The document presents Project REBIRTH, which aims to provide recommendations to the South African government for reforming the mining industry. The goals are to understand competing stakeholder demands and appropriately respond to crises while improving health, freedom, and economic security. Key problem areas include inadequate human rights protections, high disease rates, insufficient economic incentives, and weak education/research support. The recommendations center around revitalizing education and business, improving rights, and targeting health through research and development initiatives, business policy reforms, human rights policies, and health education programs. The budget outlines funding needs from 2012-2022 totaling over $10 billion for implementation.
1. Project REBIRTH
YGHCC Team #13
Cynthia Chan Bernice Qi
Tammie Kwong Sisi Wang
Joshua Lyons
November 10, 2012
Confidential Presentation
2. Introduction
Final Presentation
Introduction
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Our goals:
Provide the South African government with a set of innovative, effective, and feasible
recommendations for reforming and developing the mining industry
Understand the demands of competing stakeholders, including:
– Government
– Private sector
– Mine employees
– Non-governmental organizations
Client goals:
Appropriately respond to recent crisis in the mining sector
Implement reforms designed to promote long-term business growth
Strive to improve the health, freedom, and economic security of South Africa’s citizens
3. Executive Summary
Final Presentation
Key Problem Areas
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Inadequate protection of human rights
High rates of Disease
Insufficient economic incentives
Weak support for education and research
4. Executive Summary
Final Presentation
Key Recommendations: REBIRTH
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Revitalizing Education & Business, Improving Rights, Targeting Health
1. Research & Development – Bernice Qi
2. Business Policies – Joshua Lyons
3. Human Rights – Cynthia Chan
4. Health Education – Sisi Wang & Tammie Kwong
5. Revitalizing Improving Targeting
Business
Education Rights Health
6. Research & Development
Final Presentation
Current Challenges
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Low productivity due to:
Lack of innovative techniques for efficient mining
Lack of skilled workers and researchers
Health and safety hazards
Competition with other countries
7. Research and Development
Final Presentation
Benefits from Improved Research Capacity
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Increased productivity
Better technology: discovery of new mines
More skilled practitioners
Expansion of manufacturing sector
Improved strategies to ensure safety and health for mine
workers
8. Research & Development
Final Presentation
Proposed Solution
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Increase funding
for research and
education in
mining
Expand
Attract more
education
researchers
programs
Increase
Postgraduate:
Undergraduate research funds
research grants
and contracts
9. Research & Development
Final Presentation
Beneficiaries
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Research institutions and programs
The Council for Scientific and Industrial Research (CSIR) Natural Resource
and Environment
– CoalTech, PlatMine
Mine Health and Safety Council
The Mining Industry Growth Development and Employment Task Team
(MIGDETT)
Educational institutes
University of the Witwatersrand
University of Pretoria
10. Revitalizing Improving Targeting
Business
Education Rights Health
11. Business Policy
Final Presentation
Key Areas
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Wage growth
Employment growth
Investment growth
12. Business Policy
Final Presentation
Wage Growth
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Policy recommendation:
For each $1 year-on-year increase in average miner wage above the increase in
South Africa’s CPI, offer a $0.18 tax credit against mineral royalties per worker
employed (restricted to citizens of South Africa)
Effects:
Stimulate wage growth beyond rate of inflation
Flexible and non-disruptive policy to improve wages (alternative to minimum
wage)
13. Business Policy
Final Presentation
Employment Growth
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Policy recommendations:
Offer an employee retention credit: $500 for miners each year that have been
retained as employees for at least one year (restricted to citizens of South Africa)
Develop the rare earth mineral sector:
– Offer a 5-year waver of royalties on rare earth mineral investment projects
that commit to minimum cleanup and human rights standards
– Offer a new hire credit: $500 for new miners hired and retained for at least 3
months
– Offer an employee retention credit: $500 for miners each year that have been
retained as employees for at least one year
14. Business Policy
Final Presentation
Employment Growth
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Effects:
Induce new miner hiring within existing industries (estimated 10,000)1
Create approximately 1,000 to 2,000 new jobs in the rare earth mineral sector2
Promote fair treatment and continued employment of miners by incentivizing longer-
term work arrangements (at least one year)
1 Calculated based on a similar hiring credit employed in the U.S. (approximately same value/per capita GDP, yielded 2% employment growth)
2 Extrapolating from the Steenkampskraal project, estimated to create 100 jobs, to additional possible investment projects, and job growth due to processing/export business
3 Based on the turnover rate at AngloGold Ashanti in 2011
4,5 Calculated by multiplying credit value by projected job creation
15. Business Policy
Final Presentation
Investment Growth
