: lives lost to AIDS cannot contribute to economic growth Treatment given improves productivity. 6,000 Index Reference Mean Earnings KES Per Month 5,500 5,000 4,500 4,000 3,500 3,000 2,500 2, Months Relative to ART Initiation Source:

15 15 MORTALITY Mortality Rate - per 1000 employees % per 1000 employees Lives Saved Predicted death rate 1.00 Actual death rate All HIV-related Lives saved Year Employees receiving ART and Managed Care by HIV-related Death Number of employees and dependants receiving ART Include dependents *Number of employees 3000 on disease management **Number of employees receiving ART Year

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17 Started HIV activities 2000 HIV activities & new policy adopted 2004 Implemented HIV Management Guide & Training 2007 Update of KPI s 2009 Nigeria PLC Supply Chain 2011 Revised HIV Roadmap/ Traffic light and KPI s 2003 Kenya implemented workplace programme 2005 Africa HIV Resource Centre opened 2008 Tanzania integrating FP5 with HIV Care and RX 2010 Revised HIV policy

18 18 UNILEVER RECOGNITION AND SUCCESS Unilever SA Global Health award for HIV/AIDS programme 2006 Unilever Tea Kenya Global Business Coalition on HIV/AIDS Award for their employee HIV/AIDS education, prevention and treatment programme 2009 Unilver Tea Tanzania participated in a groundbreaking partnership that provided anti-retroviral treatment to people by the end of 2009 Recognition was granted to Unilever Tea Kenya Ltd for a comprehensive workplace programme enabling interventions that are targeted to employees, spouses and dependants. Intervention sponsored by PEPFAR and GTZ 2004 Unilever SA Global Health award for HIV/AIDS programme 2010 Unilever Nigeria PLC received GBC commendation for PPP on Supply Chain project 2008 The program called Healthy Images of Manhood was launched in January 2008 in partnership with Unilever Tea Tanzania Ltd (UTTL) in South-central Tanzania. It is now being replicated at Unilever Tea Kenya Ltd 2012 Case Study of the month: GBC Health presented Unilever s award-winning Lamplighter Program, an innovative approach to employee wellness. The global program is adapted to each countries particular context and major causes of ill health among workers, however, each includes global mandatory standard on medical and occupational health, HIV/AIDS, non-smoking and mental wellbeing

19 19 UNILEVER ROAD TO REACHING ZERO Zero Infections Zero Discriminations Zero Deaths

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21 21 OUR HIV/AIDS PROGRAMME FRAMEWORK In sub-saharan Africa, Unilever companies have developed comprehensive frameworks to manage the HIV/AIDS programme, which addresses the needs of individuals at key stages of prevention and treatment. These are captured in a roadmap and progress is measured by the traffic light method. The HIV/AIDS Roadmap The components of the road map include: This framework addresses the needs of individuals at key stages of prevention and treatment. These are: awareness (through educational programmes for all employees) prevention (including prevention and treatment of occupational exposures and distribution of condoms) acceptance of status (encouraging HIV-positive individuals to seek treatment), treatment and care (including access to anti-retroviral therapy). Policies, Responsibilities & Management Risk analysis Situational analysis Leadership Team responsibility HIV/ AIDS committee Budget Policy Statement HIV/AIDS Induction and Training Guide Monitoring and evaluation Partners (funding) These policies are aligned with the key principles of the International Labour Organization (ILO) Code of Practice on HIV/AIDS. Roadmap methodology We developed the roadmap to define elements, activities (type and level of) and Goals, KPI s/metrics. A traffic light system is used to track progress on the roadmap, with a 6 monthly and annual report which shows progress across sites, countries, and over time. Awareness, Education and Prevention Target population Awareness, information, education and communication HIV/AIDS screening through HVCT Post exposure prophylaxis policy/ procedure Continuum of Care Disease Management, ARV treatment External interactions and contributions Stakeholder involvement

22 22 HIV TRAFFIC LIGHT METHODOLOGY The 6 monthly progress/status update from the HIV Roadmap is carried over into an HIV traffic light. The colour key for activities: RED - not in place YELLOW - in progress GREEN - in place The traffic light colour map gives a clear indication of progress and/or gaps for the HIV programme and allows for priority of interventions.

