Overview	Lafarge is a leading building materials manufacturing company with operations in Zambia. Lafarge is a world leader in the manufacture of building materials with leading positions in cement, aggregates, concrete, roofing and gypsum. Based in Paris, Lafarge has operations in 75 countries, including Zambia. In 2001, Lafarge’s 77,000 employees generated US$ 12.2 billion in revenues and US$ 668 million in net income. Chilanga Cement Plc, a Lafarge company, is involved in cement manufacturing with operations at Lusaka and Ndola. In 2002, there were a total of 441 employees at both sites (226 at Lusaka and 215 at Ndola). Chilanga Cement also works with three contractors at each location, which employ approximately 130 people to provide healthcare, security and food services. Chilanga Cement Plc generated approximately US$ 4.6 million in net income in the 2001-2002 fiscal year. Musamba is a 2,500-person community that houses all of Lusaka-based Chilanga cement employees and their families.	Chilanga Cement peer educators preparing for a trip.
Business Case	Chilanga Cement Plc recognized the negative impact that HIV is having on the company and committed to promoting the health and safety of its employees by establishing appropriate interventions to reduce HIV prevalence and minimize its economic and social impact. In June 2000, the Zambia HIV/AIDS Business Sector Project (ZHABS) was established with support from the UK’s Department for International Development (DFID) to assist in the implementation of an HIV/AIDS prevention and wellness programme for all Commonwealth Development Corporation (CDC) investees and borrowers in Zambia. At this point in time, Chilanga Cement was one of the companies that qualified for assistance through the ZHABS project. Although the CDC has since sold its investment in Chilanga Cement, the new management has continued its interest in the workplace and community programmes because of the potential economic and social impacts of inaction. The combined workplace and community prevention and assessment budget is US$ 48,000, which is jointly funded by Chilanga and ZHABS.
Programme Description	Chilanga partners with ZHABS to provide an HIV prevention and wellness programme both in the workplace and the community, with a heavy focus on peer educator communication. Chilanga Cement’s HIV/AIDS policy was provisionally approved in early 2003. ZHABS facilitated a policy development workshop to help the Human Resources department to develop the first draft of the policy. Drafts were circulated for comment to employees and partner organizations, including ZHABS and Integrated Healthcare Consulting (IHC). The company has provisionally approved the policy, and will review it every six months. Chilanga’s prevention programme relies on 44 workplace and 24 community peer educators as its primary method for communicating key messages. This corresponds to one peer educator for every ten employees, and one community educator for every one hundred community members in Musamba. The aim of the community peer education programme is to reach every member of the community with an educational message once per week. Chilanga also actively engages in business-to-business outreach to encourage peers to implement similar workplace prevention programmes. In December 2002 ZHABS worked with the District Health Management Team to establish Voluntary Counselling and Testing services at the Rural Health Centre in Chilanga. Employees, spouses, and up to four dependants gain access to medical services. These treatments include screening for tuberculosis and treatment of opportunistic infections. As the medical benefits are capped at 25% of an employee’s annual salary, the programme does not currently include the provision of Highly Active Anti-Retroviral Therapy (HAART).
Programme Evaluation	The project has increased knowledge and facilitated a reduction in high-risk behaviour, as evidenced through assessments before and during the intervention. In the future Chilanga Cement and ZHABS would like to improve the effectiveness of existing programmes as well as increase the reach of these programmes to target commercial sex workers and the second community where the company operates. .
Documents	Lafarge HIV/AIDS Zambia Case Study (PDF format; 8 pages; 107k) ZHABS Report on Lafarge Workplace and Community Programme (Prepared for GHI March 2003) (PDF format; 22 pages; 827k) Lafarge / Chilanga Cement HIV/AIDS Policy (April 2003) (PDF format; 8 pages; 53k) Musamba Community Programme Behavioural Surveillance Survey (Baseline - September 2000) (PDF format; 94 pages; 266k) Musamba Community Programme Behavioural Surveillance Survey (Followup - January 2002) (PDF format; 96 pages; 282k) Musamba Community Programme Behavioural Surveillance Survey (Comparative Report - January 2002) (PDF format; 26 pages; 92k)