Overview	Kahama Mining Corporation Limited is a wholly-owned subsidiary of Barrick Gold Corporation. Kahama Mining Corporation Limited (KMCL) operates an underground gold mine south of Lake Victoria in the Shinyanga Region of north-western Tanzania. Barrick Gold acquired the mine in March 1999 and production commenced in the second quarter of 2001. In 2002, the mine expects to produce 350,000 ounces of gold. In 2001, the mine employed roughly 1,050 people and 600 contractors. Barrick has operations in North America, Chile, Peru, Tanzania and Australia. In 2001, Barrick Gold Corporation generated US$ 2.0 billion in gold revenues and US$ 96 million in net income, while employing an estimated 7,000 people worldwide.
Business Case	A baseline survey indicated that the conditions were present for the local HIV epidemic to spread to KMCL which could impact operations and the future of the region. Barrick/KMCL believe that initiating health programmes is a corporate necessity relating to the cost of doing business in a developing country. Barrick/KMCL hopes to set an example and encourage similar investment in health- related initiatives by other companies conducting responsible business in the region. In 2000, a prevalence survey confirmed the pre-existence of a local HIV epidemic in the community: 14-19% of men, 16-20% of women and 39-45% of women engaging in high-risk behaviour were HIV+. Men working at the mines surveyed had a comparatively lower HIV prevalence of 4-10%. Both the community members and mine workers demonstrated that they were at high risk of becoming HIV+: (1) both men and women self-reported high rates of sexually transmitted infections (STIs) in the last 12 months; (2) both men and women had high rates of positive syphilis serology; (3) one third of mine workers indicated that they had had multiple sexual partners in the last three months; (4) more than half of mine workers had paid for sex in the last 12 months and nearly half 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 behaviour among mineworkers, KMCL estimated that it could observe an escalation in the mineworker HIV prevalence up to 35%, as seen in some workplaces in South Africa. KMCL's proposed interventions focus on preventing the escalation of the local epidemic while also providing care and support for those who are already HIV+. KMCL's 2002 budget for both workplace and community-based HIV/AIDS programmes is US$ 160,000 USD.
Programme Description	Partnering with labour, management, the community and the African Medical and Research Foundation (AMREF) to increase prevention and awareness, while providing care and treatment for employees. In 1999, KMCL started addressing the issue of an employee HIV/AIDS policy. In April 2000, KMCL 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. Workplace prevention programmes focus on supporting affordable local housing for miners and their families, 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 individuals engaging in high-risk behaviours, condom social marketing and Sexual and Reproductive Health (SRH) services. Established community HIV Information Centre providing VCT and SRH services In 2000, KMCL started to offer wellness services to employees through its agreement with AMREF.
Programme Evaluation	Barrick, AMREF and other stakeholders regularly evaluate programme effectiveness and adjust it based on feedback. Future goals include a continued focus on local capacity building and advocacy to increase private sector involvement in public health. .
Documents	Barrick Gold HIV/AIDS Tanzania Case Study (PDF format; 8 pages; 161k) Barrick Gold / Kahama Mining Corporation HIV/AIDS Policy (PDF format; 9 pages; 45k) Barrick Gold / Kahama Mining Corporation HIV/AIDS Treatment Algorithm (PDF format; 1 page; 9k)