Environmental and Social Performance Annual Monitoring Report
Project Number: 7194/2078 July 2007
BANGLADESH: GrameenPhone Limited
In accordance with ADB’s public communications policy (2005), this completion report excludes information referred to in paragraph 126 of the PCP.
INTERNATIONAL FINANCE CORPORATION
ENVIRONMENTAL AND SOCIAL PERFORMANCE ANNUAL MONITORING REPORT (AMR)
Grameenphone Ltd. Grameenphone Bangladesh 10872
REPORTING PERIOD: JANUARY, 2006 TO DECEMBER, 2006
AMR COMPLETION DATE: JULY 02, 2007
Environment and Social Development Department 2121 Pennsylvania Avenue, NW Washington, DC 20433 USA www.ifc.org/enviro
INTRODUCTION The Annual Monitoring Report IFC’s Investment Agreement requires Grameenphone Ltd. to prepare a comprehensive Annual Monitoring Report (AMR) for Grameenphone facilities and operations. This document comprises IFC’s preferred format for environmental and social performance reporting. The AMR informs the Environment and Social Development Department about the environmental and social state of the investment. Preparation Instructions The following points should assist you in completing this form. Please be descriptive in your responses and attach additional information as needed. • • • IFC’s Investment Agreement requires designated Grameenphone Ltd. personnel to complete and submit annual environmental and social monitoring reports in compliance with the schedule stipulated in the Investment agreement. Grameenphone Ltd. must report qualitative and quantitative project performance data each year of the investment for the environmental and social monitoring parameters included in this report format. The main purpose of completing this form is to provide the following information: Environmental and Social Management Occupational Health and Safety (OHS) Performance Significant Environmental and Social Events General Information and Feedback Sustainability of Project and Associated Operations Compliance with World Bank Group and local environmental requirements as specified in the Investment Agreement 7. Compliance with World Bank Group and local social requirements as specified in the Investment Agreement 8. Data Interpretation and Corrective Measures 9. Progress on implementing the Corrective Action Plan (CAP) agreed with IFC (if applicable) Specialist Contact Information If you have any questions regarding the AMR or wish to discuss completion of the AMR please contact the following Investment Officer or Portfolio Manager. 1. 2. 3. 4. 5. 6.
Investment Officer
Name: Carlos A. T. Katsuya Telephone Number: (202)-458-5733 Facsimile Number: (202)-974-4403 Email: CKatsuya@ifc.org
Portfolio Manager
Name: Telephone Number: Facsimile Number: Email:
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1 ENVmONMENTAL AND SOCIAL MANAGEMENT 1.1 AMRPreparer To be completed by Grameenphone Ltd. authorized representative Name and Title: Md. Arif Al Islam, CFO Phone: +880-2-9882990 Fax: +880-2-8819271 Email: arif(W,2rameenphone.com Grameenphone Information Grameenphone office physical address: "Celebration Point" Plot # 3 & 5, Road # 113A Gulshan - 2, Dhaka- 1212 Bangladesh. Grameenphone web page address: www.grameenphone.com
I certify that the data contained in this AMR completely and accurately represents Grameenphone operations during this reporting period. I further certify that analytical data summaries. incorporated in Section 6 are based upon data collected and analyzed in a manner consistent with the World Bank Group's Pollution Prevention and Abatement Handbook, Monitoring.2
Grameenphone Ltd. Employee Name:
Md. Arif AI Islam N/A
Signature
Name of Third Party Organization and Representative Certifying This Document 1.2 Environmental Responsibility Chart
Signature
Please name the individuals in the company who hold responsibility for environmental and social performance (e.g. Environment Manager, Occupational Health and Safety Manager, Community Relations Manager) and give their contact information (Name, Address, Telephone Number, Fax Number, E-mail Address). HSE Manager Name and Title: Dr. Mohammad Shahnawaz, Head ofHSE Phone: +880-2-9882990 Fax: +880-2-8819271 Mobile: +88 01711-500274 Email: mshahnawaz@grameenphone.com Grameenphone Information Grameenphone office physical address: "Celebration Point" Plot # 3 & 5, Road # 113A Gulshan- 2, Dhaka- 1212 Bangladesh. Grameenphone web page address: www.grameenphone.com
· Raw analytical data upon which summaries are based should not be submitted with this AMR but must be preserved by Grameenphone and presented to IFC upon demand. 2Pollution Prevention and Abatement Handbook
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2 OCCUPATIONAL HEALTH AND SAFETY PERFORMANCE (OHS) Grameenphone personnel are required to monitor, record, and report occupational health and safety incidents and workplace conditions (air quality and physical parameters, which are potentially impacted by industrial processes) throughout the reporting period.
