Overview	Gold Fields Limited (GFL) is a precious metals mining company. Gold Fields’ main business is the mining of precious metals, in particular gold, of which it produces approximately 4.5 million ounces per annum from open cast and deep level mines in South Africa, Ghana and Australia. The company has exploration projects in all of the major gold provinces of the world, including Africa, China, South East Asia, Europe and the Americas. Gold Fields has approximately 50,000 employees worldwide of which approximately 48,000 are in South Africa. For the financial year ending June 2002, Gold Fields generated revenues of US$ 1.25 billion and net earnings of US$ 310 million.
Business Case	With proposed interventions, GFL aims to lower forecasted HIV/AIDS costs from US$ 30 to US$ 15 million in 2006. The vision of the programme is to manage the impact of HIV and AIDS on GFL's employees, enabling the company to remain globally competitive for the benefit of employees, their families, shareholders and Africa. Currently approximately one in three employees is HIV positive; without intervention HIV/AIDS related costs could reach US$30 million in 2006, which corresponds to approximately 10% of 2002 earnings. In 2000, the GFL HIV/AIDS programme set a financial goal to reduce estimated future HIV/AIDS costs by 50% to US$ 15 million in 2006, which corresponds to US$ 3.50 per ounce of gold produced. GFL's 2002 budget for both workplace and community programmes is US$ 2.4 million, which corresponds to US$ 46 per employee.
Programme Description	GFL's programme aims to prevent an increase in workplace and community prevalence: In December 2001, GFL signed a HIV-specific workplace policy agreement with its labour unions establishing a partnership with 48,000 workers to combat the effects of HIV/AIDS on the company and its employees. GFL’s internal prevention programmes focus on awareness, formal employee education, awareness events, peer educator education, condom distribution and syndromic management of sexually transmitted infections (STIs). GFL established a portfolio of multi-stakeholder partnerships that aim to encourage behavioural change in neighbouring communities and labour sending areas targeting people at high risk (male and female commercial sex workers and their regular partners). GFL's programme also aims to extending the life of the worker both at work and at home: The Informed Consented Voluntary Counselling and Testing (ICVCT) programme is available to all employees and in some communities through GFL Community projects. In the five months after its official launch on 13 August, approximately 1,000 employees have participated in ICVCT. A wellness management programme is available for all employees with a chronic disease, including HIV, as well as anti retroviral drugs for MTCT, rape victims and employees with occupational exposure. GFL utilizes private-public partnerships to support communities receiving illhealth retirees, currently covering +/-70% of labour sending (i.e. recruitment sourcing) areas. Some of these projects, including Hlalupilile and Sibambisene, have been initiated by GFL and are now co-funded and co-managed by multiple partners.
Programme Evaluation	Programmes are regularly monitored and have already decreased the peak HIV incidence. Programmes are regularly monitored, expected impacts are adjusted and programmes are re-defined accordingly. Evaluations are conducted both internally and through selected external independent audits. HIV prevention programmes have already contained 2006 prevalence estimates at approximately 31% instead of 37% previously projected. Future plans include increasing the scope and quality of coverage for GFL's workplace and community programmes, and developing an economic model to track the financial impact of the interventions. .
Documents	Gold Fields International HIV/AIDS South Africa Case Study (PDF format; 7 pages; 151k) GFL HIV/AIDS Workplace Policy (2001) (PDF format; 11 pages; 37k) GFL HIV/AIDS Home Based Care Partnership Agreement (2001) (PDF format; 14 pages; 50k) GFL HIV/AIDS ICVTC Programme Description (2001) (PDF format; 9 pages; 55k) GFL HIV/AIDS ICVTC Programme Workflow (2001) (PDF format; 3 pages; 17k) GFL Example Audit Report (2001) (PDF format; 4 pages; 26k)