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GLOBAL HEALTHY WORKPLACES UNILEVER

DR. T. RAJGOPAL VP, GLOBAL MEDICAL & OCCUPATIONAL HEALTH

& DEAN PATTERSON

GLOBAL HEALTH & PRODUCTIVITY MANAGER

STRUCTURE

1. Background to Unilever and Medical & Occupational Health (M&OH)

2. Health Promotion

3. Health Protection

4. Impact on Community

5. Global Integration & Innovation

UNILEVER IS A GLOBAL COMPANY

WE MAKE MANY OF THE WORLD’S FAVOURITE BRANDS

OUR VISION - 3 BIG GOALS BY 2020

M&OH GLOBAL STRATEGY 2011 - 2015 Health promotion - to promote, maintain and enhance the health of Unilever’s people so as to maximise their fitness to

work safely and effectively

Health protection - to protect Unilever’s people from work-related hazards to their health Mis

sio

n

To earn a global reputation for best practice in medical and occupational health performance.

Vis

ion

Health, Wellbeing & Performance

Prevention of Occupational

Ill-health

Travel related M&OH

Support

Ke

y M

WB

•Mental well being and resilience

•Lamplighter

•Addressing local health risks e.g HIV/AIDS, Malaria, TB, Dengue.

•Pandemic threats and business continuity

•Agile working

•Prevention of work related illness & occupational diseases

•Ergonomics at the workplace

•Environmental health

•Noise

•Food Allergens

•Business travelers and expats to be covered

•Advice on immunizations & chemoprophylaxis.

Ke

y a

ctiv

itie

s

•% of employees reached by an

Employee wellness program

•Number or Work related illness

(WRIs)

•Days lost from WRIs

•% of Business Travelers & IA’s

who have pre- Travel evaluations &

advice KP

Is

SYNERGY BETWEEN M&OH, SUPPLY CHAIN AND SAFETY

EMPLOYEE INVOLVEMENT

• Health and Safety Committees

• Site wellness committee

• HIV/AIDS committee

• Dignity enhancement committee

• Well being Ambassadors; Evangelists for Lamplighters

• Employees are included in many health & safety forums which allows opinions & concerns to be expressed – examples: • PHA/HAZOP studies • Risk assessments at the shop floor • Pre-delivery inspection visits • Project briefs, TPM & accident investigations

