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Creating Value with the Future in Mind - Anglo American South Africa

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Promot<strong>in</strong>g healthcare <strong>in</strong><br />

<strong>the</strong> broader community<br />

Our comprehensive socio-economic<br />

assessments <strong>in</strong> local communities<br />

<strong>in</strong>clude community health<br />

assessments. Tak<strong>in</strong>g <strong>the</strong>se<br />

assessments <strong>in</strong>to account, we<br />

develop social management plans <strong>in</strong><br />

consultation <strong>with</strong> key stakeholders,<br />

which factor <strong>in</strong> health considerations.<br />

In an effort to support health <strong>in</strong><br />

develop<strong>in</strong>g countries more broadly,<br />

we rema<strong>in</strong> one of <strong>the</strong> key privatesector<br />

supporters of <strong>the</strong> Global Fund<br />

to Fight AIDS, Tuberculosis and<br />

Malaria and <strong>the</strong> Global Alliance for<br />

Vacc<strong>in</strong>es and Immunisations (GAVI),<br />

a public/private partnership that is<br />

<strong>in</strong>creas<strong>in</strong>g access to immunisation<br />

<strong>in</strong> <strong>the</strong> world’s poorest countries.<br />

Investments <strong>in</strong> community health<br />

We use <strong>the</strong> knowledge and experience<br />

ga<strong>in</strong>ed from our workplace health<br />

programmes to support community<br />

outreach programmes and streng<strong>the</strong>n<br />

community health systems. There<br />

are seven build<strong>in</strong>g blocks to<br />

streng<strong>the</strong>n<strong>in</strong>g healthcare systems:<br />

improv<strong>in</strong>g facilities and equipment;<br />

ensur<strong>in</strong>g <strong>the</strong> availability of a skilled<br />

health workforce; improv<strong>in</strong>g<br />

procurement and supply cha<strong>in</strong><br />

processes; sound f<strong>in</strong>ancial<br />

management; <strong>in</strong>formation systems;<br />

good governance; and effective<br />

monitor<strong>in</strong>g and evaluation processes.<br />

In <strong>South</strong> <strong>Africa</strong>, we are work<strong>in</strong>g <strong>with</strong><br />

<strong>the</strong> prov<strong>in</strong>cial health departments <strong>in</strong><br />

Eastern Cape, Mpumalanga, Nor<strong>the</strong>rn<br />

Cape and North West prov<strong>in</strong>ces, which<br />

are all associated <strong>with</strong> our operations<br />

or are labour-send<strong>in</strong>g areas, <strong>in</strong> order<br />

to improve health services. In <strong>the</strong><br />

Nor<strong>the</strong>rn Cape, Kumba Iron Ore<br />

has f<strong>in</strong>anced n<strong>in</strong>e mobile cl<strong>in</strong>ics to<br />

take critical health services to<br />

disadvantaged communities <strong>in</strong> <strong>the</strong><br />

remote John Taolo Gaetsewe district,<br />

which faces serious health challenges<br />

and severely limited access to<br />

healthcare. Kumba will gradually hand<br />

over <strong>the</strong> project to <strong>the</strong> Department of<br />

Health, <strong>the</strong>reby ensur<strong>in</strong>g <strong>the</strong> long-term<br />

viability of <strong>the</strong> <strong>in</strong>itiative.<br />

We are<br />

recognised<br />

leaders for our<br />

HIV/AIDS and<br />

TB programmes<br />

<strong>in</strong> <strong>the</strong> workplace,<br />

where we have<br />

demonstrated<br />

that <strong>in</strong>vest<strong>in</strong>g <strong>in</strong><br />

HIV prevention,<br />

treatment and<br />

care has a<br />

measurable and<br />

positive impact<br />

on bus<strong>in</strong>ess<br />

performance.<br />

Partner<strong>in</strong>g <strong>with</strong> Reprolat<strong>in</strong>a<br />

Our Barro Alto nickel operation<br />

strives to play a constructive and<br />

<strong>in</strong>fluential role <strong>in</strong> promot<strong>in</strong>g social<br />

and environmental stability <strong>in</strong> <strong>the</strong><br />

nearby city of Barro Alto, and to<br />

ensure that our activities have a<br />

positive impact on host communities.<br />

In addition to <strong>in</strong>vest<strong>in</strong>g $5 million<br />

to date <strong>in</strong> <strong>the</strong> city’s <strong>in</strong>frastructure,<br />