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Policy recommendations:
Adjust royalty policy to bias towards extraction of locally-refined minerals
– Refined mineral rate: 0.5 + [EBIT / (gross sales of mineral resource x 12.5)] x 100
– Unrefined mineral rate: 0.5 + [EBIT / (gross sales of mineral resource x 9)] x 100
– We suggest changing the divisor multiples from 12.5 and 9 to 13.5 and 7
Adjust royalty collection formula to use EBT as a measure of profitability instead of
EBIT
– EBIT artificially raises the measure of profitability and raises the royalty rate for
those companies which invest in new production (by ignoring interest payments)
16. Business Policy
Final Presentation
Investment Growth
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Effects:
Increase prevalence of mineral extraction that favors creation of refinement
and processing jobs
Improve fairness of royalty collection by eliminating the investment penalty
Encourage investment by including interest payments in profitability
calculation
1 South African mineral industry, analyst research
2 Based on proxy measurement for firms in the mining sector, calculated by finding average interest expense, determining impact on average royalty rate
17. Revitalizing Improving Targeting
Business
Education Rights Health
18. Human Rights Policy
Final Presentation
Right to Life and Compensation - Current Challenges
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
1. Right to Life 2. Right to Compensation
Unsafe working The two main existing
conditions lower statutes complicate the
health and productivity, application process
increase in death and unrreliable
injury rate (e.g., 277
mining deaths 2008-
2009)
(these challenges frustrated workers violence and strikes)
19. Human Rights Policy
Final Presentation
1. Right to Life
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Background
Existing Millionaire's Award awards one million fatality-free shifts
Exchange rate: 1 USD = 8.7 South African Rand
Goal
Increase incentive for longer term workplace safety
Method: Millionaire’s Club (MC)
Increasing rewards for consecutive achievements
Publicize the members list
Award immediate towns $50k for public projects
Use saved funds for new team, development, and publicity
20. Human Rights Policy
Final Presentation
2. Right to Compensation
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Background
ODMWA under DOH; COIDA under DOL
Goals
Maximize efficiency and funds
Minimize waste, overhead, overlap
Method: Consolidate
Equalize compensation ranges
Increase employer contribution for funding
21. Revitalizing Improving Targeting
Business
Education Rights Health
22. Health Education
Final Presentation
Current Challenges
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
HIV TB
• Rates of HIV infection among miners • Crowded living conditions
range from 22 to 30%
• Exposure to silica dust
• Low status of women
• Put families at risk
• Low levels of condom use
• Lack of access to basic health and
• Low levels of male circumcision social services
• Multiple sexual relationships • Lack of surveillance and post-
employment follow-up
• High mobility and worker migration
• People living with HIV are 20-30
times more likely to develop TB
23. Health Education
Final Presentation
Peer Education Program
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Who?
• Motivated sex workers and miners
How many?
• A ratio of 1:20
What approaches?
• ICE Approach: Information, Counselling and Education
What are the impacts?
• Reduce mortality, morbidity and health costs
• Set example for future HIV/TB programs
• Generate research hypothesis and values
24. Health Education
Final Presentation
3 Pillar Strategy
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Peer Information Peer Education Peer Counselling
Target Population Disease-free High-risk Diseased
Objectives Awareness, information, Self-esteem, behavior- Coping skills, psycho-
and attitude to change change communication, social support, problem-
and prevention skills solving, and referral to
clinicians for treatment
Confidentiality None Important Essential
Example of activities Material distribution (i.e. Repeated structured Clinic-based counselling
Condom) workshops
25. Health Education
Final Presentation
Group Assignment
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
26. Budget
Final Presentation
Budget
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
2012-2014 2014-2016 2016-2018 2018-2020 2020-2022
Research and
Development
Research $1.4 billion $1.4 billion $1,4 billion $1.4 billion $1.4 billion
Business Policy
Employment Policy $230 million $230 million $230 million $230 million $230 million
Investment Policy $40 million $40 million $40 million $40 million $40 million
Human Rights
Millionaire’s Club - - - - -
Mining Project Fund
Health Education
Training & Supplies $140 million $120 million $90 million $90 million $80 million
Screening $350 million $275 million $275 million $225 million $200 million
Incentives & other $3 million $3 million $3 million $3 million $3 million
Total Costs: $2.163 billion $2.068 $2.038 $1.9678 $1.953 billion $10.19
billion billion billion Billion
27. Limitations
Final Presentation
Limitations
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Lack of cross-border referral system for foreign mine workers
Financial and time constraints:
Limited capability to address treatment-related issues
Impact of expanded education system not immediately
observable
28. Conclusion
Final Presentation
Conclusion
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Through Revitalizing Education and Business,
Improving Rights, and Targeting Health,
REBIRTH will be able to promote safety, increase
accountability, spread healthy practices, promote
economic growth and improve the general
condition and caliber of mining.
