Overview

View the complete ChevronTexaco HIV/AIDS Nigeria Case Study, taken from the World Economic Forum's Global Health Initiative case study library.

ChevronTexaco is a large, international, integrated oil company. ChevronTexaco, the second largest US-based integrated oil and gas company, engages in oil and gas exploration, production, refining, supply, transportation and marketing around the world, with operations in nearly 180 countries and territories. In 2001 ChevronTexaco's sales were $104 billion and income was $3.3 billion.

ChevronTexaco has upstream (extraction) operations in African countries including Angola, Cameroon, Chad, Democratic Republic of Congo, Republic of Congo, Equatorial Guinea, Namibia, and Nigeria. In 2001, the company directly employed more than 55,000 people worldwide.

ChevronTexaco in Nigeria

Chevron Nigeria Limited (CNL) is 60% owned by the Nigerian Government and 40% owned by ChevronTexaco. CNL’s upstream operations produce 517,000 barrels per day from 39 field operations and 6 shallow-water fields. CNL employs roughly 1,800 employees and 3,000 contractors (90% Nigerian nationals).

The Business Case

Through proposed interventions, CNL aims to reduce the risk of HIV to its employees, families and business. Although HIV prevalence among workers is less than 2.5%, they are at risk because of a higher prevalence in the community, their poor HIV knowledge, and high risk-taking behaviors.

• In 2001, UNAIDS estimated Nigeria's HIV prevalence to be 5.8%. In 1999, HIV seroprevalence surveys conducted by the Federal Ministry of Health demonstrated that the prevalence in the communities where CNL workers live were 1-2% higher than the national average. Although CNL did not conduct a worker prevalence assessment, they estimate that their workforce HIV prevalence is <2.5%.
• A knowledge, attitude, and practice (KAP) assessment of workers, and a Participatory Rural Rapid Assessment (PRRA) of community members and commercial sex workers (CSW) indicated that there is a high level of sexual networking amongst these groups.
• Field-based oil workers are considered to be high risk because of their distance from their spouses, their comparatively high disposable incomes, as well as the single sex housing while on location, and the presence of sexual networking at these locations.
• Although CNL did not conduct a formal economic impact assessment, it was determined that investing in the community, families and workers is a necessary and economical method to prevent significant costs associated with a larger scale HIV epidemic.

Programme Description

CNL's HIV/AIDS programs focus mainly on prevention of the escalation of the epidemic by targeting employees, their families, the community and CSWs, as well as supporting and caring for HIV+ employees.

• Chevron’s Workplace AIDS Prevention Program (CWAPP) focuses on peer education, workplace events, condom distribution, manager and supervisor training, and awareness tools.
• Community prevention programs focus on workshops for children of employees, joining HIV/AIDS awareness events and working with CSWs.
• CNL offers Voluntary Confidential Counseling and Testing (VCCT) services to its employees; however, only 1% of its workforce took advantage of VCCT in 2001.
• CNL provides support for HIV+ employees through a joint support agreement with government clinics and home based care. Antiretroviral drugs are used to prevent mother to child transmission (MTC) and for post-exposure prophylaxis (PEP).
• Capacity building efforts focus on providing funding for the Nigerian Government to provide HIV/AIDS education in schools, and with the media to increase journalists' HIV/AIDS knowledge.

Programme Evaluation

The programme has reached the majority of workers with its education and awareness activities, improved employee health seeking behaviour, increased stakeholder involvement and successfully prevented mother to child transmissions.

CNL will expand its programmes to ensure that it is able to meet the goals stated in its vision of minimizing increases in prevalence and treating HIV+ workers.

Case study taken from the World Economic Forum’s Global Health Initiative case study library.