<strong>in</strong>clud<strong>in</strong>g schools and a hospital, we<br />

endeavour to recognise and respond<br />

to prevail<strong>in</strong>g social, sexual and<br />

reproductive health concerns.<br />

A concern<strong>in</strong>g trend highlighted <strong>in</strong><br />

2010 was <strong>the</strong> number of pregnancies<br />

among adolescents <strong>in</strong> <strong>the</strong> Barro Alto<br />

community and <strong>the</strong> lack of<br />

<strong>in</strong>formation and attention given<br />

to this group. With an estimated<br />

population of about 8,700 people,<br />

<strong>with</strong> adolescents mak<strong>in</strong>g up<br />

about 1,600 (18.5%), <strong>the</strong> <strong>in</strong>flux<br />

of approximately 6,000 workers<br />

at <strong>the</strong> Barro Alto project dur<strong>in</strong>g<br />

construction heightened our<br />

sense of responsibility to ensure<br />

that <strong>Anglo</strong> <strong>American</strong> helped to<br />

address <strong>the</strong> problem, ra<strong>the</strong>r than<br />

exacerbate it.<br />

Partner<strong>in</strong>g <strong>with</strong> <strong>the</strong> local municipality<br />

and Reprolat<strong>in</strong>a – an NGO dedicated<br />

to empower<strong>in</strong>g women to decrease<br />

gender <strong>in</strong>equality and giv<strong>in</strong>g<br />

technical support to improve <strong>the</strong><br />

sexual and reproductive health of<br />

<strong>the</strong> disadvantaged population <strong>in</strong><br />

Lat<strong>in</strong> America – we implemented<br />

a programme to promote healthy<br />

lifestyles <strong>in</strong> <strong>the</strong> Goiás region.<br />

Over <strong>the</strong> past two years <strong>the</strong><br />

programme has promoted a culture<br />

of healthy reproductive and sexual<br />

life among Barro Alto’s population,<br />

especially adolescents and<br />

youth. Through a comb<strong>in</strong>ation<br />

of research, action and education,<br />

<strong>the</strong> project seeks to decrease<br />

vulnerabilities to unwanted<br />

pregnancy, sexually transmitted<br />

<strong>in</strong>fections, HIV/AIDS, drug use,<br />

violence, sexual exploitation<br />

and o<strong>the</strong>r aspects of sexual and<br />

reproductive health. Success has<br />

h<strong>in</strong>ged on build<strong>in</strong>g <strong>the</strong> local technical<br />

capacities of providers of health<br />

services and educators and<br />

adolescents at schools, as well<br />

as on empower<strong>in</strong>g women.<br />

S<strong>in</strong>ce 2010, <strong>Anglo</strong> <strong>American</strong><br />

has <strong>in</strong>vested $700,000 <strong>in</strong> this<br />

programme and <strong>the</strong> results have<br />

been impressive – endors<strong>in</strong>g <strong>the</strong><br />

success of <strong>the</strong> partnership between<br />

government, private sector and<br />

civil society. The percentage of<br />

adolescent pregnancies registered<br />

<strong>in</strong> ante-natal care per year was 40%<br />

of <strong>the</strong> total pregnancies <strong>in</strong> 2010.<br />

That figure decreased to 16% <strong>in</strong><br />

2012 and <strong>the</strong> use of contraceptive<br />

methods, <strong>in</strong>clud<strong>in</strong>g emergency<br />

contraception, sharply <strong>in</strong>creased<br />

<strong>in</strong> adolescents. The number of<br />

people who have benefited from<br />

and registered for any of <strong>the</strong><br />

programme’s educational<br />

activities dur<strong>in</strong>g <strong>the</strong> project had<br />

reached 17,564 at year end.<br />

Image<br />

Healthcare promoters, teenage volunteers<br />

and health professionals meet <strong>with</strong> Reprolat<strong>in</strong>a<br />

<strong>in</strong> <strong>the</strong> city of Barro Alto.<br />

Invest<strong>in</strong>g <strong>in</strong> our people<br />

<strong>Anglo</strong> <strong>American</strong> plc Susta<strong>in</strong>able Development Report 2012 51

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