2.1 Bangladesh Compliance Please list any reports submitted to Bangladesh authorities, e.g. on OHS, fire and safety inspections, compliance monitoring, emergency exercises, as well as comments received and corrective actions taken. Bangladesh authority monitoring and inspections with subsequent actions taken shall also be summarized and reported. N/A If any of the information requested in the AMR (Section 2.2 - Section 2.4) is contained in reports sent to Bangladesh authorities, please submit the applicable section of the report. N/A 2.2 Incident Statistics Monitoring Please report on incidents during the reporting year for Grameenphone. Contractor employees are required to adhere to comparable occupational health and safety standards. If Grameenphone uses contractor employees, please also report any contractor employee incidents. Expand or shrink the tables as needed.
1. Total Amounts This reporting period Report total numbers for each parameter Fatalities Non-fatal injuries3 Lost workdays4 Vehicle collisions5 Incidence6 Reporting period- 1 year ago Grameenphone Contractor Grameenphone Contractor employees employees employees employees None 1 person 26 6 0.68 2 persons None 1 0 1 0 None Reporting period- 2 years ago Grameenphone Contractor employees employees None 1 6 2 0.52 None -
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Incapacity to work for at least one full workday beyond the day on which the accident or illness occurred. Lost workdays are the number of workdays (consecutive or not) beyond the date of injury or onset of illness that the employee was away from work or limited to restricted work activity because of an occupational injury or illness. 5 Vehicle Collision: When a vehicle (device used to transport people or things) collides (comes together with violent force) with another vehicle or inanimate or animate object(s) and results in injury (other than the need for First Aid) or death. 6 Calculate incidence using the following equation: incidence= total lost workdays/ 100,000 man-hours worked. Use the total lost workdays to calculate the incidence for this reporting period, reporting periods 1 year ago and 2 years ago, as required above. 3
2. Fatality details for this reporting period Grameenphone employees or contractor employees? Contractor employees Contractor employee Time of death after accident (e.g. immediate, within a month, within a year) Immediate Immediate Cause of fatality Corrective measures to prevent reoccurrence
Fall from tower Electric Shock
Trainings among 3rd party vendor members are regularly conducted to create awareness about safety issues.
*GP provided financial compensation to the family of the deceased. 3. Non-fatal injuries details for this reporting period Grameenphone employees or contractor employees? Grameenphone Employee Total workdays lost 26 Description of injury Cause of accident Corrective measures to prevent reoccurrence
After getting off from a public bus, he slipped and the wheel of the bus ran over the foot and he sustained severe ankle injury.
Carelessness of the driver as well as the injured
It’s a regular practice of Grameenphone to offer safety awareness and behavior training to all. The causes of the accidents are investigated thoroughly and proactive measures are implemented to avoid similar incidents in the future.
4. Vehicle collision details for this reporting period Grameenphone employees or contractor employees? Driver of Grameenphone, Vendor’s driver in one case Cause of collision 6 major road accidents took place at different times. Over confidence of driver, recklessness, poor balance of driver, careless driving were the major cause of the accidents. Corrective measures to prevent reoccurrence HSE and safety awareness activities are being carried out to all suppliers and vendors as well as Grameenphone employees.