• Union & works council participation & inputs for health & well being

Mar 29th, Nutrition Rhymes

Apr 26th, Know about nutrients

May 28th, Understand salt & sugar

Jun 28th, Nutrition Label

Jul 29th, Good Nutrition: vitamin Family

Sep 2nd , Monthly newsletter

HEALTH PROMOTION IN UNILEVER

LAMPLIGHTER

FRAMEWORK OF LAMPLIGHTER

Chengdu, Jul Guangzhou, Jul Jingshan, May Hefei, Aug

China HK Korea

LAMPLIGHTER IS LIVE ACROSS THESE COUNTRIES

6% 5% 7% 7% 7%

5%

38%

30% 30% 28%

26% 24%

33% 30% 31% 30% 30% 30%

7% 6% 5% 6% 5% 5%

2% 2% 2% 2% 0% 0%

6% 5% 6% 6% 5% 5% 7% 6% 6% 6%

7%

10% 10%

2008 2009 2010 2011 2012 2013

Brazil Smokers Inactive >BMI (25kg/m) Cholesterol

Diabetes Hypertension Alcohol Stress

10%

7%

4% 2% 3%

25%

20%

24%

13%

9%

41%

15% 18%

11%

7% 6%

15%

11% 8%

5%

2% 1% 0% 0% 1% 3%

5%

2% 1% 1% 3%

1% 1% 2% 4%

2% 2% 1% 0%

2009 2010 2011 2012 2013

Singapore Smokers Inactive >BMI (25kg/m) Cholesterol

Diabetes Hypertension Stress High Alcohol

23% 19% 18% 20%

17% 17%

79%

72% 71% 72% 66%

60% 65% 66%

61% 62%

36% 34% 36% 37% 34%

19%

7% 12%

3% 3% 1% 6% 4% 4%

9% 8% 6%

54% 48% 48%

6% 7%

68%

60% 54% 54%

23% 21%

2007 2008 2009 2010 2011 2012

Philippines

Smokers Inactive >BMI (25kg/m) Cholesterol

Diabetes Hypertension High Alcohol Stress

6%

13% 16%

4%

9%

16%

35% 34%

28%

40%

30%

42%

1%

18%

9%

3% 6%

11%

16% 14%

1%

13%

6% 7% 5%

16% 13%

15%

0% 0%

9%

23%

2010 2011 2012 2013

South Africa Smokers Inactive >BMI (25kg/m) Cholesterol


22% 21% 20% 20% 17% 16% 17% 16%

91%

57% 51%

40% 36%

41% 42% 41%

59% 60% 59% 55%

51% 53% 53% 54%

11% 6% 7%

4% 4% 4% 4% 3%

41%

34% 35% 36% 33%

38% 39% 36%

8% 9% 8% 5% 4% 4% 4% 3%

18% 19% 18%

10% 8% 8% 8% 7%

56%

33% 35%

8% 12% 10%

7% 9%

2006 2007 2008 2009 2010 2011 2012 2013

Pakistan

Smokers Inactive >BMI (25kg/m) Stress

Cholesterol Diabetes Hypertension Poor Diet

19% 18% 18% 16%

12% 11%

34% 32% 32% 31%

30% 30% 31% 30% 30% 30%

29% 28%

8% 8% 8% 6% 5%

3% 1% 2% 2% 3% 3% 3% 5%

2% 2% 2% 2% 2%

9% 9% 9% 11% 12%

13%

3% 3% 3% 3% 3% 2%

2008 2009 2010 2011 2012 2013

Nepal Smokers Inactive >BMI (25kg/m) Cholesterol


11%

28%

34%

42% 36%

56% 55%

69% 68%

45%

33%

52%

42% 48% 49%

22% 21%

27%

20% 21%

11%

3% 2% 1% 1%

11%

3% 4% 1% 1%

11% 17%

26% 21%

26%

46%

27%

2009 2010 2011 2012 2013

Turkey

Smokers Inactive >BMI (25kg/m) Cholesterol

Diabetes Hypertension High Alcohol Stress

45% 43% 44% 48%

45% 44% 38%

3%

78% 77% 78% 76%

56% 56% 54%

9%

43% 45% 45% 43% 43%

28% 28%

5%

40% 40% 38% 39% 39% 38% 38%

1%

45% 44% 45% 42%

45% 45%

58%

1% 5%

8% 8% 7% 5% 4% 4% 2%

10% 12% 12% 8.40% 10% 8% 8%

0% 1% 1% 1% 1% 1% 1% 1%

2006 2007 2009 2010 2011 2012 2013 2013

Bangladesh

Smokers Inactive >BMI (25kg/m) Stress

Cholesterol Diabetes Hypertension High Alcohol

Markets Country Degree of Compliance

Africa

ESA

Fully Compliant Nigeria West Africa UTea Plantations South Africa

South Asia

India

Fully Compliant Pakistan Sri-Lanka Bangladesh Nepal

SEAA Fully compliant ^ North Asia Fully compliant NAMET & RUB Fully compliant ^ North America Fully compliant Europe Fully compliant LATAM Brazil / Argentina compliant

IMPLEMENTATION OF NO-SMOKING STANDARD

“I’ve never wanted to be an old man, smoking two packs of cigarettes a day & setting a bad example for my son. That’s a pitiful picture, isn’t it? Yet it took me so many years to quit because I was afraid to fail. My long-time friends just accepted me as a smoker, but new friends started coming into my life, & they questioned my smoking - they were my motivators. I generated my support system by telling a lot of people that I was quitting. That helped because everyone was watching me to see if I could really follow

through. With the help of medication, I quit smoking in four weeks. There’s no way I will ever smoke again.” Leroy Lee, Associate Finance Manager

MENTAL HEALTH & WELLBEING

Global Mental Wellbeing Standard Purpose • Building resilience in teams & individuals across the organisation • Developing line managers to lead & support a culture of resilience & mental

wellbeing, to manage the things that influence resilience, health & wellbeing in the workplace

• Providing easy access across Unilever to available tools & resources • Providing excellent care & support to any employee who experiences mental ill

health for whatever reason.

Global Mental Wellbeing Standard Objectives • Awareness & education • Positive work environment • Participation in mental health initiatives • Manage mental ill-health & prevent disability • Correct work environment to reduce absence & improve performance

PLAN ON PAGE FRAMEWORK

Leadership & Management Communication & Culture Building Resilience & Managing

Pressure

Support

Managers who manage mental

health and wellbeing as a core

element of their people

management, and leaders who

consider mental wellbeing as

well as physical well being as

part of business decision-

making and capability

building.

A performance culture is a

healthy and resilient culture,

where mental health is

actively discussed, managed

and understood.