29. Thank you!
Final Presentation
Thank you!
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Questions?
30. Appendix: Table of Contents
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
A: South African Mineral Resource P: HIV Financial Burden
B: Lifetime of Selected Minerals Q: Condom Use
C. Fatality Data on South African Mines R: Timeline- Pillar 1 Peer Information
D: R & D Expenditures S: Timeline- Pillar 2 Peer Education
E: Number of Students in Mining T: Timeline- Pillar 3 Peer Counseling
F: Facts on Research and Development U: Impact of HIV
G: Safety in Mines (1-2) V: TB Education Curriculum
H: Main Contributors of Fatalities W: HIV Education Curriculum
I: Mine Health and Safety Council Award ‘00 X: TB-HIB Co-Infection
J: Mine Health and Safety Council Award ‘09 Y: Recruitment Process
K: Mine Health and Safety Council Award ‘10 Z: Incentives
L: Mine Safety Achievements AA: Status of Women in South Africa
M: Compensation BB: Male Circumcision
N: Demographics of Miners CC: Silicosis
O: TB Financial Burden DD: Projected Health Education Program Costs
EE: Economic Data
FF: Human Rights Policy Timeline
GG: References (1-3)
31. Appendix A: South African Mineral Resource
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Major South African mineral resources and production as a percentage of global resources and production.
The commodities are ranked by share of global known mineral resource (Chamber of Mines, 2009).
32. Appendix B: Lifetime of Selected Minerals
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
The lifetime of selected South African mineral resources based on 2008 production figures and
resource estimates (data from Chamber of Mines, 2009).
33. Appendix C: Fatality Data
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
The recent fatality record on South African mines compared to the 2003 summit target rate. (Vogt el
al., 2011)
34. Appendix D: R & D Expenditures
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
South
Parameters Australia Canada Brazil
Africa
Population (million) 48.2 20.5 32.6 19.7
GDP (US$ billion) 255 780 1426 1366
GDP/capita (US$) 10401 31794 33375 10200
R&D spend (US$ billion) 4 11.4 28.1 14
Expenditure on R&D as % of GDP 0.9 1.8 2 1.1
Full-time equivalent (FTE) R&D personnel
377 4053 3922 696
per million inhabitants
Source: World Bank
35. Appendix E: Number of Students in Mining
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
University of the University of
Witwatersrand Pretoria
Undergraduate 360* 210*
Coursework 290 17
Postgraduate
Research 38 6
Postgraduate
*50-60% can graduate with a degree and out of the graduates, 15% remain in the employ of mining
companies as long-term career.
