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Reducing employee exposure to HIV/AIDS through a focus on employee behaviour change, while providing workplace rights for HIV+ employees


Categories
Company:Industry:Country:Disease:Last Updated:
NikeRetail & ConsumerThailandHIV/AIDSOctober 2002

Key Questions
• Is a prevalence assessment or financial impact estimate necessary before implementing a prevention programme?
• If Nike were to expand its workplace and community programmes, what programme elements would provide the highest incremental benefit?
• How can Nike ensure the existence of similar programmes covering employees at Nike's suppliers and factories?


Case Study Download the full Nike HIV/AIDS Thailand Case Study or preview the first page below:

Case Study Executive Summary

OverviewNike is the number one shoe company with substantive operations in Thailand.
  • Nike designs, produces, and markets athletic footwear, apparel, and accessories. Nike sells its products in approximately 140 countries, operates more than 200 retail outlets, and runs nearly 700 factories worldwide. It has distribution centres in Asia, Australia, Canada, Europe, Latin America, and the United States. In 2001, Nike worldwide directly employed 22,700 employees, generated US$ 9.5 billion in revenue and generated US$ 590 million in net income.
  • In 2001, Nike had 230 employees in its Nike Thailand Liaison Office, which focuses on managing the production process through suppliers and factories. In 2001, Nike indirectly employed more than 50,000 workers through 70 suppliers and factories in Thailand. Nike Thailand Liaison Office manages the export of footwear, apparel, and accessories to markets around the world, at a value of US$ 500 million per year.
Business CaseA baseline survey indicated that the conditions were present for the local HIV epidemic to spread to Nike, which would impact long term profitability. Nike launched the programme to prevent future infections and to ensure fair treatment of HIV+ employees.
  • In 2001, UNAIDS estimated an HIV/AIDS adult prevalence of 1.8% in Thailand, which corresponds to roughly 670,000 adults and children living with HIV/AIDS.
  • In order to gauge the risk level of Nike Thailand Liaison Office employees a Knowledge, Attitudes, Practices (KAP) assessment was conducted in September 1999. The survey assessed 9,603 employees from 125 companies, including 111 employees (48% of all employees) from Nike. A proportion of the employees were participating in high risk behaviours: (1) 17% of the male employees had sex with a commercial sex worker in the last 12 months, and of those 31% did not always use a condom; (2) 66% of married male employees had sex with someone other than their spouse, and of those 65% did not always use a condom.
  • As a result of the self-reported high-risk behaviour among the employees, Nike Thailand Liaison Office estimated that it could have an increased exposure to HIV/AIDS without an intervention. Although Nike did not conduct a prevalence assessment, or a financial risk assessment, the benefits of reduced risk through employee behaviour change far outweighed the programme costs.
  • Nike decided to join a joint project offered by American Insurance Assurance (AIA), the Horizons Project of the Population Council, and Thailand Business Coalition against HIV/AIDS (TBCA). This project provided Nike with access to a network of other businesses initiating similar programmes, expertise in training its workforce, and a third party assessment in changes in behaviour.
  • In 2001, Nike Thailand Liaison Office's HIV/AIDS prevention programme budget was roughly US$1,600 (US$ 7 per employee per year, or less than 1 % of payroll), Also, it donated product worth US$ 40,000 to TBCA and to Father Jo at the Mercy Centre.
Programme DescriptionPartnering with labour, management, and TBCA to increase prevention and awareness, while ensuring employee rights.
  • In 2000, Nike launched its HIV/AIDS policy, which is available in English and Thai.
  • Nike's programmes focus on training, peer educators, and Voluntary Counselling and Testing (VCT).
  • Nike also contributed products to be auctioned to support community projects.
Programme EvaluationNike's programme is evaluated through externally administered assessments.
  • Nike's employees are surveyed with a KAP assessment, and the company is interviewed by TBCA annually.
  • The results are evaluated and a score is assigned by the Horizons Project of the Population Council. In 2001, Nike's score improved from 31/100 in the first round (September 1999) to 83/100 in the second round (March 2002). Their second round score was one of the highest scores of all the companies participating in the project.
Future goals to increase workplace programme effectiveness:
  • Improve behavioural change to reduce employee risk
  • Collaborate with Nike global corporate office to roll-out a coordinated international HIV/AIDS strategy.
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DocumentsCase Study Nike HIV/AIDS Thailand Case Study (PDF format; 5 pages; 98k)
Supporting Document Nike Thailand Liason Office Executive Interview (PDF format; 3 pages; 28k)
Supporting Document Nike Thailand Liason Office First KAP Survey (PDF format; 1 page; 12k)
Supporting Document Nike Thailand Liason Office Second KAP Survey (PDF format; 1 page; 12k)



Case studies are written by Peter DeYoung and developed in collaboration with the featured company. Supporting Documents are provided 'as is' by the contributing organization. GHI member companies and partners, the World Economic Forum and the contributing company do not necessarily subscribe to every view expressed herein. Although the GHI makes reasonable efforts to ensure the accuracy of the statements, this report should not be viewed as an external audit of the programme described. Please contact the GHI for any questions, feedback or submissions related to this case study.

Copyright © 2003 World Economic Forum
Last updated: 8 November 2005
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