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Health and Wellness in the Workplace
Presentation to ASTD “Shaping the Talent Landscape for 2030”
11th Annual International Conference Sandton Convention Centre
19 March 2015
Dr Vanessa Govender Group Health and Wellness Manager Aveng Group, Johannesburg, South Africa Email [email protected] www.aveng.co.za
Health and Wellness in the Workplace
Ø The Business…. Ø It’s a journey towards a culture …. Ø Towards integration into core
business practices …
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THEME: MENTORSHIP MATTERS!
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“HR practitioners stand at the helm of effective Mentorship within organisations. When practiced and implemented correctly,
Mentorship can be a powerful placement and talent development tool”
Hema Vallabh, CEO and Founder, Passionate Professionals
…Mentorship can be a powerful enabler for embedding Health and Wellness Culture at the workplace
Introduction – mentorship matters!
Be a Mentor and Be Mentored!!
Global Business Context
v Accelerating, fast - paced change
v Hyper-connected v Growing interdependence
v Increasing complexity v Increasingly unpredictable world
v Resource constrained
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Few certainties: pace of change will be faster next year
3FOUR50 – Oxford Health Alliance
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3 risk factors poor diet, lack of physical
activity, tobacco use
that lead to four chronic diseases
Cardio vascular disease, diabetes, chronic lung
diseases and some cancers
contributing to more than 60% of deaths worldwide.
Global Health today…
First global targets on non-communicable diseases:
To reduce premature mortality from
cardiovascular disease, cancer, diabetes, chronic respiratory disease, and other non-communicable
diseases by 25% by 2025.
65th annual World Health Assembly. WHO May 2014
Health in South Africa today
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High Cholesterol/glucose Smoking
High Body Mass Index
Physical inactivity High Blood
pressure Poor
Nutrition Malnutrition
“Sick Fat and Sad”
(Timeslive,7 August 2013)
The Healthy Active Kids South Africa (HAKSA) Report Card 2014 - Discovery Health
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Findings: Ø The waists of six out of 10 women older than 50 are 88cm or more (an extra-large size),
which puts them at "significant" risk of lifestyle disease Ø 33% of children report having no food to take to school Ø In the homes of 33.9% of those aged 10 to 14 there is no food for breakfast Ø One in four households goes to bed hungry Ø 22% of children aged between two and five are overweight or obese (12% in the US) Ø 18.3% of children have no one to help them make lunch for school; Ø One in two women and one in three men under the age of 40 failed a fitness test in
which they had to run up and down a step Ø One in 10 people suffer from mental illness caused by trauma or exposure to violence.
The findings were not all doom and gloom. Ø Perception of the health system: 96.8% said they received care when they needed it;
only 9% reported shortages of medicine. Ø Almost half of all smokers told researchers that warning labels on cigarette packs made
them think about quitting. Ø Smoking has declined, from 32% of adults in 1993 to 16.4% in 2012.
Two-thirds of women in South Africa are overweight or obese, our preschool children are among the fattest in the world and a quarter of adults eat too much sugar and fat,
but in general we think we are healthy.
“Sick Fat and Sad” | Health in South Africa today
(First SA National Health and Nutrition Examination Survey.HSRC, MRC 2013)
Health and Wellness in the Workplace
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Ø Challenging working and living conditions Ø High burden of occupational and non-
occupational diseases Ø High HIV prevalence with increased
vulnerability to TB & malaria Ø High levels of stress – relationship, legal,
financial issues (Aveng Group, EWP 3 year trends)
Ø Low coverage medical insurance Ø Poor access to health care Ø Transient nature of work Ø Temporary, subcontracted and migrant
workers Ø Varying durations of contracts and benefits Ø Cultural diversity and multitude of
languages
The Business of Health and Wellness
Ø The World Bank: Ú 50% of the economic growth differentials between developing and developed
nations are attributed to poor health and low life expectancy.
Ø World Health Organisation’s Ú “Health promotion and prevention of non-communicable diseases should be
further stimulated in the workplace.” Global Plan of Action on Workers’ Health 2008-17
Ú "The wealth of business depends on the health of workers." Dr Maria Neira, Director Department of Public Health and Environment
Ú This is the reality of the new "fourth bottom line" — the direct financial correlation between employee wellness and business financial success.
Ú Effects of poor health on productivity: Employees in poor health had a -8.9% effect on productivity, compared with their healthier counterparts who had a 6.5% positive impact on overall productivity — a direct effect on the bottom line.
Discovery health research Ú http://www.bdlive.co.za/opinion/2015/03/03/fourth-bottom-line-is-about-more-than-
healthy-employees
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Opinion & Analysis
‘Fourth bottom line’ is about more than healthy employees by Brett Tromp, March 03 2015, 06:26
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1. It is the legal thing to do - Occupational Health and Safety Acts,
Regulations and Codes of Practice - “Employee Protection” laws - labour relations
laws, compensation laws - Locally applicable laws
2. It is the smart thing to do - Cost of chronic diseases - Cost of occupational injury and illness - Cost of Absenteeism / Presenteeism - Core enablers for safety and productivity - Sustainability
3. It is the right thing to do - Reputation and image - Do no harm - Moral, ethical sound business practices
Why Healthy and Well Workplaces? (WHO)
Investing in Health and Wellness
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Unhealthy and Unsafe Workplace
Work related stress
Unhealthy personal health practices (e.g.
smoking, drinking, overeating, and lack
of exercise)
• Accidents and injuries • Work- related illnesses • Job dissatisfaction • Lack of job commitment • Burnout , depression • Workplace violence
Chronic and non-communicable diseases (e.g. coronary artery
disease, hypertension, diabetes and cancer)
•Absenteeism •Presenteeism •Short and long-term disability •Health insurance
•Workers compensation Claims •Union grievances •Turnover
•Increased Costs •Decreased Productivity •Decreased quality of product or customer service
Business Failure!