36. Appendix F: Facts on Research & Development
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
• Funding from Mine Health and Safety Council: $8 million in
1996 vs $2 million in 2010
• 500 mining engineers currently with an estimated shortage of
15%
• Number of students need to be trained = 1.5 X number of
engineers required
• It requires 15 years to train a student from undergraduate level
to reach substantive managerial capacity
• Mining researchers: 800 in 1980s versus < 80 now
37. Appendix G: Safety in Mines (1)
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
38. Appendix G: Safety in Mines (2)
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
39. Appendix H: Main Contributors of Fatalities
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
40. Appendix I: Mine Health and Safety Council Award ‘00
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
41. Appendix J: Mine Health and Safety Council Award ‘09
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
42. Appendix K: Mine Health and Safety Council Award ‘10
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
43. Appendix L: Mine Safety Achievements
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
8 Million Fatality Free Shifts: Modikwa Platinum Mine
4 Million Fatality Free Shifts: Impala Platinum 1 Shaft and 7A Shaft
2 Million Fatality Free Shifts: Impala Platinum 12# Mine, Marula Platinum
Mine, Karee Platinum Mine, Western Platinum Mine, Grootegeluk Colliery
12 Million FOG Fatality Free Shifts: Rowland Mine
1 Million Fatality Free Shifts: Cullinan Diamond Mine, Assmang
Manganese Mine, Doornkop Gold Mine, Barberton Gold Mines, Tao Tona
Gold Mine, Blyvooruitzicht Gold Mine, Impale Platinum 7, 16, 17, 20 Shafts,
Bafokeng Rasimone Platinum Mine, Bokoni Platinum Mine
12 Thousand Fatality Free Shifts: Tselentis Colliery, Forzando Colliery
North
9 Thousand Fatality Free Shifts: Graspan Colliery
8 Thousand Fatality Free Shifts: Sedibeng Diamonds
44. Appendix M: Compensation
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
45. Appendix N: Demographics of Miners
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
To date, most mine
workers are in between
the ages of 15-48
To date, the average age of
sex workers is 25-30
years old
46. Appendix O: TB Financial Burden
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Annual Financial Burden of TB
-Annual cost of the TB epidemic in the South African mining sector $886 million
-Annual cost of implementing best- practice interventions $570 million
-Annual savings as a result of implementing best-practice interventions $316 million
-Annual productivity increase from implementing interventions $467 million
Total annual benefit:
$783million
47. Appendix P: HIV Financial Burden
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Financial Burden (2010 USD)
Total cost (millions) $282
Total annual cost (millions) $14
Mean annual cost per $11,792
HIV-positive employee
Impact of HIV/AIDS on Mining
- 20% of coal miners and 30% of gold miners are HIV+ (these prevalence rates are 16% higher than base
population)
- Total productivity loss of 20%
- Attacks 25-45 year olds who subsidize benefits of retirees
- Savings used to treat illness, reducing retirement of benefits
48. Appendix Q: Condom use
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Condom use and relationship characteristics with most recent partner in past 12 months (in 2001)
and individual characteristics (in 1999) by sex, Black South African Transitions sample
Condom Use in 2001 Overall Male Female P-value
% Did not use condom at last sex 40.6% 33.6% 47.1% 0.002
Condom Use Consistency
% Always 42.5% 55.1% 30.9%
% Intermittent 34.9% 26.0% 43.2% <0.001
% Never 22.5% 18.9% 25.9% <0.001
% Somewhat/ Not confident in 54.7% 36.9% 71.1% <0.001
Knowledge of Condom Use
% Believe Using condoms Means 32.7% 32.2% 33.2% <0.803
Not Trusting Partner
49. Appendix R: Timeline - Pillar 1 Peer Information
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Priority Reform Goals Monitorable Outcomes
Area (Year 1-10)
Provide awareness, Risk reduction, including condom Increased condom-use
information, and distribution
attitude to change
Identify current high risk populations Formation of disease-free, but at risk
clusters
Develop peer health support groups for
both sex workers and miners
Train health workers
Incorporate annual screening into Increase detection rate
workplace
Reduce stigma and discrimination of
people living with and affeced by HIV and Heightened acceptance of peer health
key populations education programs
50. Appendix S: Timeline - Pillar 2 Peer Education
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Priority Reform Goals Monitorable Outcomes
Area (Year 2-8)
Provide information Establish supportive environments and Greater sense of wellness and
on self- esteem, promote sense of community within mining connection within community
behavior-change communities and sex workers respectively
communication
and prevention Further reducing vulnerability and
skills expanding choices regarding health Continued increase in condom use,
along with greater awareness to health
options
Create and maintain a new pool of health
educators to ensure sustainability of peer Increased participation of local miners
health education program and sex workers
51. Appendix T: Timeline - Pillar 3 Peer Counseling
Final Presentation
Supporting data
Human Health Business Timeline &
Introduction R&D Conclusion Appendix
Rights Education Policy Budget
Priority Reform Goals Monitorable Outcomes
Area (Year 1-10)
Provide coping Identify diseased individuals and reduce Higher rates of treatment of HIV and
skills, psycho-social personal stigma on illness awareness of health options
support, problem-