Given that a performance culture

needs to be a resilient culture,

tools and techniques will be put

in place that build

organisational, team and

individual capability to meet the

needs of the business and the

needs of our people.

Anyone in Unilever should

be no more than one click,

one phone call or one

discussion from the help

they need if they are

experiencing issues with

their wellbeing.

• Enables Unilever to track actions & progress globally

• Ensures best practice travels through the M&OH function & through HR

• Allows Unilever to meets its responsibilities to look after the wellbeing of people everywhere & that the global mental health standard is implemented

• Creates the space for this to be done in a way that is appropriate to each country's culture & situation.

MENTAL WELL BEING TRACKER Countries Country A Country B Country C Country D Country E Country F Country G

Elements Progress Work plan modelled on the four pillar approach approved & signed off by VPHR Awareness campaign covering all employees Skills Training: 1. M & OH staff 2. HR staff 3. Management Introduce & implement program 1. Mental Health program as a part of Lamplighter 2. Approve screening method (ISS, Vital Minds, PMI)/other (specify) Introduce & implement intervention (identify expertise at site & country level) 1. Individual 2. Group 3. EAP Collaboration Data Collection on Mental Well Being 1. Number of EAP referrals 2. Number of diagnosed cases of mental ill health. 3. Number of man days lost due to mental ill health 4. GPS scores covering health 5. National statistics (non-Unilever) on mental ill health

Traffic Light Key Not in place In progress Completed

HIV/AIDS PREVENTION & CONTROL

HEALTH PROTECTION IN UNILEVER

PREVENTION OF OCCUPATIONAL ILL-HEALTH & IMPROVEMENT IN OCCUPATIONAL SAFETY

WORK RELATED ILLNESS (WRI) 2.87

1.87

1.26

0.14 0.11 0.04

North America SEAA Europe SA LATAM Africa

2013 WRI Frequency (rate/million man hours)

29

42

1 2

74

Mental Musculoskeletal Respiratory Skin Total

Causes of Total WRI's for 2013

ERGONOMIC IMPROVEMENTS IN UNILEVER – BRAZIL (DONE WITH EMPLOYEE INPUTS ALONG WITH SAFETY/SUPPLY CHAIN)

Bag Handling Principles (Before)

Bag Handling Principles (After)

OCCUPATIONAL SAFETY

Behavioral Safety

• Du Pont model of behavioral safety being rolled out.

Process Safety

• Risk Categorization & evaluation of compliance

Construction Safety

• Being applied in all Greenfield and Brownfield sites

Machinery Safety

• Standard introduced in 2013 – progress monitored globally

Safe Travel

• Safe Travel has been upgraded in line with risks in emerging markets

GLOBAL OCCUPATIONAL SAFETY TREND - TOTAL RECORDABLE FREQUENCY RATE

2.1

1.91

1.63

1.27 1.16

1.04 0.94

2008 2009 2010 2011 2012 2013 2014 YTD Feb

TRFR - (Total Recordable/Million Manhours)

COMMUNITY IMPACT & INVOLVEMENT

AN AFRICA EXAMPLE

UNILEVER TEA TANZANIA

• 5 tea estates, 3 factories

• 8,000 workers & 32,000 dependants

• 70 bed hospital, 12 dispensaries, 3 HIV care & treatment clinics

• Comprehensive health services include FP/RH,PMTCT, VCT, CTC • 160 employee – Peer Health Educators (PHE)

Male Involvement: • Increased male involvement in reproductive health services PMTCT: • Reduction of mother to child HIV transmission in the community HIV/AIDS services: • Increased number of HIV patients & people from the local community

who can access the HIV treatment services

MALE PARTNERS INVOLVEMENT & TREATMENT ACCESS • Male partners actively engage in sexual & reproductive health & HIV

services.

332

244 227

344 391

106 137

198

317 362

2009 2010 2011 2012 2013

ANTENATAL CLINIC ENROLLEMENT MALE PARTNER INVOLVEMENT

0 225

961

1268 1132 1161

1806 1589

1900 2057

0 38 162

303 503

719 838

948 1092 1,181

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

TOTAL CLIENTS ENROLLED IN HIV CLINIC RECEIVING ART TREATMENT

• Increased number of HIV patients who can access the HIV treatment services

PREVENTION OF MOTHER TO CHILD TRANSIMISSION

• We have managed to reduce the HIV mother to child transmission among the employees & local community

0

20

40

60

80

100

120

140

2009 2010 2011 2012 2013

Nu

mb

er

TOTAL HIV POSITIVE MOTHERS HIV POSITIVE INFANTS (MOTHER TO CHILD TRANSIMISSION) PERCENTAGE OF INFANTS INFECTED

IMPROVING HEART HEALTH

• Education plays an important part in raising awareness of cardiovascular disease.