WHO: Healthy Workplaces | The Business Case in a
Nutshell
WHO: Healthy Workplaces | The Business Case in a
Nutshell
Aveng - infrastructure group
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Over 125 years Aveng has evolved from modest construction projects to expertise in steel, engineering, manufacturing, mining, concessions, public infrastructure and
water treatment and continues to make its mark across the globe
FNB Stadium, Soweto, Johannesburg
Organisational Ownership
All Regions
Africa Asia Canada Europe Latin America
USA
Employee benefits /HR 68% 54% 60% 87% 65% 45% 78%
Health Promotion 36% 46% 54% 15% 46% 42% 31%
Fitness / Exercise 34% 42% 23% 18% 39% 40% 37%
Nursing 33% 38% 23% 23% 43% 51% 30%
Nutrition 30% 38% 18% 15% 36% 42% 30%
Safety 26% 38% 32% 31% 58% 28% 18%
Health /Lifestyle Coaching 23% 46% 21% 10% 24% 31% 21%
Medicine 22% 27% 17% 10% 38% 55% 13%
Education 20% 27% 16% 10% 15% 24% 22%
Health Care Management 19% 46% 16% 8% 25% 28% 16%
Mental Health 18% 42% 20% 15% 26% 31% 12%
Work / Life Effectiveness 13% 23% 24% 8% 24% 8% 11%
Pharmacy 7% 19% 6% 0% 4% 8% 7%
Other 6% 0% 6% 0% 10% 22% 3%
[BM1]
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Accountability - HIV / TB
“Make your partner a real
partner” Sheryl Sandberg, Facebook
COO, Lean In
Lead the way know your status campaign
Accountability - Employee Wellbeing Programme
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Case 1: 8/12/11 Internal processes for Fitness to Work - who is accountable?
Occupation Crane operator
HR/SHE / Occ health service provider
Presenting problems
Alcohol, infidelity, domestic violence, financial, suicidal
????? Family Friends
Reason for flagging
Risk to himself and others Considering using work equipment to commit suicide
HR / SHE / Line manager / Safety officer / peer educator/ nurse / family / EWP service provider
ICAS intervention
Telephonic counselling Face to face (x4) Follow up calls Alcohol rehab recommended
EWP service provider / HR / SHE
Resolution Disclosure to family (uncle) HR / Occ health service provider
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Case 2: 20/2/12
Internal processes for Fitness to Work - who is accountable?
Occupation Sales
HR /SHE / Occ health service provider
Presenting problems
Suicide, domestic violence, depression, absenteeism, disciplinary
HR / Medical Practitioner
Reason for flagging
Extremely emotional Final written warning at work
HR Managerial referral to EWP service provider
ICAS intervention
Telephonic counselling Face to face (x1) Hospital admission Follow up counselling sessions
Occ Health service provider
Resolution Disclosure to supervisor “Feels like new person”
HR / SHE
Accountability - Employee Wellbeing Programme
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Accountability - HR / SHE Indabas
Outcomes SHE / HR Indaba 2012
HIV/AIDS Occ Health Wellness
Primary HR SHE HR
Support SHE HR SHE
The journey…towards a Health and Wellness Culture
Towards a new culture Actions
2010/11: Planning and development Co-ownership SHE / HR executives
2012: Understanding & priority Accountability, strategic plans 2013: Resolution Determine metrics, monitor, evaluate
2014: Commitment Ownership at each operating group
2015: Planning…. Strategic oversight
Source: Decision Partners. 2008
Management Driven Hierarchy
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v Managerial processes – planning, budgeting, KPIs, performance reviews
v Limitation: ???Silos v Net result: a good idea
could get blocked
What happens to a good idea?
Harvard too is silo’ed
Current President Drew Faust, first woman, first president who is not a
Harvard graduate Established in 1636
John Harvard – first benefactor Largest academic library collection in the
world ; 17 million volumes 8 US presidents
Famous drop outs – Bill Gates, Matt Damon
Applications and admissions – 34 302, only 5.9% (2023) admitted (class of 2016)
Graduation rate = 97%
28 Only connected by two things: heating system and its brand name
Teaming is a verb
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§ Powerful strategic urgency § Big opportunity
§ Teams are purpose driven § Mentorships thrive!!
§ Engage others through shared purpose
§ No one boss § Teams can go anywhere in the
organisation § We learn through action
§ The network grows
COMPLEX and UNPREDICTABLE
Net result | Ideas grow into innovations
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Real Successes | Leadership | Partnerships
Lead the way know your status campaign
Former CEO, Roger Jardine explains “..when people come to their place of work they need to bring their body and soul. If you are a caring employer, your duty of care does not start at the factory gate and stop when employees leave.”
Success : Dual Operating System
EMERGING OPERATING SYSTEM Community Structure
Power through convergence and connection Shared purpose
Emotional & Social learning Grass-roots creativity & co-creating change “open” approaches, sharing stories, ideas &
data, Mentorships , Relationships
Grass-roots creativity & co-creating change
COMMAND CONTROL OPERATING SYSTEM Authority Structure Power through division and hierarchy Mission and Vision Rational Learning, data, goals & strategy Management-driven (top-down) change Territories & protocols steer knowledge sharing Transactions
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Conclusion – mentorship matters!
Chelcie Reynolds Aveng Knowledge Management
Specialist Education: BA Corporate
Communications Aspiring Business Analyst
Fitness Mag SA January 2015
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…Mentorship [can be]
IS a powerful enabler for the core business integration of Health and Wellness at the
workplace
Conclusion – mentorship matters!
Be a Mentor and Be Mentored!!