5. Training7 for this reporting period Grameenphone employees or contractor employees? Grameenphone employees Grameenphone employees Grameenphone traffic & support staff Grameenphone employees
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Description of training • First Aid Training • Basic Life skills • Road Safety & Health, Hygiene • Cell Planning Principles
Number of employees that attended 500 30 450 17
ProjectName personnel should be trained in environmental, health and safety matters including accident prevention, safe lifting practices, the use of Material Safety Data Sheets (MSDS), safe chemical handling practices, proper control and maintenance of equipment and facilities, emergency response, personal protective equipment (PEP), emergency response, etc. 4
Grameenphone employees or contractor employees? Grameenphone employees Grameenphone Contractors Grameenphone employees Grameenphone employees Grameenphone Contractors
Description of training • • • • • GSM Applied Cell Planning Principles Construction Site Management Planet EV Training Optical Fiber Training Training on Spicing & OTDR Measurements
Number of employees that attended 39 6 49 24 9
2.4 Life and Fire Safety Please complete the following table for Grameenphone’s operations. Grameenphone Fire Safety Verification Activities Fire Drills Mandatory Frequency Date(s) Performed Observed Deficiencies8 Corrective Actions and Schedule For Implementation9
Minimum: three (3)/year
Every month for New Employees & Evacuation Drill in every year Every month. HSE audit is conducted every year Quarterly
Inspect and certify fire detection and suppression electrical and mechanical systems. Inspect, refill/recharge portable fire extinguisher
Minimum: one (1)/year
Minimum: two (2) inspections/ year
2.5 Significant OHS Events Please explain any significant Occupational Health and Safety events not covered in the above OHS tables. The report could include proposed revision of the OHS Management System (if applicable), revised quantitative objectives, action plans for technical improvements, and planned training activities. HSE week was observed from 10th to 14th December 2006 with great zeal and huge number of employee involvement. During HSE week every year HSE arranges different types of sessions on different health issues and also some issues which are closely related with personal and family life also. In 2006 sessions on back pain, skin problem, pediatric problem, early childhood education and development etc were arranged. Apart from that, family vaccination blood donation and oro-dental checkup were arranged during the week. throughout the country.
Does Grameenphone have an HIV/AIDs policy? Do they have any programmes in place regarding HIV/AIDs awareness and prevention? Please document any initiatives the company is taking with employees or communities?
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Attach additional sheets as needed to fully describe observed deficiencies. Attach additional sheets as needed to fully describe corrective actions and implementation. 5
Grameenphone doesn’t have HIV/AIDs policy as Bangladesh is not a HIV/AIDs heightened country. Grameenphone has taken initiatives regarding Hepatitis-B among employees by arranging a regular monthly vaccination program and HbsAg screening. HSE patronized Thalassemia Society and Thalassemia Hospital regarding ‘Safe blood Transfusion’ project. HSE arranged a charity film show to raise the fund for poor thalassemia children of the society with Thalassemia Society and during HSE week employees of Grameenphone also donated 259 bags of blood to initiate the campaign for ‘safe blood transfusion’ with Thalassemia Hospital. 2.6 Core Labour Standards Please confirm compliance with ILO core conventions namely Forced labour (Conv. 29, 105), Child labour (Conv. 138, 182), Discrimination (Conv. 100, 111) and Freedom of association (Conv. 87, 98), and discuss any issues which might have been raised concerning these? Not raised. We follow the country labour, ILO labour and child labour rules. 3 SIGNIFICANT ENVIRONMENTAL AND SOCIAL EVENTS Grameenphone personnel are required to report all environmental and social events 10 that may have caused damage; caused health problems; attracted the attention of outside parties; affected project labor or adjacent populations; affected cultural property; or created Grameenphone and/or Grameenphone Ltd. liabilities. Attach photographs, plot plans, newspaper articles and all relevant supporting information that IFC will need to be completely familiar with the incident and associated environmental and social issues. Please report on the following topics, expanding or collapsing the table where needed.
