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JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS
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Tuesday, January 06, 2009
   
About HIV/AIDS
UPDATE
ASIA PACIFIC AT A GLANCE VIETNAM THAILAND MALAYSIA IRAN SRI LANKA AFGHANISTAN DPR KOREA BANGLADESH BHUTAN CHINA FIJI INDIA Indonesia MALDIVES MONGOLIA NEPAL PAKISTAN REPUBLIC OF KOREA PHILIPPINES ASIA PACIFIC AT A GLANCE Lao People’s Democratic Republic Myanmar Cambodia Vietnam
THE EPIDEMIC
THEMES
 
Home » Themes » Corporate Social Responsibility (CSR)
 
  CORPORATE SOCIAL RESPONSIBILITY
 
The AIDS epidemic today is unparalleled in the challenges it poses to the world, and it is clearly an issue that no one can address alone. Business is an essential partner in the response to AIDS. The private sector like the other sectors, is not immune from AIDS. But the private sector is also in a unique position to respond to the epidemic, because of its reach with employees and the wider business community. Businesses have carried out broad programmes to reach out to customers and local communities through cause-related marketing and social investment initiatives.
 
Involvement of the private sector in the response to HIV/AIDS is crucial to the success of any country's efforts against the epidemic. Businesses can mobilise support in various sectors, give enhanced visibility to the campaign to help keep HIV/AIDS on the international document, and engender a holistic robust civil society response to the HIV/AIDS epidemic. The role of corporate social responsibility and active involvement of the private sector in the response to HIV/AIDS epidemic has been gaining momentum in the region in the last few years. While the impact of these achievements has not been fully documented, there are signs that prevention in the workplace can help reduce levels of HIV infection.
 
IMPACT ON BUSINESSES
 
For many businesses the impact of HIV/AIDS is already severely constraining their ability to be competitive, while for others the potential risks are significant in both high and low HIV/AIDS prevalence regions. Building awareness of the severity of the impact of HIV/AIDS on business is one of the most important elements in assisting businesses to respond effectively.
 
More than 7 million people are infected with HIV/AIDS in the Asia Pacific region, the great majority of them persons in their most productive age. Every day, approximately 14,000 persons globally are newly infected with HIV. 6,000 of these newly infected people are between 15 and 24 years old who would constitute the future labour supply. In Thailand for example, at least 670,000 people are living with HIV/AIDS, of whom more than 85 percent fall in the most productive age group. It is estimated that more than 50 percent of these persons are employed in the private sector. HIV/AIDS directly affects the social and economic development, both on the business level, as well as on the national economic level.
 
For the private sector, the implications of AIDS are felt both at the micro and macro levels. The impact on the workforce is felt in greater absenteeism, high turnover and reduced productivity. At the macro level, AIDS affects the environment in which businesses operate, including markets, investment, services and education. According to a survey of commercial farms in Kenya, illness and death have replaced old age as the leading reason for employees to leave service.
 
1. Impact at the macro-economic level
 
The HIV/AIDS epidemic not only destabilises societies and consumer markets, but also depletes human resources, threatens occupational safety, pressures social protection systems and undermines national investments. As it reduces business' profitability, it has a potential negative impact on a country's economic growth.
 
In the long-term this has the combined effect of reducing the market size for business, particularly in markets outside of the basic necessities of food, housing and energy, and reducing total resources available for production and investment, and thus declining economic growth. Early results of on-going estimates by the World Bank suggest that the macroeconomic impact of HIV/AIDS may be significant enough to reduce the growth of national income by up to a third in countries with adult prevalence rates of 10 percent. Through higher morbidity and mortality, no sector of the economy is immune to the impacts of HIV/AIDS, particularly as a result of reducing the available productive and skilled labour and investment. The combined effect of this is to increase the broader service and production costs to business.
 
Businesses do not work in isolation and so the impact of HIV/AIDS on all productive sectors, on the business supply chains, the effective labour supply and intellectual capital directly impacts on individual companies. These impacts can significantly affect the ability of business to operate. This may lead to a reduction in foreign direct investment, discouraged by these potential production deficiencies exacerbated by HIV/AIDS. There is a danger at a national level of governments, fearful of a possible negative business response to their experience of the epidemic, maintaining a policy of denial.
 