23 23 HOW TO IDENTIFY THE COUNTRY AND SITE GAPS AS WELL AS YEAR ON YEAR GAPS We use the traffic light colour map to identify yellow and red on the vertical plane which indicated specific country/site issues and issues over time. We then agree to support the specific country and site interventions to close the gaps. Gaps Identified Interventions Implemented Success Element Year 1 Year 2 Year 3 Country 3 Country 3 Country 3 Country 1 Country 1 Country 1 Country 2 Country 2 Country 2 Country 4 Country 4 Country 4 Country 5 Country 5 Country 5 Leadership Team Resposibility Risk Analysis Situational Analysis Financial Management HIV/AIDS Committee How to identify corporate and/or subject matter gaps We use the traffic light colour map to identify yellow and red on the horizontal lane which indicates corporate and/or subject matter issues, as well as policy and or science changes over time. In this example both Risk analysis and Situational analysis were newly identified elements agreed to during an HIV policy review, that now needed both business and scientific intervention. Element Year 1 Year 2 Year 3 Country 3 Country 3 Country 3 Country 1 Country 1 Country 1 Country 2 Country 2 Country 2 Country 4 Country 4 Country 4 Country 5 Country 5 Country 5 Leadership Team Resposibility Risk Analysis Situational Analysis Financial Management HIV/AIDS Committee

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25 25 As there is currently no cure for AIDS, education and prevention are critical to halt the spread of the disease and are the main line of defence against it. These should also be supported by counselling and sustainable programmes to care for those already infected. Therefore, in the fight against HIV/AIDS, Unilever is committed to deploying effective programmes of health education, using our skills in communication and to secure access to appropriate treatment for our employees at all stages of the disease. Countries differ greatly in the quality of clinical infrastructure, in national health priorities and in the cultural sensitivities which surround HIV/AIDS. The role of the private sector varies accordingly where public health systems prevail, for example, Unilever s contribution will concentrate on education and prevention schemes. Elsewhere, direct involvement in treatment and care may be necessary. Unilever s policies respond to these differences and adapt to fit local needs. In each country, health professionals are responsible for determining the mix of provision for employees in line with local cultural, social and operating requirements. Our policies have been most developed in sub-saharan Africa, where the company s programmes have been developed over many years and are shared widely both with other companies and in society. Private sector, insurance, EAP and governmental resources are uniquely combined to deliver appropriate services and support. education and prevention are critical to halt the spread of the disease

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27 27 raising awareness through events and partnerships WORLD AIDS DAY: 1 DECEMBER Unilever marks World AIDS Day each year. Our sites contribute to global and national awareness campaigns using a combination of the Global Business Coalition on HIV/UNAIDS & WHO AIDS campaign materials and local NGO and government messages. GLOBAL BUSINESS COALITION ON HIV/AIDS Given the scale of the challenge, our approach is to work in partnership with others, and to share expertise and learning. Unilever was one of the early partners of the Global Business Coalition on HIV/AIDS, Tuberculosis and Malaria (GBC), which aims to mobilise the networks and resources of multinationals to combat and raise awareness of these diseases. Our Vice President for Global Medical and Occupational Health, Dr T Rajgopal, is a member of the advisory board of the GBC. INTERNATIONAL ORGANISATIONS We work with a range of other international organisations on AIDS, such as the World Health Organization, the World Economic Forum, the Gates Foundation and the Institute of Health & Productivity Management. We also take part in local and international conferences such as the International AIDS Conference and share our learnings with other businesses our programmes are available as models on both the Global Business Coalition and the WEF now Workplace Wellness Alliance websites.