Date of event
Event description
Affected people/environment
Reports sent to IFC and/or local regulatory agencies
Corrective actions (including cost and time schedule for implementation)
No significant event
4 GENERAL INFORMATION AND FEEDBACK Provide any additional information including the following: 1. In detail, describe print or broadcast media attention given to Grameenphone during this reporting period. Some of the notable print and media attention given to Grameenphone, other than operational information, are as follows • • • Contribution of Djuice of all the ticket sales money from the ‘Youth Lifestyle Fair’ held in September’05 to Ahsania Mission and Grameen Shikha. Opening of its various Customer Care center, service desks and Grameenphone centers. Signing of bill collection agreements
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Examples of significant incidents follow. Chemical and/or hydrocarbon materials spills; fire, explosion or unplanned releases; industrial injuries; fatalities including transportation; ecological damage/destruction; local population disruption; disruption of emissions or effluent treatment; legal/administrative notice of violation; penalties, fines, or increase in pollution charges; negative media attention; chance cultural finds; labor unrest or disputes. 6
• • • • •
The opening ceremony of the exhibition of Grameenphone Zainul Quamrul International Children Painting Competition Receiving the “Beautification Award 2006” for its outstanding contribution to beautifying Dhaka City The launch of Health Information and Service known as HealthLine for all GP subscribers in cooperation with Telemedicine Reference Center Limited (TRCL). Signing of MOU with Oitihya Onneswan for funding the excavation work of the Wari-Bateshwar archeological heritage site. Collaboration with Bangladesh Thalassaemia Hospital (BTH) to help the Thalassaemia patients.
2. In detail, describe interactions with non-governmental organizations (NGOs) or public scrutiny of Grameenphone. N/A 3. Describe Grameenphone public relations efforts (e.g. establishment of a web page, hiring of community liaison officer) The Grameenphone Information Department is responsible for all public relations activities and external communication with the media and public at large. All information including press releases which are released from the company is made from this department. In 2006, a total of 163 press releases were published. Last year, 14 press conference and 1 media workshop were held on different issues. GP also arranged for print and broadcast interviews on various aspects of the company’s business and business practices for key spokespeople of Grameenphone. Post-paid subscribers receive a monthly company Newsletter which is sent to them along with their monthly billing statements. The bilingual Newsletter contains information on new products and services of Grameenphone, as well as company events that are of interest to the customers. GP also maintains the company website along with an Intranet site. The corporate website was re launched during the introduction of the new logo in November 2006. 4. Suggest ways and means to improve information exchange and interactions with IFC professionals. Existing communication methods are working efficiently 5 SUSTAINABILITY OF PROJECT AND ASSOCIATED OPERATIONS IFC has developed a framework to help assess the development impacts of our investments. Many of our projects take on initiatives, develop processes, or install equipment that exceeds IFC's environmental and social requirements. This framework permits us to rate project performance in various areas. Over the past year, has Project Sponsor made changes to operations or participated in any efforts that have impacted Project Sponsor’s organization in the following areas? q Implemented an environmental management system (if not already established) We follow our own HSE system
q
Published an environment/sustainability or a corporate social responsibility report (please send copy or provide web link) Please see Annexure – 1 (HSE Annual Report)
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q
Established formal and regular consultation with local community and other stakeholders N/A
q
Decreased use of resources, increased emission controls, or increased by-product recycling Grameenphone does not use emissive devices. The network system does not generate any by-product.
q
Marketing of products or services that are specifically environmentally friendly. Only voice and data services for the subscribers, therefore, no tangible product is offered to the market.