There are limitations with macroeconomic impact analysis, such as the unreliability of data on prevalence rates and demographics. However, despite the lack of available information on individual companies, it is much easier to identify clear and substantive impacts.
 
2. Impact at the organisational level
 
Negative effects on the workplace include: loss of skills and institutional knowledge, declining morale among staff and potential workplace conflicts as a result of stigmatisation and discrimination.
 
Besides these negative effects, serious workplace disruptions occur, such as in:
- Cambodia, where fearful workers refuse to work with colleagues rumoured to have HIV.
- Singapore, where uninformed supervisors terminate staff rumoured to have HIV.
- Thailand, where production line stoppages occur due to fear of HIV transmission.
- Asia, where compulsory HIV testing still is very common in many companies, resulting in employee fear
 
Declining productivity and rising costs
At the individual company level, productivity is reduced, due to the loss of skilled and experienced workers. Profitability is affected as a result of increased labour costs related to:
- rising absenteeism and early retirement;
- increased staff turnover;
- higher costs related to recruitment, hiring and training new employees;
- higher health, life and safety insurance expenditure;
- increased medical expenses and funeral costs.
 
Corporate Social Responsibility in Asia Pacific
 
As AIDS poses a significant threat to human and economic resources in Asia, businesses look for effective solutions to protect their interests. The need for HIV/AIDS prevention in the workplace is eminent, especially in emerging markets where public resources are constrained. Working through the private sector to prevent HIV/AIDS is effective, cost-efficient and sustainable.
 
Sir Richard Skyes, Chairman of the Global Business Council on HIV/AIDS said, "At the World Economic Forum meeting at Davos in 1997, we recognised that businesses couldn't operate in a vacuum. It has to engage the real world. Businesses can also act as an advocate, helping to keep AIDS on the international agenda, and thereby demonstrate the benefits businesses can bring to society as a whole through its products and as a corporate citizen in partnership with the public sector." At the meeting, leaders from corporates, international agencies and Governments came together to discuss the contribution businesses can make. Nelson Mandela, the then President of South Africa, headed the initiative. "Without question, businesses must respond for its own good, and what is good for them is invariably good for the community. In many countries across the world, the epidemic is affecting the workforce, markets and the overall business climate. Studies in Southern and Eastern Africa conducted by the African Medical and Research Foundation and for the US Organisations, AIDSCAP, reach the same conclusion," adds Sir Skyes.
 
The sentiment was echoed by the chairman of the National Business Alliance on HIV/AIDS (NBA) Hadi S. Topobroto at the opening ceremony of the Asia Pacific HIV/AIDS Private Sector Mobilisation Workshop in Indonesia. He said that with the large and increasing number of people living with HIV/AIDS, "it will adversely influence our businesses, communities and nation." Underlining the economic cost of the epidemic, Hadi said a country where 15 percent of the population was living with HIV/AIDS would suffer a one percent decrease in GDP per year. "Let take South Africa, which has a high prevalence of HIV/AIDS. It has been estimated the country will suffer a decrease in GDP of up to 17 percent by 2010. This is a grim picture, particularly for the private sector. Therefore employers and company owners have the responsibility to protect their workers from the spread of the HIV/AIDS epidemic," he said.
 
Corporates provide access to large populations of highly productive workers who are between 25-49 years old, an age-group that is especially vulnerable to HIV/AIDS.
Corporate resources, such as organisational structures and training capacities, can with relative ease be utilised to fight AIDS.
 
Management of HIV/AIDS in the workplace prevents costs that are incurred by the growing AIDS epidemic. Companies will thus perceive the tangible and intangible benefits, such as increased workplace morale and positive corporate reputation and employer's image, and continue what is good for their business.
 
Moreover, businesses possess a wealth of marketing and management experience, and the drive to innovate and cross-boundary organisation structures that have the potential to stop the further
spread of HIV and address the needs of people living with AIDS.
 
