A Comprehensive Global Public Health

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Lillian Kennedy
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1 A Comprehensive Global Public Health Strategy & Engaging the Supply Chain Dr. Rick Wilkins March, Chevron Corporation

2 Global Public Health HIV/AIDS, Tuberculosis, and Malaria Attention to these three diseases has been combined into a single Global Public Health framework. Although serious diseases they are preventable and treatable. Chevron hopes to minimize workforce and family risk while utilizing proven best practices and optimizing internal resources Chevron Corporation 2

Although serious diseases they are preventable and treatable.

3 Case for an Integrated Approach People Increase employee health h and Wellness Leverage employee volunteers Partnership Expand existing partnerships Workforce Performance Decrease costs Leverage proven success 2009 Chevron Corporation 3

Partnership Expand existing partnerships Workforce

4 Shared Program Components HIV/AIDS Tuberculosis Malaria Situation Analysis Knowledge, Attitude, Belief, and Practice Surveys Pre- and Post-training knowledge assessments Training and Guidelines for Chevron health professionals Awareness and Prevention education for employees Partnerships 2009 Chevron Corporation 4

knowledge assessments Training and Guidelines for Chevron health professionals

5 Issue Specific Components HIV/AIDS Corporate level, l global l HIV/AIDS policy addressing harassment, benefits, pre-employment HIV testing, and treatment Increase workforce access to VCCT Tuberculosis Increase early diagnosis and DOTS treatment Increased TB testing for HIV+ patients Malaria Prevent malaria cases in the non- and semi-immune populations Increased vector control and education of home vector control Bite prevention and Chemoprophylaxis 2009 Chevron Corporation 5

DOTS treatment Increased TB testing for HIV+ patients Malaria Prevent malaria cases in the non- and semi-immune

6 Engaging the Supply Chain Shared Resource Thin supply chain Shared workforce Enhance Partnerships Small to medium sized companies Mutually supportive Community Impact Community infrastructure Leverage core competency 2009 Chevron Corporation 6

companies Mutually supportive Community Impact Community

7 Key Examples HIV/AIDS Awareness Training: Chevron Rawalpindi Terminal Pakistan Target populations Chevron Employees and Contractors Program HIV/AIDS awareness training Results Increased HIV/AIDS knowledge and awareness. Key point Contractors located onsite were included in training alongside Chevron employees Chevron Corporation 7

training Results Increased HIV/AIDS knowledge and awareness.

8 Key Examples Africa Malaria Awareness Day Chevron facilities in Nigeria & Angola Target populations Employees, contractors, and third party contractors Program Awareness activities, education, ITN availability Results Increased awareness, increased use of ITNs, increased vector control Key point The celebration and awareness activities were targeted at the entire workforce 2009 Chevron Corporation 8

availability Results Increased awareness, increased use of ITNs, increased vector control Key point

9 Key Examples Oshoek Wellness Center: Chevron Station, ti Swaziland Border Target populations Truck drivers, employees, local community members Program Wellness clinic and HIV/AIDS/STI counseling, testing, and education Results Increased driver and community health Key point Resources originally targeted at the transport sector leveraged to support local community 2009 Chevron Corporation 9

counseling, testing, and education Results Increased driver and community health Key point

10 Key Examples Global Fund Partnership Our partnership with The Global Fund to Fight AIDS, Tuberculosis and Malaria, announced in early 2008, is enabling us to make a difference in the health of our communities, including our Supply Chain. Our $30 million contribution is being allocated over three years and divided into $5 million allotments to grant recipients in Angola, Indonesia, Nigeria, the Philippines, South Africa and Thailand Chevron Corporation 10

11 Key Examples Global Fund - Philippines Tropical Disease Foundation The Philippines is ranked 9th of 22 high- burden countries for tuberculosis. The program has a national scope, focusing on the urban and rural poor, multi-drug resistant t patients t and HIV/TB patients. One of the objectives focuses in particular on Metro-Manila Chevron Corporation 11

The program has a national scope, focusing on the urban and rural poor, multi-drug

12 Key Examples Global Fund - Nigeria National Agency for the Control of AIDS The program aims to scale up provision of antiretroviral treatment and related services such as counseling and testing, prevention of mother to child transmission and community care. It ensures that a comprehensive package of HIV/AIDS treatment, care and support is available in all parts of the country. The program is national in scope and includes our Supply Chain Chevron Corporation 12

13 Lessons Learned Don t Reinvent the Wheel Successful HIV/AIDS Program Utilized same tools and techniques Leveraged the same internal and external resources and partnerships Commitment t to continuous learning and quality improvement Involve outside resources 2009 Chevron Corporation 13

external resources and partnerships Commitment t to continuous learning

annex 2 country profiles

Annex 2 Country profiles Afghanistan High TB burden Estimates of TB burden a 213 Rate (per 1 population) 13 (8.4 16) 42 (27 53) Mortality (HIV+TB only).82 (.65.1).27 (.21.33) (includes HIV+TB) 1 (54 17)