28 28 NATIONAL COALITIONS ON HIV/AIDS We support 11 business coalitions on AIDS across Africa: Cote d Ivoire, Ghana, Kenya, Malawi, Mozambique, Nigeria, South Africa, Tanzania, Uganda, Zambia and Zimbabwe. One example is the South African Business Coalition on HIV/AIDS (SABCOHA), which we have been a member of since its inception in Its aim is to co-ordinate a private sector response to the HIV/AIDS epidemic and to help companies, both large and small, in their efforts to combat the epidemic through workplace initiatives. The business environment offers a unique opportunity to target the millions of employees affected by the pandemic. We participate in SABCOHA initiatives and use this forum to share best practice with other companies and collectively changed the SABCOHA vision to incorporate wellness. WORKING WITH SUPPLIERS IN NIGERIA Over , Unilever, Guinness and Nigerian Breweries worked with the German organisation for technical co-operation (GTZ) to address the impact of HIV/AIDS on key suppliers in Nigeria. We conducted an assessment of how our suppliers generally perceived HIV/AIDS as well as their knowledge and workplace practices. The findings were used to select three companies who would most benefit from HIV/AIDS workplace programmes. We then helped them to develop and establish a suitable programme for their business. PUBLIC PRIVATE PARTNERSHIPS We continue our work with a variety of international agencies across sub-saharan Africa, in particular where we are involved in primary health care in plantations and remote locations. CO-INVESTMENT Co-investment is an innovative approach that consists of leveraging private sector infrastructure and assets to benefit the community beyond the company s labour force. In Tanzania, one example of coinvestment is the collaboration of the national government, various international organisations, NGOs and the private sector to scale up to HIV/AIDS treatment and local communities. EMPLOYEE ENGAGEMENT We also encourage our employees to support our efforts. For example, Unilever North America supported the 2012 AIDS Walks in May Around 150 employees took part, raising over $10,000 for AIDS research.

29 can lengthen life expectancy and quality of life of an advanced HIV+ patient. 29

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31 31 Integrating Family Planning Services with HIV/AID Care and Treatment: The experience of Unilever Tea Tanzania Ltd (UTTL) Background Largest tea producer in Tanzania square km 5 tea estates, 3 factories 6,000 workers/25,000 dependents Surrounding area population: 200,000 Company health system: 67 bed hospital, 12 dispensaries, 2 HIV care and treatment clinics Comprehensive health services include RH/FP,PMTCT, VCT, CTC Well-established peer health education program VCT and Peer Outreach established in 1992, PMTCT in 2002 and CTC in Increased use of CTC=> improved health status 170 CTC clients became pregnant between 2005 and ESD provided technical update on FP and PLHIV in September ESD provided technical support to PHE program in gender and RH/FP UTTL added FP services to CTC in October One of Unilever Tea Tanzania s (UTTL) challenges is recruiting and maintaining an adequate workforce. One of the benefits of working for UTTL is access to its comprehensive, high quality, private health services. All services are provided free to workers and their dependents who live on the plantation. We also provide services at low cost to the surrounding communities. Our peer health education program provides education in the workplace and the community about HIV/AIDS and other health issues. HIV prevalence in Iringa District, where UTTL is located is high around 16% in 2008 and UTTL has seen rates as high as 25%. This of course, has implications for the health and stability of our workforce. We began aggressively addressing HIV in 1992, and have continued to add services and improve quality of care. One of our challenges has been to encourage workers, especially men, to use the HIV services that were available to them. We also wanted to increase access to RH/FP information and services, including HTSP. In 2008, ESD also provided training to 29 PHEs in male involvement to create greater awareness of the effect of gender norms on men s behaviors and to encourage men to make greater use of services. Peer educators also began educating people about the benefits of FP and healthy timing and spacing of pregnancy. PMTCT RH FP VCT CTC KEY Prevention mother to child transmission Reproductive Health Family Planning Voluntary counseling and testing Care and Treatment Clinic for HIV/AIDS patients/ clients

32 32 STRENGTHen THE COMMUNITY Over the years Unilever established strong partnerships with funding agencies, government and non-governmental organisations to strengthen our community programmes.

33 33 YEARLY CTC ENROLLMENT BY SEX Male Female Total While more women are enrolled in CTC, because many of them are identified as being HIV positive when they are pregnant, we are pleased at the steady increase in the number of men who have enrolled as well. We saw a sharp jump in the number of men who enrolled in CTC in 2008 from around 750 in 2007 to around 2200 in 2008 and almost 300 men in 2009, which we attribute in part to the work of the PHEs.