q
Worked to improve local supplier relationships or provided technical assistance to suppliers Interaction with the local suppliers is based on Codes of Conduct of the company. Strictly maintaining lead time to process bills and invoices, regular feed back meeting with the local suppliers, periodic evaluation, ranking and prioritization processes improve the relationships. Technical trainings on installation and commissioning of Base Stations are given to the suppliers’ employees on regular basis to increase the competence level. All of these trainings had been conducted by technical experts of the company.
q
Programs to benefit the local community Grameenphone provides network coverage and supreme quality voice and data services which helps the people to communicate with each other at any time. Also there are notable services like • Health Line service is bringing the healthcare to the doorstep of the people. GP subscribers can call the service where qualified doctors are available 24/7 to answer health related queries and emergency medical instructions. • Community Information Centers numbering 542 spread across the country are providing modern technology to the rural people and helping to bridge the digital divide. It is giving people in remote areas the chance to use internet based services e.g. E-mail, browsing, voice chatting, video conferencing and so on.It is a place where people can access information & communicate with family/friends living home/abroad through internet • Bills Pay service is providing means for easy and automatic payment of electricity bills. • Village Phone program is empowering underprivileged rural women to become financially independent. Nearly 291,000 people earn their living directly as they use VP as their livelihood.
In addition to services offered that benefit the local community, Grameenphone has also extended its hand in other initiatives for the betterment of the society. The programs include Health Initiatives Partnered with the World Health Organization (WHO) to raise awareness for the eradication of the re-emergence of polio in Bangladesh Raised awareness through SMS alert texts and announcements in National Dailies as a reminder to take all children (0-5 years) to get vaccinated for polio Partnered with Sight-Savers International and organized free eye-camp in Cox’s Bazaar to provide free eye-care support to the underprivileged population of Cox’s Bazaar. Of the more than 1100 patients, 141 were given prescriptions for refractive error and 114 provided with cataract surgery, while the rest of the patients were given the necessary eye-care services.
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Partnered with Bangladesh Thalasaemia Hospital to address the problem of acute shortage of fresh, healthy blood supply through donation programs. Focus is to help the poorest of the poor and raise awareness of the disease. Plan to conduct collection and raise public awareness both centrally and regionally Education Initiatives Established Scholarship Fund, which is managed by Grameen Shikkha, for the talented yet underprivileged children of Bangladesh. Since 2003, Grameenphone has provided 135 scholarships to talented candidates for their primary and secondary schooling Empowerment/ Poverty Alleviation initiatives Partnered Prothom Alo in paying tribute to 52 ‘unsung heroes’ from different areas of Bangladesh. These individuals have contributed in their own way for the betterment of their respective communities without much outside help. Focus is to build their confidence, and inspire others to do the same. Emergency Relief Efforts Donated cash money and foodstuff to 3000 cyclone affected families in the Barisal District in October 2006 Infrastructural Development Grameenphone has made huge investment in its network and services, to cover more than 95% of the country’s population. Helping in building a strong information infrastructure through services like, EDGE, CIC etc.
Human Resource Development & Employment/Entrepreneurial Opportunity Providing opportunity for entrepreneurial skill development among the youth generation through ‘project D-youth’ Creating opportunity for entrepreneurial initiatives through CIC Grameenphone sponsored international conference on ICT in collaboration with BUET Socio economic Empowerment Providing avenue to rural women for self reliance and confidence through Village Phone initiatives. Nearly 291,000 people earn their living directly as they depend on VP as their livelihood.
