Dr Vanessa Govender- Wellness in the Workplace

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


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!!

BUSINESS OF HEALTH & WELLNESS

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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)


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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

IT’S A JOURNEY …..………….TOWARDS A CULTURE

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The journey…towards a Health and Wellness Culture

Source: Decision Partners. 2008

ACCOUNTABILITY

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Workplace Context

Aveng Health and Wellness

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ACCOUNTABILITY

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 - Occupational Health

Courtesy of EOH Health

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

CORE BUSINESS INTEGRATION OF HEALTH & WELLNESS

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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

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Team up… Executive Senior Manager Managers Line managers / supervisors

INDIVIDUALS

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.”

Real Successes | Real Communication

Communication through effective engagement

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

Role of HR Professionals | Core Business Integration of H&W

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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!!

I Thank You

Email [email protected] www.aveng.co.za