34 34 EXAMPLES OF BEST PRACTICE ACTIVITIES AND PROGRAMMES FROM OUR LOCATIONS Challenges Few providers trained to dispense FP Pronatalist culture Some women become pregnant without consideration of health status/cd4 count Lack of information/myths/misconceptions Resistance from religious leaders and personal beliefs CTC defaulters Poor couple communication around HIV Taboos to discuss sexual matters openly Lessons Learned Most female clients prefer male condoms Majority of HIV/AIDS clients want more children despite the possibility of maternal to child transmission FP can help women achieve safe pregnancies We need to keep in mind the tremendous pressures that women face to bear children, even in high HIV prevalence regions, and adapt our education and counseling to reflect this reality. The predominant messages of the past of abstinence or to use condoms exclusively are less relevant in this day and age where access to PMTCT and ARVs is more available. The message of healthy timing and spacing of pregnancy can help us to help women to identify the right time to become pregnant for their health and the health of their babies.

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37 37 more than 1 million adults live with HIV/AIDS At the end of 2003, UNAIDS estimated that Kenya had more than 1 million adults living with HIV/AIDS and was home to 650,000 AIDS orphans. Unilever Tea Kenya has implemented a workplace program to fight the disease. With more than 15,000 workers, Unilever Tea Kenya is the country s single largest private sector employer. Location Guide Kericho district, which neighbors Nyanza, the Kenyan province most affected by HIV/AIDS with infection rates up to 15%. Employees and their families live on company estates, making Unilever Tea responsible for some 80,000 people. Published in May 2002, the company s HIV/AIDS policy provides education and communication programs; medical care policies that treat HIV/AIDS infected and affected people in a manner consistent with the treatment of people with other lifethreatening diseases; and best practice strategies from within Unilever. The company deemed routine HIV screening, either in the preemployment process or of existing employees, impermissible without informed consent. Flash Point In 1999, Kenya s government declared HIV/AIDS a national disaster. At the end of 2003, UNAIDS estimated that Kenya had more than 1 million adults living with HIV/AIDS and was home to 650,000 AIDS orphans.

38 38 Unilever s Response With an annual medical budget of US$1.4 million, Unilever Tea Kenya owns and operates 22 dispensaries, four health centers, and an 75-bed hospital. Its internal activities fall into four areas: awareness and education; prevention; care and support; and capacity building. It offers mobile clinics; AIDS-awareness messages on paychecks; drama, music, and poster competitions; youth and school programs; health talks; and nutritional support. In-house trainers schooled by the National Organization of Peer Educators in turn have prepared 275 Unilever peer educators. In compliance with Kenya s strategic plan, the company makes a concerted effort to have greater involvement of people living with HIV (GIPA) in the creation and maintenance of company HIV programs. The HIV prevention programs focus on the distribution of male and female condoms, the prevention of mother-to child transmission, and post-exposure prophylaxis. People living with HIV/AIDS benefit from a non-discrimination policy, support groups, Highly Active Antiretroviral Therapy (HAART), Voluntary Counseling and Testing (VCT) and registration in the HIV wellness program. The comprehensive care clinic for HIV&AIDS has enrolled 2900 individuals.

39 39 Externally, the company collaborates with a variety of partners Kenya HIV Aids Business Council, Kenya Tea Growers Association, Walter Reed, National Organization of Peer Educators, GTZ, World Economic Forum Global Health Initiative Taskforce, and schools to bring its programs into the local community. Partnership Award Commended (2010): Diageo, Heineken International and Unilever Nigeria PLC In addition to reaching more than 12,000 with critical diseaseprevention training, the innovative partnership among Guinness Nigeria Plc, Nigerian Breweries and Unilever Nigeria Plc has advanced a model for supply chain engagement that could be deployed across Africa with similar impact. Small and medium enterprises (SMEs) are the economic engines of Africa, employing percent of the workforce. After developing strong programs for their own employees, the three partners began working with the German aid agency GTZ and the Nigerian Business Coalition against AIDS (NIBUCAA) to extend those programs to their contractors and suppliers. The partnership targets nine supply chain companies (three from each corporate partner), providing training for champions within each SME who will coordinate their company s programs, and further train peer educators within each SME almost 400 have been trained to date. THE COMPREHENSIVE CARE CLINIC FOR HIV/ AIDS HAS ENROLLED 2900 INDIVIDUALS

40 40 CRITICAL SUCCESS FACTORS Strengthening Partners for Long-Term Sustainability Through this partnership, Guinness Nigeria Plc, Nigerian Breweries and Unilever Nigeria Plc have not only successfully engaged their supply chains - they ve also invested in strengthening their partner s ability to fight disease. The companies leveraged their skills and resources along with those of GTZ to build capacity within NIBUCAA and within the SMEs themselves, in order to ensure the continued implementation of the SME workplace programs. Scaling up Successful Workplace Programs What makes this partnership so successful is that it prevents SMEs from having to reinvent the wheel. Instead, their programs leverage the lessons learned by the more experienced corporate partners. In addition to providing strategic guidance and models for strong workplace programs, the three corporate partners also adapted their education and awareness materials for use by suppliers and committed to conducting annual refresher trainings

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42 42 SOUTH AFRICA who have dedicated their lives to help make South Africa a better place.