GP encourages Employee Voluntary programs like Blood Donation, relief work and preservation of national heritage. Blood donation programs are carried out by GP employees, where employees voluntarily donates blood for various organizations. GP employees donated cash money and foodstuff to 3000 cyclone affected families in the Barisal District in October 2006. GP employees also extended their help in excavation work of finding national heritage in wari Bateshwar. GP sponsored and supervised the excavation. GP has also provided direct and indirect employment opportunity. GP has created employment opportunity for 5,000 people directly. Nearly 70,000 people are dependent on GP for their livelihood by working as the channel partner in addition to the entrepreneurial initiative through the Village Phone Program and Community Information Center. q Employee programs - training, health, safety
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Employees had been trained as per their job description in the team. Cross functional trainings had also been organized to raise their level of expertise. HSE events from the company are regularly arranged to ensure the health and good working condition. Weekly meeting had been carried out with contractors’ representatives for ensuring proper working environment for their employees. Also, monthly, meetings had been arranged for training and providing general guidelines to the company employees on Health and Safety. 6 REPORTS TO ILLUSTRATE COMPLIANCE WITH IFC/WBG ENVIRONMENTAL POLICIES AND GUIDELINES AND HOST COUNTRY REGULATIONS
6.1 Solid and Hazardous Waste Management Solid Waste refers to non-liquid, non-soluble materials that contain complex substances. Examples of solid waste include sewage sludge, agricultural refuse, demolition wastes, and mining residues, some which are applicable only to specific sectors.11 Grameenphone Ltd. is required to monitor methods of collection, storage, handling, recycling, reuse and/or disposal of solid waste, and report these methods and measured quantities to IFC. Please complete the information below. Solid Waste Management Summary
Solid Waste Type
Includes description
§
Cable and associated materials
Annual Quantity N/A
Grameenphone Method of Storage, Handling and/or Treatment The materials had been returned back from the site by company arrangements. The materials which were considered as scrap were listed at site and had been sent to the warehouse by company logistics. These were stored at the warehouse facility as per their type and category. NA These were temporarily kept in specific locations in the central Warehouse These were temporarily kept in specific locations in the central Warehouse
q
8 q Circuit boards, electronics Computer CPUs Computer monitors
NA 70 100 N/A N/A N/A N/A 115
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Domestic waste Ferrous and nonferrous metals 10 Other wastes 9 Packaging waste q Truck and auto tyres q Vehicle maintenance wastes § Waste oils § Waste solvents
All the used tyres were kept in the store. All the vehicle maintenance wastes were kept in the store. Waste oils were stored in drums. Kept in the store.
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Pollution Prevention and Abatement Handbook, Glossary of Environmental Terms 10
Solid Waste Type
(Same as Above, Description not Included)
Grameenphone Method of Recycling, Reuse or Disposal12 Stored at the warehouse facility as per their type and category and later disposed off at an auction. NA Disposed off by auctioning to third parties. Disposed off by auctioning to third parties. N/A N/A N/A N/A Disposed off by auctioning to third parties. Disposed off by auctioning to third parties. Disposed off by auctioning to third parties. According to Government of Bangladesh SRO the wastes are sent back to the authorized recyclers.
§ § § § § § § § § § § §
Cable and associated materials Circuit boards, electronics Computer CPUs Computer monitors Domestic waste Ferrous and nonferrous metals Other wastes Packaging waste Truck and auto tires Vehicle maintenance wastes Waste oils Waste solvents
7 REPORTS TO ILLUSTRATE COMPLIANCE WITH IFC/WBG SOCIAL POLICIES AND GUIDELINES AND HOST COUNTRY REGULATIONS 7.1 Telecom Sites Developed During Reporting Year Provide complete development date for each site developed during the reporting year. Utilize the following table to identify the sites and to indicate if environmental and social issues were encountered. Number of Sites developed 2661 Site Location/Description or Type of Site13 Throughout Bangladesh Type of Land Acquisition (Voluntary or Involuntary) Voluntary Acquisition Access Rights Methodology14 (describe) Acquisition method is described below E&S15,16 Issues? (yes/no)
No
Grameenphone Site Acquisition Procedure At the time of site acquisition, GP adheres to the following principles:
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Describe disposal method (e.g. landfill, incineration, land farming, reuse, etc.) Provide name and location of disposal facility used; state if waste is sold as byproduct, scrap or a material to be used by others; state name and business of purchaser. Provide additional sheets as needed to fully describe disposal, organizations involved in waste management, facility permits, and agency authorizations.
