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Principles for Health and AIDS Risk Management

The AfriCap Working Group developed a set of guiding principles for HIV and AIDS and health risk management to assist MFIs in focussing their efforts. The principles underpin all the risk and control items considered in Chapters 3 and 4 of this Guide, and relate both to workplace and marketplace.

PRINCIPLE 1 - GOVERNANCE AND ACCOUNTABILITY As pART of risk management at Board level, MFIs should consider the risk and impact of HIV & AIDS and other significant health issues on staff and clients, and develop an appropriate response. This principle underpins the entire risk management framework, and the need for good information and strategic review for example controls 4.1.1 to 4.2.2.

PRINCIPLE 2 - NON-DISCRIMINATION The MFI should not unfairly discriminate against any staff member or client on the basis of his or her HIV status or health condition. A positive HIV status in itself will not prevent an individual becoming or remaining a client of the MFI. This principle influences responses to risk of discrimination (3.3.2 and 3.4.1), and acts in controls such as Policy (4.1.2) and education and support (4.8.2).

PRINCIPLE 3 - CONFIDENTIALITY All information held by an MFI in relation to a client is confidential and should be treated as such. Any information in relation to the health status of a member of staff or a client should be subject to particular duty of care with respect to confidentiality. Clear application of this principle is seen in controls on confidentiality, preventing poor service to clients and staff, partnership with external healthcare providers, loan officer training and sensitisation (such as controls 4.5.2 or the use of partners to provide healthcare services - Chapter 5).

PRINCIPLE 4 - SUSTAINABILITY The health and AIDS policies put in place by the MFI should be sustainable, to guarantee continuity. In the medium to long term, the Benefits should outweigh the costs. Partnerships (Chapter 5) are a key element in reducing costs for the MFI and the use of expert technical assistance (control 4.6) assist to ensure the sustainability of new initiatives.

PRINCIPLE 5 - RESPONSIBILITY FOR EDUCATION & AWARENESS-RAISING The MFI is responsible for continuously training its staff to understand what spreads HIV, how to prevent it as well as information on other significant health conditions and their prevention. The MFI also has to ensure that staff members are familiar with these specific policies developed for the workplace and for clients. MFIs may take further responsibility for education and awareness-raising within the wider community, and in particular amongst its clients. See for example controls 4.8.1, 4.8.2 and 4.9.1.

PRINCIPLE 6 - PROMOTING PARTNERSHIP MFIs should proactively seek to connect with local partners to collaborate where appropriate on HIV & AIDS related risk management activities. See Chapter 5.

PRINCIPLE 7 - MONITORING AND ASSESSMENT MFIs should have systems to monitor and assess the impact of risks in the local environment, including HIV & AIDS . Controls 4.2.1 and 4.3 are based on this principle.

PRINCIPLE 8 - MARKET PLACE: PROMOTING APPROPRIATE PRODUCTS MFIs should seek to promote products appropriate to the local circumstances, which will help to provide increased financial security to clients. Associated risks are 3.5.3 and most of the partnership risks (3.6) while the controls reflecting this principle include 4.10.1, 4.10.2 (credit product development) and 4.11.6, 4.11.8 (Insurance product development).

Case Studies

Box 2.3 : Health and HIV & AIDS at Standard Bank Group

Standard Bank Group is dedicated to improve staff effectiveness in the workplace, by implementing appropriate health risk management practices. Therefore it has established a corporate health function in SBSA Group and developed a HIV & AIDS strategy, in line with principle 1 of Health and AIDS risk management.

The Corporate Health Department responsibilities include, among others:

  • Health Risk Management, i.e. mitigating the impact of ill health on productivity, mitigating the impact of work on an individual's health and ensuring the long term sustainability of the Group's operations;

  • Establish protocols, manage and report on all the medical risk management requirements of the Group. Protocols and management include principle 2: non-discrimination and principle 3: confidentiality. Reporting refers to principle 7: monitoring and assessment;

  • Develop and implement workplace educational programmes on life threatening diseases such as HIV & AIDS , cancer, asthma, cardiovascular in line with principle 5: responsibility for education & awareness raising; and

  • Develop and manage appropriate employee well-being initiatives, which pay attention to HIV/AIDS , abuse cases, trauma due to hijacking, branch hold ups and heists. This is done in collaboration with ICAS (Independent Counselling and Advisory Services). This partnership is in line with principle 6: promoting partnership and assists to principle 3: confidentiality and principle 7: monitoring and assessment. ICAS for instance reports on the HIV & AIDS cases by quarter from inception, which leads to the following graph:

The trend in cases reported relate to level of activity in Standard Bank's internal communication. It illustrates the importance of continuous training.

Source: Presentation Peter Philip on 24 April 2006 at Africap's: HIV & AIDS risk management conference, Head Corporate Health Standard Bank

Useful Resources

Useful Resources Section 2.5

  • ILO Code of Practice on HIV/AIDS and the world of work;
    AIDS /code/codemain.htm" target="_blank">http://www.ilo.org/public/english/protection/trav/AIDS /code/codemain.htm

  • Implementing the ILO Code of Practice on HIV/AIDS : an education and training manual; AIDS /code/manualen/index.htm" target="_blank">
    http://www.ilo.org/public/english/protection/trav/AIDS /code/manualen/index.htm

  • Microfinance and HIV/AIDS : Defining Options for Strategic and Operational Change, USAID - AMAP, Green, et al., update September 2004 http://www.microlinks.org/ev_en.php?ID=7283_201&ID2=DO_TOPIC Handout 5.16 summarizes the ILO principles.

  • Contributing to the fight against HIV/AIDS within the informal economy:
    The existing and potential role of decentralized systems of social protection (ILO/AIDS and STEP);
    http://www.ilo.org/dyn/infoecon/iebrowse.page?p_lang=en&p_ieresource_id=408

  • Joint ILO-WHO guidelines on health services and HIV/AIDS ;
    http://www.ilo.org/dyn/infoecon/iebrowse.page?p_lang=en&p_ieresource_id=408

  • SADC declaration on HIV/AIDS ;
    AIDS .org.zw/viewinfo.cfm?id=203&linkid=4&siteid=1" target="_blank">http://www.safAIDS .org.zw/viewinfo.cfm?id=203&linkid=4&siteid=1

  • UNAIDS International Organisation of Employers; Employers' Handbook on HIV/AIDS A guide for Action;
    AIDS .org/Publications/IRC-pub02/JC767-EmployersHandbook_en.pdf" target="_blank">http://data.unAIDS .org/Publications/IRC-pub02/JC767-EmployersHandbook_en.pdf

  • AMAP Microfinance and HIV/AIDS : Aftercare Tools, PART 2, Frances Fraser et al.
    http://www.microlinks.org/ev_en.php?ID=7277_201&ID2=DO_TOPIC
    provides a tool for workplace programmes

  • HIV/AIDS and the Public Sector Workforce: an Action Guide for Managers;
    AIDS /pub/guide/publicsector.htm" target="_blank">http://www.fhi.org/en/HIVAIDS /pub/guide/publicsector.htm


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