Overview	Geita Gold Mining Limited is located in Tanzania. Geita Gold Mine (GGM) is a 50/50 joint venture between Ashanti Goldfields of Ghana and AngloGold of South Africa. Geita Gold Mining Limited (GGML) manages the operation. Construction of the Geita Gold Mine began in May 1999 and production commenced in June 2000. The Geita Gold Mine is located about 4 kilometres west of Geita township in the Mwanza region of north-western Tanzania; Lake Victoria is 20 kilometres west of the plant site. The population of Geita Town has grown from 30,000 in 1999 to nearly 120,000 in 2002. GGM has an expected mine life of about 14 years and employs 1,500 workers (400 employees and 1,100 contractors).
Business Case	A baseline survey indicated that the conditions were present for the local HIV epidemic to spread to the GGM which would significantly impact profitability and the future of the region. GGM and Geita district officials are collaborating with African Medical and Research Foundation (AMREF) to prevent this from becoming a reality. In 2001, a prevalence survey confirmed the pre-existence of a local HIV epidemic in the community: 19% of men, 16% of women and 39% of high risk women were HIV+. Men working at the mines who were surveyed had a comparatively lower HIV prevalence of 4%. Both the community members and mine workers demonstrated that they were at high risk of becoming HIV+. (1) All groups reported very high rates of STIs in the last 12 months; (2) all groups had high rates of positive syphilis serology. (3) 35% of mine workers indicated that they had had multiple sexual partners in the last 3 months; (4) 54% of mine workers had paid for sex in the last 12 months and 30% did not always use condoms during these paid acts. Without intervention and as a result of the high rates of other STIs and reported high-risk sexual behaviour among mineworkers GGM estimated that it could observe a rapid escalation in the mineworker HIV prevalence up to 20-40% within the life of the mine. Although an explicit financial assessment of the impact of this potential HIV prevalence was not conducted, the potential financial impact of this increase is a significant threat to GGM's continued profitability. GGM's proposed interventions focus on preventing the escalation of the local epidemic while also providing care and support for those who are already HIV+. GGM's 2002 budget for both workplace and community-based programmes is US$ 93,000. (US$ 62 per worker).
Programme Description	GGM partnered with labour, management, the community and AMREF to increase prevention and awareness, while providing care and treatment for employees. In July 2001, GGM signed a memorandum of understanding establishing a three year contract with AMREF to provide workplace and community HIV/AIDS services as part of a comprehensive community programme. In January 2002, GGM codified the employee HIV/AIDS policy. Workplace prevention programmes focus on top management advocacy, Peer Health Educators, free condom distribution, syndromic STI management and HIV Voluntary Counselling and Testing (VCT). Community prevention programmes focus on developing Community Health Educators, targeted interventions for high-risk women and their male clients, condom social marketing and Sexual and Reproductive Health (SRH) services. Established community HIV Information Centre providing VCT and SRH services In May 2002, GGM launched its wellness programme for HIV+ employees.
Programme Evaluation	An evaluation framework is used to improve programme effectiveness. Programme effectiveness is closely monitored through monthly and quarterly reporting that tracks process and outcome measures. A multi-stakeholder group evaluates performance biannually. Every 3 years the programme will be evaluated by external experts and the partnership will conduct a cross-sectional snapshot health survey. Future goals include wider reach of VCT services, greater involvement of high- risk members of the community and increased worker knowledge of HIV. .
Documents	Geita Gold HIV/AIDS Tanzania Case StudyGeita Gold HIV/AIDS South Africa Case Study (PDF format; 9 pages; 148k) Geita Gold Mine Community Health Project Vision Paper (PDF format; 9 pages; 34k) Geita Gold Mine Community Health Project Quarterly Report Second Quarter 2002 (PDF format; 4 pages; 17k) Geita Gold Mine Community Health Project Monthly Report June 2002 (PDF format; 2 pages; 40k)