The Emthonjeni SME ProjectThe Emthonjeni SME ProjectSelbySelby

ByDr Marianne Felix

Sister Boitumelo Sehume

Overview of presentationOverview of presentation

• The Aurum institute

• Emthonjeni Programme

• SME Programme

• Selby Results

The Aurum Institute VisionThe Aurum Institute VisionWho we are

“An internationally respected African

institution that transforms health

in the community.”

Aurum’s FocusAurum’s FocusWhat we do

We focus on researching

and implementing

integrated approaches to

managing

HIV and TB

The Aurum Institute - The Aurum Institute - BackgroundBackground

• Section 21, Health Systems, Not for Profit, Public Benefit Organisation and Proudly South African

• Established 10 years ago

• PEPFAR grant

Testing, Treatment and Care• DOH, DCS

• GP, NGOs

• Small and Medium Enterprises

• Technical support to Anglo American ART programmes

• 55,929 people ever on treatment and care programmes

Emthonjeni Emthonjeni ProgrammeProgramme

PurposePurpose

In partnership with relevant stakeholders,

we make health services more accessible to

marginalised workers in a way that promotes behaviour change and

involves the communities of these workers,

focusing on TB, HIV and STI screening.

Emthonjeni Programme Emthonjeni Programme

BackgroundBackground• Started 2007

– Taxi Rank project – (taxi operators & traders)

– Mobile units• SME’s

• Campaigns

– Schools project – CBD

• Johannesburg and Burgersfort (Limpopo)

• 17,000 tested and 1,700 on treatment and care

since March 2008

Emthonjeni SME Project Emthonjeni SME Project

ObjectivesObjectives

1. To engage with Managers for permission for workers to access our services during work hours.

2. Through interactive theatre raise worker interest in health.

3. To counsel workers about important health issues.

4. To screen workers for 5 important diseases Hypertension, Diabetes, TB, HIV and STI’s.

5. To refer to appropriate service providers.

6. For company to create Wellness Policy, refer for training and develop Wellness Programme.

Emthonjeni SME Project Emthonjeni SME Project - - ServiceService

Market and Recruit

Company Company

Commitment

Interactive Theatre

MedicalScreening

Follow Up

Referral

Mobile X-ray van

Marketing and Recruiting Marketing and Recruiting CompaniesCompanies

Visit

Email

Telephone

Interactive Theatre Interactive Theatre

Medical Screening Medical Screening

Follow Up Follow Up

Referral – GP’s and Emthonjeni Referral – GP’s and Emthonjeni ClinicClinic

Referral - Government ClinicsReferral - Government Clinics

Company CommitmentCompany CommitmentHIV/TB Policy, Training, Programme, Condom HIV/TB Policy, Training, Programme, Condom distributiondistribution

Selby - Area of current workSelby - Area of current work

Identified 173 companies

Recruited 68 companies

Seen 800 workers in three months

Report on 234 workers

60 female

177 male

Selby – Prevalence by age Selby – Prevalence by age groupgroupOverall prevalence: Male 34%, Female 23%

Selby – Prevalence by age groupSelby – Prevalence by age group

Selby – Prevalence by age groupSelby – Prevalence by age group

Selby - ResultsSelby - Results

Male (144)

Female (59)

Tuberculosis 2 1

High Blood Pressure 8 11

High Blood Sugar 0 1

STI 5 1

Chronic disease 4 5

Selby - ResultsSelby - Results

Male (149) Female (60)

Weight 7 5% 8 13%

Smoking 51 34% 12 20%

Alcohol - daily 12 8% 1 2%

- weekly 40 27% 4 7%

- occasionally

32 21% 10 17%

- total 84 56% 15 25%

Selby – ResultsSelby – Results

81% of male workers and

72% of female workers

are testing for the first time

Prevalence of HIV according to Age Group

Profile of Clients and HIV Prevalence Profile of Clients and HIV Prevalence RateRate

June – September 2009

Number Prevalence

tested

• Taxi Drivers 62 19%

• Traders 116 44%

• Domestic Workers 35 49%

• Learners 208 8%

Thank you