• We use Heart Age, an online tool that uses diet and lifestyle factors such as weight, cholesterol, blood pressure and smoking to estimate heart health.

• A heart age higher than a person’s actual age can be a powerful spur to action and the tool offers users a free three-month diet and lifestyle plan.

• In South Africa, we work with the Heart and Stroke Foundation to raise awareness of heart health & the importance of a healthy diet & lifestyle through our Flora ‘Test the Nation’ campaign.

• We tested the cholesterol levels of over 36,000 people across the country.

UNILEVER EMPLOYEE EXAMPLE

Factory Site

Marketing Site

Focus Interventions!

HEALTH AND HYGIENE

Reduce Diarrhoeal & Respiratory Disease Through Hand washing: • Lifebuoy launched hand washing programmes in seven new countries:

Egypt, Ghana, Nigeria, South Sudan, Uganda, Zambia and Zimbabwe. • We have applied this methodology to Lifebuoy to drive sustained hand

washing with soap at key hygiene occasions & have now reached 119m people since 2010.

Provide Safe Drinking Water: • The lack of safe drinking water is a major public health issue, particularly

in developing countries where around 80% of diseases are water borne. • 45 million people have gained access to safe drinking water from Pureit since its launch in 2005.

GLOBAL INTEGRATION & INNOVATIONS

HEALTH AND PERFORMANCE

GLOBAL INTEGRATION ACROSS SUPPLY CHAIN Foundation Developed Advanced World Class

M&OH

specific

standards

Compliance 70–80% Compliance 81-90 % Compliance 91-99% Compliance 100 %

He

alt

h P

rote

ctio

n

Steps in place to prevent

occupational illness and

accidents.

Identification &

reporting of

occupational illnesses

Surveillance for specific

risks like enzymes

Food handlers evaluation

Ergonomic appraisals in place

(e.g. Musculoskeletal diseases, noise

induced hearing loss)

Recording & evaluation of


Steps in place to prevent recurrence of


Ergonomic consideration involved at the

design stage itself.

Year on year improvement in prevention of

occupational illnesses.

He

alt

h P

rom

oti

on

La

mp

lig

hte

r

pro

gra

m

Pilot in place

25 - 50% of workforce Covered.

HRA, Exercise & Nutrition

modules in place

Counseling for lifestyle diseases

50-75% of the workforce covered &

improvement steps in place

HRA, Exercise Nutrition &resilience

modules in place

> 75% of workforce covered &

improvement steps in place.

HRA, Exercise, Nutrition & resilience

modules in place Measurement of

presenteeism & steps in place to reduce

absenteeism.

Me

nta

l We

llB

ein

g

pro

gra

m

Global Standards shared

with all employees.

Referral services

available

Training of managers and

supervisors on mental well

being .

Two way formal

communication to

understand stress at

workplace

Employee participation in mental well

being programs.

Periodic evaluation of mental well

being at workplace

Counselor support

Periodic evaluation of stress & resilience

with feedback & psychiatric support

where needed.

Steps in place to improve mental well being

based on periodic evaluation.

Resources

Site nurse

Access to Occupational

health physician for

supporting programs

Part time medical & occupational health

physician available to support & drive

programs

Multidisciplinary team available on site to

drive programs

HEALTH & WELLBEING IMPROVEMENT IN FACTORIES

0%

10%

20%

30%

40%

50%

60%

70%

Organization

Skills

Reward & Recognition

Governance

Employee Relations

Employee Well Being

GLOBAL MEDICAL & OCCUPATIONAL HEALTH STANDARDS

M&OH provides the following standards across Unilever globally:

• Unilever Specific standards on medical and occupational health

• Corporate Nutrition Guidance Standard

• Unilever standards on HIV/AIDS

• No smoking policy

• Mental Well-being standard

INTEGRATED MEDICAL & OCCUPATIONAL MANAGEMENT INFORMATION SYSTEM

“Groups of M&OH information linked by a system that can identify specific types of data from local solutions to determine relationships between and among the data.”