In the Asia Pacific region the corporate social responsibility efforts against HIV/AIDS are on the increase. There are many encouraging examples of CSR, public-private partnerships and the private and corporate sectors demonstrating active roles in prevention, care and support activities. The initiatives by the Confederation of Indian Industry (CII) and the Indian Business Coalition on AIDS (IBCA) in India, the Thailand Business Coalition, an alliance of more than 100 companies, are some examples. Promoting CSR in HIV/AIDS prevention, care and support initiatives in the Asia Pacific region is one of the objectives of the advocacy and communication efforts of the UNDP Regional HIV and Development Programme. In partnership with other stakeholders and private and corporate sectors, the idea is to create a regional platform for fostering CSR in HIV/AIDS.
 
 
Business and HIV/AIDS: Who Me?
 
Of the 7,789 business leaders polled it was found (*):
  • Forty seven percent of firms felt HIV/AIDS is having or will have some impact on their business, with firms more worried about HIV/AIDS than tuberculosis or malaria.
  • Most business leaders estimate lower HIV prevalence rates among their workforce than UNAIDS figures for adult prevalence. Firms that have conducted workforce prevalence surveys report lower prevalence rates than those that have not.
  • Twenty percent of the firms believe HIV/AIDS is or will seriously affect their communities, while many believe the epidemic will strike the community, but not their company.
  • Sixteen percent of all firms provide information about the epidemic, while 5 percent claim to provide anti-retrovirals for all HIV-positive staff.
  • Fewer than 6 percent have formally-approved written HIV policies.
  • Only 28 percent of executives believe their response to the epidemic is insufficient, although 56 percent of those who expect a serious impact on the business from the epidemic are dissatisfied with their companies' response.
The report draws three general conclusions from these results:
 
Firms are not particularly active in combating HIV/AIDS, even when they expect the epidemic to cause serious problems for their business.
Businesses appear to be making decisions based on a fairly patchy assessment of the risks they face.
Firms seem to favour a broad social response to the epidemic, even if only a small number of businesses currently see themselves as an integral part of that response.
 
The report recommends the following measures be implemented in future:
 
  • Accurate, objective and unbiased information on HIV/AIDS must be generated and disseminated, covering areas such as workforce prevalence, the impact of the epidemic on businesses at different prevalence levels, and the cost effectiveness of business-sponsored prevention activity.
  • The potential of business associations and coalitions to tackle HIV/AIDS should continue to be utilised, as firms have a greater incentive to participate in and sponsor prevention activities if they can focus on the problems facing an industry sector or geographical area.
  • Public-private partnerships should be considered where they capitalise on the relative strengths of and incentives enjoyed by governments, NGOs and businesses.
(*)Source: World Economic Forum press release
 
Links and key sources
 
Global Business Coalition on HIV/AIDS
 
Business and HIV/AIDS: Who me? A global review of the business response to HIV/AIDS (2003 - 2004)
 
ICT’s HIV/AIDS Policy
 
Chevron: Corporate Responsibility Report 2005
 
NEWS
 
Microsoft Teams with CAP to Train Victims of Human Trafficking in IT
 
The Coca-Cola Company Commits to Engage in the United Nations Global Compact
 
March 6, 2006: Yao Ming To Headline New HIV/AIDS Amareness Campaign In China
 
Businesses Committed To Fight HIV/AIDS In China
 
 
COLUMNS INTERVIEWS
Corporate Social Responsibility in HIV/AIDS: The Rising Need The corporate sector has to become pragmatic and shoulder social responsibility
Mr. Rajan Nanda, Chairman, Escorts Group
Corporate Social Responsibility in HIV/AIDS: Call for greater involvement Public-private partnerships need a critical mass to succeed
Mr. Jagdish Anand, Secretary General, SNS Foundation
  Private sector has a major stake
Mr. Onkar S. Kanwar, CEO, Apollo Tyre
  Corporate sector has a significant role in ensuring prevention and control of HIV/AIDS
V. S. Jain, Chairman, SAIL
  Public-Private partnership vital
Mr. Rahul Bajaj, Industrialist, India
 
 
Publications
 
Using incentives to encourage AIDS programs and policies in the workplace: a study of feasibility and impact in Thailand
 
Financial incentives and managerial willingness help to improve HIV policy in the workplace
Baker, S.; Sartsara, S.; Rumakom, P.; Guest, P.; et al / Horizons , 2004
 
This paper, produced by the Horizons Project and the Thailand Business Coalition on AIDS, explores company managers’ decision-making processes in developing workplace HIV and AIDS programmes. It also explores how incentives could be used to influence this process. The study asks: if a scheme offering reduced rate group-life insurance to a company results in improves workplace programmes; if improvements in programmes result in improved knowledge, attitudes and behaviour of company employees; how managers perceive costs and benefits of their participation; and the motivation for company participation in such schemes.
 