43 43 The 100 Women in 100 Communities campaign was launched in celebration of Unilever South Africa s centenary with 100 years of successful business. The campaign recognised the critical role that women play in their communities, tirelessly and selflessly working to bring hope to the most impoverished South Africans. At its centenary celebrations in Johannesburg, 50 women who excelled in community work received a grant to help them grow their projects and reach even more beneficiaries. Fifty small business women received an interest-free loan to help them grow their business, and to create more employment opportunities and more prosperity in the communities that need it the most. The small entrepreneurs will also receive business training and mentoring. When the loans were repaid, they were ploughed back into the project, thus extending the helping hand to even more women and their communities. The women identified by Unilever included women who worked and volunteered in a variety of sectors, all serving their local communities. These ranged from a Rosina Letwabu, a psychiatric nurse who provided home-based care for children affected or infected with HIV/AIDS in Alexandra, to Thandi Sizwe who cared for 80 children, including orphans and HIV sufferers, who otherwise would have been on the streets.

44 44 the story of a home with a heart

45 45 Thokomala is a story of hope where children orphaned by HIV and AIDS are given a second chance to grow and reach their true potential, in a home where family values are recreated and there is no shortage of hugs and kisses. Thokomala removes the stigma attached to HIV and AIDS and provides children with the love and warmth they need to grow into emotionally sound adults. With the help of our EDUCATION FUND we are supporting Thokomala s children (or young adults) who qualify to study at university or colleges, as one of our primary goals is to release contributing members into society instead of people who further burden the welfare systems. Thokomala sets up unmarked houses in the community, which become homes to six children preferably sibling groups with a loving foster mother. The families are supported by a professional social worker. Thokomala s approach is holistic - we not only provide shelter and food but also the love and nurturing of a normal family environment. Placement of orphans in their community of origin ensures they don t lose touch with their roots and the support systems familiar to them.

46 United Nations general assembly political declaration on HIV/AIDS: TARGETS AND ELIMINATION COMMITMENTS: ACHIEVE UNIVERSAL ACCESS Reducing sexual Preventing HIV among Eliminating new HIV 15 million accessing transmission drug users infections - children treatment Reduce sexual transmission of HIV by 50% by Reduce transmission of HIV among Eliminate new HIV infections among people who inject drugs by 50% by children by 2015 and substantially reduce AIDS-related maternal deaths. Reach 15 million people living with HIV with lifesaving antiretroviral treatment by Avoiding TB deaths Closing the resource gap Eliminating gender inequalities 15 million accessing treatment Reduce tuberculosis deaths in people living with HIV by 50% by Eliminating travel restrictions Close the global AIDS resource gap by 2015 and reach annual global investment of US$ billion in lowand middle-income countries. Strenghthening HIV integration Eliminate gender inequalities and gender-based abuse and violence and increase the capacity of women and girls to protect themselves from HIV. Eliminate stigma and discrimination against people living with and affected by HIV through promotion of laws and policies that ensure the full realization of all human rights and fundamental freedoms. Eliminate HIV-related restrictions on entry, stay and residence. Eliminate parallel systems for HIV-related services to strengthen integration of the AIDS response in global health and development efforts. Source:

47 47 THE WAY Protect Unilever s people from work related hazards to their health and to promote, maintain & enhance the health of Unilever s people so as to maximize their fitness to work safely and effectively. FORWARD >> Our journey does not end here and many of our activities have not been showcased in this publication, because our journey will continue with many more celebrations of our institutionalized programmes integrating Medical and Occupational Health, HIV, Lamplighter and Unilever Sustainable Living Plan to deliver our vision to Protect and Promote. Medical and Occupational Health UNILEVER SUSTAINABLE LIVING PLAN

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