Global Health Case Competition

Team #17 Yvette Odu

Teshika Jayewickreme Chukwuma Onyebeke

Feras Alajmi

Current Situation

Social Issues

August 16th 2012

34 Miners KILLED by POLICE

An estimated 1 MILLION miners have left the industry in

the last 20 years

WHITE miners earn nearly

2x as much as BLACK miners

Economic Impact

Economic growth

slowed to only 1.5%

An estimated 1 MILLION miners have left the industry

in the last 20 years

86 88 90 92 94 96 98

100 102

Inde

x

SACCI Business Confidence Index 2012

Health Challenges

13.8 in every 1,000 miners afflicted by

silicosis

5.7 million South

Africans infected with HIV. Miners most at risk.

Stakeholders

Investors Police Forces

Mining Companies Trade Unions

Miners Health System

Affected Groups

Interventions

Dialogue to Strike Dissolution

• Third party moderation of dialogue between strike leaders, union heads and mining companies

• Streamline the process for legal

demonstrations • Monitoring police response to strikes

Direct Intervention

• In Mining Companies

• Corporate behavioral taxes

• Employee education on compensation rights

• For Miners’ Well-Being

• Governmental trust fund for miners

• Long-term compensation plan

Occupational Health Facilities

• Expand onsite medical facilities • Industrial care units in large regional hospitals • Anti-retroviral therapy for HIV positive miners • 100% condom use

Implementation

Phase 1 – First 3 Months

• Assign a third party to moderate dialogue • Engage in discussion to understand needs of each

group • Prepare groundwork for sustainable negotiations • Scale back police response

Phase 2 – Year 2

• Enforce employee education on compensation rights

• Treat infected miners with CDC counts below 240 with ART

• Begin 100% condom use protocol

Phase 3 – Years 3 -6

• Begin corporate tax scheme

• Use funds towards a governmental trust fund

• Educate people towards treatment of specific occupational diseases encountered

• Equip regional hospitals with facilities to treat complex occupational injuries

Phase 4 – Years 7 – 10

• Continue 100% condom use protocol

• Continue ART treatment

• Expand medical facilities on mining camps to ensure quick access to care

• Increase the compensation for occupational diseases after retirement

Even a tiny health budget, if spent well, can make a difference

Questions?

Appendix Slides Research and Data

Appendix A: Geographical Landscape

Souce: CIA

70.99%

8.772%

1.923%

18.32%

African ColouredAsian_Indian White

Africans comprise over 70% of miners in South Africa

Racial Breakdown of South African Miners

Appendix B: Racial Distribution of South African Miners

02,

000

4,00

06,

000

8,00

010

,000

Ave

rage

Gro

ss In

com

e fo

r Min

ers

in S

outh

Afri

ca (r

and)

African Coloured Asian_Indian WhiteSource: Graphic derived using data from NIDS data comprised by SALDRU

Racial Breakdown of Average Gross Income for Miners

Appendix C: Income Disparities Among Miners by Race

.0139%3.141%

18.34%

35.08%

26.6%

16.5%.3329%

Born Ages 70-79 Ages 60-69Ages 50-59 Ages 40-49Ages 30-39 Ages 20-29Ages 10-19

Graphic derived using data from NIDS as compiled by SALDRU

Age Distribution of Miners in South Africa

Appendix D: Miner Demographics

050

01,

000

1,50

02,

000

Ave

rage

Am

ount

(R

and)

African Coloured Asian_Indian WhiteGraphic derived using data from NIDS as complied by SALDRU

Distribution by RaceAverage Amount Miners Spent on Health Insurance in Last 30 Days

Appendix E: Miners Monthly Expenditure on Health Insurance

Appendix F: SACCI Business Confidence Index (Base Year: 2010)

Appendix G: Economic Indicators

Phase 1 Phase 2 Phase 3 Phase 4

Dialogue $3,775 $10,660 $20133 $20133

Employee Education $16,400 $181,200 $362,400 $362,400

Police Audits and Retraining

$ $10,000,000 $5,000,000 $-*

Condom Distribution $- $100,000 $ 200,000 $200,000

Expansions in Regional Hospitals

$-

- $ 6 Billion $2 billion

Upgrading in on-site health facilities in mining camps

$-

- $3.5 billion $1.5 billion

Anti-Retroviral Therapies

$- $840,000 $1,680,000 $1,680,000

Mining Company Audits

$- $181,200 $362,400 $362,400

Appendix H: Detailed Budget

* Depends on effectiveness in previous phase

Appendix I: References

Blair Gifford, A. K. (20120). Building local legitimacy into corporate social responsiblity: Gold mining firms in developing nations. Elsevier , 304-311.Campbell, B. (2012). Corportate Social Responsibility and development in Africa . Elsevier , 138- 143.Imbum, B. Y. (2007). Connot Manage withoiut The "significant Other': Mining, Corporate Social Responsibilty and Local Communit. Journal of Business Ethics , 177-192.Jonathan E. Meyers, J. t. (2002 ). Nervous System Effects of Occupational Manganese Exxposure on South African Manganese Mineworkers . Johannesburg , South Africa: Elsevier Science INc. .Kaepelus, R. H. (2004). Corporate Social Responsiblity in Mining in South Africa: Fair accountability or just greenwash. Sociery for INternational Development , 85-92.Leanne A. Farrell, R. H. (2011). A clash of cultures (and awyers); Anglo Platinum and mine-affected communities in Limpopo Province, South Africa . Elsevier , 194-204.Perera, F. P. (2012). Current needs and future directions of coccupational safety and health in a globalized world . Elsevier , 805-809.Stein, G. (2012, October 6). 12,00 sacked as S AFrica mine strike turns deadly. Retrieved November 08, 2012, from ABC News : www.abc.net.au/news/2012-10-06/122c000- sacked-as-south-africa-mine-strike-turns-deadly/4298968