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Standalone transceivers, urban; standalone transceivers, rural; co-located transceivers, urban; co-located transceivers, rural; satellite receivers, wireline installations, switches; etc. 14 Long-term lease; purchase; services exchange for access; other (describe) 15 Environmental and Social Issues: Physical land alternation requirements, residential and commercial establishments disruption, visual impacts, sensitive habitats, natural resource impacts, right of way restriction, sedimentation control after construction, contaminated lands, biota, geotechnical hazards, etc. 16 Environmental and social Issues: Cultural property/archaeological resources impact; resettlement of inhabitants or residents; property acquisition, etc.
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q q
No forced eviction of people is caused because of Grameenphone site acquisition process No archeological, historical or natural heritage sites are disturbed because of the site acquisition process. Grameenphone Ltd. respects and abides by the rules and regulations regarding the heritage sites and does not build any establishment in the heritage premises or at their buffer zones set by the authorities (Bangladesh World Heritage Committee, Ministry of Cultural Affairs, The Government of the People’s Republic of Bangladesh).
The site acquisition process starts with the identification of location of new base station. A team comprising of members from different departments visits the area for probable sites. Once identified, the team negotiates with the site owner for sale/rental of the site through a transparent negotiation process based on fair market value of the site. If the negotiation is successful, then sale/lease deed is executed after thorough scrutiny of the relevant documents by the legal department. If not, then alternative location nearby is searched and finalized.
7.2 Sites Acquisition and Environmental/Social Issues Management Report For all project sites developed during the year with environmental and/or social issues and some sort of resolution (answered yes to the final column in #1 above), provide the following information. Site ID Number/Site Name Describe Site Development Environmental17/Social18 Impacts Describe Mitigation Measure, Compensation, Agreements Reached, etc.
N/A
17
Physical land alternation requirements, residential and commercial establishments disruption, visual impacts, sensitive habitats, natural resource impacts, right of way restriction, sedimentation control after construction, contaminated lands, biota, geotechnical hazards, etc. 18 Cultural property/archaeological resources impact; resettlement of inhabitants or residents; property acquisition, etc.
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Confidential Company Documentation
Annexure 1
ANNUAL REPORT 2006
Health Safety and Environment Grameenphone
Health, Safety and Environment In-house Medical Consultancy Services
Medical Consultancy Service represents in-house medical advice by in-house medical doctors given to the employees. This year HSE department has extended their in house Medical Consultancy Services to all employees including the family member of GP employee, expatriates, support staffs and channel partners. This year total 5037 no consultancies have been given. Out of these, 187 were referred for better treatment.
Medical Consultancy from HSE
6000 5000 Number 4000 3000 2000 1000 0 2001 2002 2003 2004 2005 2006 Years 1660 1097 46 69 79 85 100 187 2726 3768 Consultancy Referral 4899 5037
Disease Category:
This category specifies- what diseases made employees suffer most during the last year. After information analysis we found that most of the employees complained of generalized weakness in the year, 2006. Other major diseases that affected the employees were: Cold, Headache, Chest Pain, peptic ulcer, viral fever etc. Some Observations regarding Disease Distribution: Under usual consideration, any of the patients are liable to get affected by any disease. But as per our observations, we found a few specific diseases that were attributed to specific groups. Some of our observations are as follows: § § § § § § § The most of the patients suffering from skin disease were among the cleaners and the traffic staffs. There were some cases of neck and back pain patients among the GP drivers. Assistants were the group who mostly complained of generalized weakness. The number of UTI patients encountered by us was very small, which tells us that the people suffering from UTI, especially women, still hesitate to state their problems to the doctors. Some fainting cases were from the security staffs. A large number of patients who were found to be hypertensive were also found to have high blood cholesterol levels. There were also cases of sneeze/cold, viral fever and complaints of chest pain and headaches.