solving and referral Alleviate anxiety and stress associated with
to clinicians for
treatment Educate early stages of TB and HIV cases Lower rates of MDR-TB with effective
with treatment options primary intervention
Refer all TB and HIV cases to NGO's for
treatment
52. Appendix U: Impact of HIV
Final Presentation
Supporting data
Human Health Business Timeline &
Introduction R&D Conclusion Appendix
Rights Education Policy Budget
53. Appendix V: TB Education Curriculum
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Part 1
- Identifying what TB, symptoms, and treatment plans
- Transmission of TB
- Prevention of TB Transmission
- STIs and TB, specifically relationship between HIV+ and TB
- How to assess personal risk and formulate behavior change plans;
Part 2
- TB testing facilities and processes
- The rights of infected and affected employees (including rights to confidentiality)
- How to treat a co-worker with TB
- Treatment, care and support for infected employees
- Infection control in the workplace
Part 3
- TB, as part of broad-based wellness programs
- The workplace TB policy and current programs
- Non-discrimination and equality (in terms of benefits etc)
- Referral sources and services
54. Appendix W: HIV Education Curriculum
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Part 1
- Transmission of HIV
- Prevention of HIV Transmission
- STIs and TB
- How to assess personal risk and formulate behavior change plans;
- Safer sex and condom use
Part 2
- HIV testing facilities and processes
- The rights of infected and affected employees (including rights to confidentiality)
- How to treat a co-worker with HIV/AIDS
- Treatment, care and support for infected employees
- Infection control in the workplace
Part 3
- HIV/AIDS, as part of broad-based wellness programes
- The workplace HIV/AIDS policy and current programes
- Non-discrimination and equality (in terms of benefits etc)
- Referral sources and services
55. Appendix X: TB- HIV Co-Infection
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Most cases of TB in HIV-Positive patients are not caused by drug-resistant strain of TB (this
means that early detection and prompt treatment with 'first line' antibiotics)
56. Appendix Y: Recruitment Process
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
• Identify selection criteria
o Educational background, experience, commitment, communication skill,
willingness to learn, leadership qualities
• Pre-selection workshop
o Provide general information about programme, information on training
process, roles and responsibilities, and time commitment required
• Written contracts
o With statement on minimum time commitment, roles and responsibilities
o Sign by staff of NGOs, peer educators, and workplace manager
• Establish feedback mechanism
• Determine incentives
57. Appendix Z: Incentives
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Professional incentives: locally-agreed accreditation system, with
opportunities for increasing involvement and responsibility offered
-e.g. peer educators can develop to become peer trainers
Social incentives: friendship and team building
-e.g. provision of social and recreational opportunities; linkages
established with other similar organizations for experience exchange
(and travel) opportunities.
58. Appendix AA: The Status of Women in South Africa
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Predicted Probability of not using a condom at last
sex by gender confidence in condom use knowledge
59. Appendix BB: Male Circumcision
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
44.7% of adult males are circumcised, with significant
regional variation
Scaling up male circumcision to reach 80% can:
Avert more than 1.2 million adult HIV infections 16
years
Yield total net savings of $6.5 billion in 16 years
http://www.malecircumcision.org/programs/documents/South_Africa11209.pdf
60. Appendix CC: Silicosis
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
The prevalence ranges from 31% in Botswana, 24 to
36% in the Transkei, and 24% in laid-off, older, longer-
service Basotho men.
61. Appendix DD: Projected Program Costs
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
2012-2014 2014-2016 2016-2018 2018-2020 2020-2022
Training Costs $60 million $40 million $20 million $20 million $20 million
Materials $80 million $80 million $70 million $70 million $60 million
Safe Sex
Supplies
Incentives* $1 million $1 million $1 million $1 million $1 million
Screening
HIV $150 million $125 million $125 million $100 million $100 million
TB $200 million $150 million $150 million $125 million $100 million
Misc $2 million $2 million $2 million $2 million $2 million
Total Costs: $493 million $398 million $368 million $318 million $283 million $1.86
Billion
62. Appendix EE: Economic Data
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
63. Appendix EE: Economic Data
Final Presentation
Supporting data
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
64. Appendix FF: Human Rights Policy
Final Presentation
Timeline
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Short term: Y1-2
Medium term: Y3-5
Long term: Y6-10
Action Plan Indicators Indicators
• Amend MA • 25 (1), 10 (1+) • 30 (1), 15 (1+)
policy, publicize
MC [$275k]
Indicators
• # of mines and
mining towns
expressing
interest (90%)
65. Appendix GG– References
Final Presentation
References
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
South African National AIDS Council. (April 2011). South Africa: HIV Epidemic, Response and Policy Synthesis
http://www.hst.org.za/sites/default/files/South%20Africa%20national%20synthesis%20report%20rev1%20with%20covers.pdf
Joint United Nations Programme on HIV/AIDS (UNAIDS). (June 2012) A people-centered investment tool towards ending AIDS. Geneva Switzerland.