•Occupational exams •Health risk appraisal data •Employee medical records •Demographic profiles •Outpatient medical/insurance claims •Productivity •Absence

•Personnel records •Health care medical/insurance claims •Safety/accidents records •Lamplighter Data •Chemical exposure •Disability (workers’ comp) •Employee Assistance Program

RETURN ON INVESTMENT COUNTRY EXAMPLES

1.25 0.80

2.48 3.28 4.54

0.0

2.0

4.0

6.0

Healthcare Only Absenteeism Only Presenteeism Only Total Productivity (Abs + Pres) Healthcare & Productivity

€:1

Egypt

1.93

0.51 1.40 1.91

3.83

0.0

2.0

4.0

6.0


€:1

Singapore

1.28

0.31 1.03

1.35 2.63

0.0

2.0

4.0


€:1

Pakistan

0.67

0.23

0.75 0.98

1.66

0.0

1.0

2.0


€:1

Hungary

ROI COUNTRY EXAMPLES

Country ROI (€ Saved for every € invested)

Algeria 5.46 Argentina 6.65

Bangladesh 1.42 Brazil 1 Egypt 4.54

Hungary 1.66 Indonesia 13

Japan 1.52 Pakistan 2.63

Philippines 2.9 Singapore 3.83

USA 9.31

Objectives Team

Implement policies, standards and procedures in medical and occupational health and allocate resources for managing medical and occupational health effectively across Unilever. Establish clear accountability for employee health and well being through health promotion and health protection activities. Ensure compliance with specific medical and occupational health standards. Monitor progress on deliverables through appropriate KPIs

Deliverables

Health Promotion Lamplighter (LL) program roll out across all countries with > 100 employees Mental well being program roll out along with LL Annual health screening for top leadership Address specific local health risks e.g. HIV/AIDS Health Protection Prevention of work related illness Ergonomics at the workplace Enzyme surveillance both HPC and Foods Leverage Manex for health promotion and protection Travel related M& OH support

High Level Plan

Critical Success Factors

Improved coverage and outreach of LL programs Positive ROIs Reduction in health risk across employees Improved mental resilience Reduction of Work related illness

Work plan / Activities

2013 2014

Q3 Q4 Q1 Q2 Q3 Q4

Lamplighter implementation

Mental well being global roll out

Mental well being implementation

Annual health evaluation

MANEX – Roll out of health promotion and health protection programs

Assessment of ergonomic factors at workplace e.g. Noise, Enzyme s / MSDs at

workplace

Review talent/resource across clusters

Align Europe M& OH programs with global standards

Review M&OH deliverables and KPIs by the subcommittee

Sponsors:

CHARTER FOR M&OH TOP MANAGEMENT REVIEW

UNILEVER MEETING GLOBAL HEALTHY WORKPLACE CRITERIA Leadership commitment & engagement

Unilever Leadership Executive sign off, Mandatory roll out to countries with >100 (employees). Well established resources in M&OHSLT & HRLT, Global Management Charter & Globally Mandated Standards

Worker Involvement Health & Safety Committees, Site wellness committee, HIV/AIDS committee, Dignity enhancement committee, Wellbeing Ambassadors; Evangelists for Lamplighters, health & safety forums (assessments at the shop floor, Pre-delivery inspection visits, Project briefs, TPM & accident investigations), Union & works council participation & inputs for health & well being

Business Ethics & Legality Code of Business Principles across the value chain (Unilever & Contractors) , Mandatory learning of CoBP, Business integrity through; Four key values underpin the way we do business across Unilever: Integrity, Respect, Pioneering, and Responsibility

Sustainability & Integration Global Unilever Sustainable Living Plan: To help more than a billion people improve their health and well-being To halve the environmental footprint of our products, To enhance the livelihoods of hundreds of thousands of people in our supply chain. Our Health & wellbeing programmes are integrated vertically & horizontally within HR, Safety, Geography & Supply Chain.

Continuous Improvement Global KPI’s for Wellness & Illness – reported quarterly and annually. Changes in health risk status through Return on Investment (ROI), Global tracking systems in place to capture standard incl HIV & MWB. KPI’s & Reporting are governed by Top Management Review. Employee feedback is part of continuous improvement.

Innovation Health & wellbeing questions embedded within Unilever Global People Survey. Development of Management Information System across all countries to capture data globally, Create global medical cut off for health risk factors to improve medical reporting which also feeds into a Global Health Index.

Replicable Extended out to 68 countries and cover approximately 160K employee. Programmes have been highlighted as replicable by World Economic Forum (WEF), Global Business Coalition (GBC), World Heart Federation (WHF) & the Access to Nutrition Index (ATNI).

THANK YOU

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