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74<br />

<strong>Telkom</strong> Annual Report 2009<br />

Safety, health and environment (continued)<br />

Of particular<br />

percentage was similar to the previous<br />

year but the diastolic (heart pumping) rate<br />

increased from 15% to 25% as a result<br />

of increased cardio-vascular illnesses;<br />

increased stress levels and poor lifestyles.<br />

# Cholesterol profile: There was a 7%<br />

increase in the at-risk category, again due<br />

to lifestyle factors such as lack of exercise<br />

and incorrect eating habits. This profile will<br />

be a priority going forward in our wellness<br />

campaigns.<br />

# Diabetes profile: There was an 11%<br />

improvement in the diabetes chronic<br />

profile, thanks to regular testing and the<br />

fact that diabetes remains a high focus<br />

area. However, we are concerned that low<br />

blood sugar levels rose from 28% to 37%<br />

and this will be another key focus area in<br />

our awareness campaigns.<br />

# Obesity profile: This is a high risk area<br />

for us as 65% of the employees tested were<br />

overweight or obese. As a result, the<br />

importance of lifestyle modification is a<br />

priority for us in the new financial year.<br />

# Opportunistic diseases: We are<br />

pleased to note that only six cases of TB<br />

were reported in the year under review<br />

and all cases were successfully treated.<br />

concern<br />

is the 17.6% increase in stress-related cases<br />

due to work related relations, poor performance,<br />

incapacity and job security.<br />

The following table shows the diagnostic causal factors for the EAP referrals<br />

Diagnosis 2006/2007 2007/2008 2008/2009 % variance<br />

Crisis and trauma 41.7% 41.3% 40.5% (1.9%)<br />

Family relationships and divorce 15.4% 17.6% 16.1% (8.5%)<br />

Stress related 7.6% 6.8% 8.0% 17.6%<br />

Psychological wellness<br />

In the year under review we transformed<br />

this section of the Wellness programme into<br />

a more proactive, competency-based<br />

approach, highlighted by the following:<br />

• Some 1,216 employees and their<br />

dependants were referred to our<br />

psychological counselling interventions,<br />

a 10% decrease on the previous year.<br />

This decrease is, we believe, largely<br />

due to the fact that employees did, from<br />

time to time, use their own private<br />

psychologists. From the referrals,<br />

4,132 sessions were conducted at an<br />

average of 3.4 sessions per referred<br />

patient at a cost to us of R1.8 million.<br />

• Of particular concern is the 3.8%<br />

increase in cases in the ‘other<br />

psychological illnesses’, such as<br />

psycho-sexual, personality disorders<br />

and related psychosis. This could be the<br />

tip of the iceberg as some of<br />

the problems experienced by our<br />

employees are of such a sensitive nature<br />

that they are discussed with their own<br />

psychologists.<br />

• The stress category (which includes<br />

work-related poor performance,<br />

incapacity, job security etc) constitutes<br />

almost 14% of all diagnoses and the<br />

293 cases recorded during the year is<br />

an increase of 17.6% on the previous<br />

year. This is a major challenge for us in<br />

the next financial year, particularly<br />

in view of the roll-out of Project<br />

Renaissance and the resultant<br />

uncertainty of job security and fears of<br />

job losses.<br />

Preventative interventions<br />

Five key workshops were held during the<br />

year:<br />

• Stress and resilience;<br />

• Team and value development;<br />

• Trauma and resilience;<br />

• Bereavement therapy; and<br />

• Conflict management.

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