Findings show that managers were more motivated to improve policies and programmes by a sense of social responsibility than by incentives for participation. Managers with closer connections to the initiative, such as physical location, or staff contacts, were more likely to participate. Other findings include: most participating companies improved their HIV and AIDS policies and programmes; broad policy improvements were not associated with specific changes at the employee level; and financial incentives were associated with greater policy improvements among participating companies. Recommendations include combining financial incentives with managers’ willingness to respond to the epidemic and paying more attention to both the participation in and programme content in HIV and AIDS workplace activities. [adapted from author]
http://www.popcouncil.org/pdfs/horizons/tbcafnl.pdf
 
HIV/AIDS beyond Africa: managing the financial impacts
 
How HIV/AIDS affetcs financial performance of companies
USB / F&C Asset Management , 2005
 
This study focuses on how HIV/AIDS affetcs financial performance of companies as well as the overall financial markets. It also explores what companies can do to manage the effects of the disease.
 
Key Findings of the report include:
  • in 2004, estimates indicated that between 36 and 44 million people worldwide were living with HIV. With 65% of this total currently living in Sub-Saharan Africa, HIV/AIDS still tends to be regarded as an “African problem”
  • the most recent 2004 UNAIDS report on HIV/AIDS, however, flags serious epidemics in Brazil, Russia, India and China, and overall rising prevalence rates in these countries
  • HIV/AIDS primarily strikes working-age (15-49 year olds) members of society at the peak of their economic productivity
  • increased mortality and ill-health in the employee population can damage workforce productivity and increase employment costs as a result of increases in: medical care, benefits payments, insurance premiums, absenteeism, recruitment and training costs, and disruption to production
  • companies operating in AIDS-affected areas can choose to take no action or they can introduce a range of intervention programmes,focusing on preventing the spread of the disease and/or treating those suffering from it
  • in many cases, companies choose to compensate for government policy shortcomings, which range from moderate to acute in respect of HIV/AIDS, because the “do-nothing” approach may prove costlier
  • as far as the study can ascertain, the country risk assessments conducted by companies rarely factor in specific HIV profiles and the impact on life expectancy
  • while the business community is increasingly taking responsibility for tackling HIV/AIDS, its actions remain largely limited to operations in South Africa.
 
The report concludes that as the disease spreads, the economics of prevention and treatment, as exemplified in South Africa, increasingly argue in favour of business self-help over reliance on public health authorities. In that context companies should:
  • include an evaluation of both the national prevalence of HIV/AIDS and the response of the host government in country risk assessments for new and existing investments
  • implement, where relevant, prevention, education, awareness, wellness and treatment programmes, to manage the disease and mitigate its impacts press the host government to implement appropriate education and treatment policies, so as to boost the effectiveness of corporate efforts.
http://www.fandc.com/uploadFiles/co_gsri_hivaids_report_may_05.pdf
 
Integration of gender sensitive HIV/AIDS workplace programmes
 
ILO, HIV/AIDS and the world of work / International Labour Organization (ILO) , 2004
 
About half those living with HIV are women, but women are now becoming infected at a faster rate than men. Many women experience sexual and economic subordination in their personal relationships and at work, and so cannot negotiate safe sex or refuse unsafe sex. This briefing from the International Labour Organization (ILO) claims that governments, employers, and trade unions have vital leadership roles to play in changing attitudes and practice in the world of work and the community at large.
 
The paper stresses that each part of a comprehensive workplace programme on HIV/AIDS covering prevention, care and the protection of rights needs to be gender sensitive. The Code aims to provide practical guidance for taking action at the workplace. It is complemented by an education and training manual that includes case studies, learning activities, and examples of nondiscriminatory laws and policies. One module specifically covers gender issues. Action taken to strengthen educational, economic and political opportunities for women, and reduce the obstacles to equality, will also serve to protect them from AIDS and its impact. [adapted from author]
http://www.ilo.org/public/english/protection/trav/aids/wd04en.pdf
 
 
     
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