http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2012/JC2359_investing-for-results_en.pdf
Joint United Nations Programme on HIV/AIDS (UNAIDS). (2012). Meeting the Investments Challenge- Tipping the Dependency Balance. Geneva Switzerland
http://www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2012/20120718_investmentchallengesupplement_en.pdf
18Twenty8. (June 2009). The Status of Women in South Africa.
http://www.18twenty8.org/index.php?option=com_content&view=article&id=67&Itemid=71
Burgard, S. & Kusunoki Y. (July 2009). Gender and Condom Use among Black South African Young People
http://www.psc.isr.umich.edu/pubs/pdf/rr09-683.pdf
International Federation of Red Cross and Red Crescent Societies. (2009) Standards for HIV peer education programmes. Geneva Switzerland
http://www.ifrc.org/Global/Publications/Health/hiv_peer_education-en.pdf
International Finance Corporation- World Bank Group (2004). HIV/AIDS Guide for the Mining Sector- A resource for developing stakeholder competency and
compliance in mining communities in Southern Africa
http://www-
wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2005/02/03/000090341_20050203151830/Rendered/PDF/313740hiv0aids0mining0toolkit.pdf
Courtwright, A. (2010). Tuberculosis and Stigmatization: Pathways and Interventions.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2882973/
USAID (September 2009). The Potential Cost and Impact of Expanding Male Circumcision in South Africa.
http://www.malecircumcision.org/programs/documents/South_Africa11209.pdf
The World Bank. (June 2010) AIDS & Mining.
http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTOGMC/0,,contentMDK:20220933~menuPK:509392~pagePK:148956~piPK:216618~theSitePK:33693
0~isCURL:Y,00.html
Myer-Rath, G., J. Pienaar, B. Brink, and A. van Zyi. (July 2012) Company-level ART provision to employees is cost saving: a modelled cost-benefit analysis of the
impact of HIV and antiretroviral treatment in a mining workforce in South Africa. United Kingdom
http://pag.aids2012.org/abstracts.aspx?aid=16160
66. Appendix GG– References (Page 2)
Final Presentation
Business Human Health Timeline &
Introduction R&D Conclusion Appendix
Policy Rights Education Budget
Stop TB Partnership. A Challenge to a Key Southern African Economic Sector.
http://www.stoptb.org/assets/documents/news/TBMining2.pdf
Stop TB Partnership. (2009) South Africa Country Profile
http://www.stoptb.org/assets/documents/about/cb/meetings/17/2.09-12%20South%20Africa/2.09-
12.2%20South%20Africa%20WHO%20Country%20Profile%202009.pdf
Vogt, D., Durrheim, R., McGill, J. (2011) State Intervention in the Mining Industry. CSIR.
Kaplan, D. (2011) South African mining equipment and related services: Growth, constraints and policy. University of Cape Town.
Stacey, T.R., Hadjigeorgiou, J., Potvin, Y. (2009) Technical skills—a major strategic issue. Journal of the South African Institute of Mining and Metallurgy.
The World Bank
http://data.worldbank.org
The Council for Scientific and Industrial Research (CSIR) website
http://www.csir.co.za
Chamber of Mines of South Africa
http://www.bullion.org.za/content/?pagename=About&pid=122
Mine Health and Safety Council website
http://www.mhsc.org.za
South African Regional Poverty Network. (2011) Coventry Poverty Papers
http://www.sarpn.org/CountryPovertyPapers/SouthAfrica/taylor/report11.pdf
Millionaire’s Award: http://www.dmr.gov.za/mine-health-a-safety/mhsc-award-scheme.html
COIDA and ODMWA:
http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1995466, http://www.anglogold.com/subwebs/informationforinvestors/reporttosociety06/worker-
compensation.htm
MHSC Summit OHS Action Plan. ( 2011) Mine Health & Safety Council “Zero Harm Through Action”
http://option1.mhsc.co.za/images/stories/pledges/OHS-Action-Plan1.pdf
Authorities: Mine Health and Safety Act created the Mine Health and Safety Council and the Mine Health and Safety Inspectorate