Among the patients of hypertension and peptic ulcer, there were a considerable number of smokers.
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HSE training:
HSE implementation policy of Grameenphone, prevention of injury at work is the most important target of HSE. To ensure this, HSE department has organized different awareness and training programs for its employees as well as support staffs, channel partners, suppliers, contractors and vendors. It includes First aid training, Training on Health and Hygiene, training on safe driving, PPE, attitude behaviour etc. In the year of 2006 total 29 training were organized and 1487 participants attended these training programs among which more than 400 were traffic staffs. There were 24 first aid trainings and 5 basic life skills trainings.
Trainings over the Year
1600 1400 1200 1000 800 600 400 200 0 491 414 14 2005 29 2006 1487
Number
361 6 81 125 9 2002 23 2003
25 2004
2001
Year
First Aid Training Participants
Medicines Purchase from HSE:
Medicines used at the HSE for the employees are bought by GP according to the need of the patients and is administered free of cost.
Medicine Consumption: Principal Groups: § § § § The highest number of medicine consumed was the Paracetamol. This could conclude that the employees of GP are frequently suffering from headaches and fevers. This also means that the employees are being overstressed in their desk jobs which are putting a lot of pressure on their mental state and eyes. The high consumption of muscle relaxants conclude that physical exertions without proper precaution and ability is causing muscle pains, cramps etc. Also the high consumption of muscle relaxant is sometimes due to physical inactivity because of being sedentary (desk job) workers.
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§ § § §
High number of consumption of antacids and anti-ulcer drugs conclude that the GP employees are going through gross alteration of daily meal routines. Also according to HSE s observation, excessive number of smokers is also contributing to gastric irritations, ulcers and acidity. High consumption of oral saline indicate the inappropriate food habits of the GP employees and to a great extent indicates the food habit of the support staffs, as they were the highest consumers of ORS. High usage of gauzes means that there were a great number of work-related or any other associated injuries, which caused the dressings done by the gauzes.
Happy Hearts Day Care Centre:
For the employees of GP, HSE has established a day care centre at the Head Office premises. Starting from April 13, 2006, number of children enrolling at the center has been increasing incessantly. A good number of children is accommodated. This is providing good support to working parents and their satisfaction level is very good. Child Rearing Training for caretakers: HSE always targeted to provide better services .To ensures this different training program took place for Happy Hearts Staff as well as Nannies. Training Upgrading Staff Nannies motivation Month November July-December Trainer Ms.Shireen Ali, Consultant Shormin Akhter, Officer Trainer 4 20
HEALTH PLAN, 2006 Health Plan at a glance: GP has been giving insurance coverage under ALICO Silver plan to its employees. It is implemented for confirmed employees, their spouses and their children. To come under health insurance umbrella, children have to meet two criteria- below 23 years old and unmarried. The benefits include the followings: • • • General medical illness claim - Medical - Surgery Maternity claim Children claim
Claims that are not considered as ALICO health claim: • • • • • • Outdoor Patients Congenital birth defects Dental Examination General Health Examination In-vitro fertilization, ovulation induction AIDS or related disabilities
Health plan up gradation:
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To meet the growing demand of health plan among the employees and to make the plan more recognizable, the system has been upgraded from bronze to silver and lastly silver to silver plus . As a result the benefits are also increased at a sharp rate. There has been a sharp increase of benefits for maternity claim and for general medical illness. Therefore, the up gradation of health plan can certainly be said as obedient to the time decision.
Picture of Health plan: 2006
Total Claims: In the year 2006, 215 claims were made. Among these claims, 186 claims were settled by ALICO and the rest of the claims are under processing. Among the settled claims, 97 claims were benefited for spouse, 52 for employees and 37 for children. Therefore, the information says that majority of the claims were made for spouse. Types of claim Under this section, we have divided ALICO health insurance claims into four major categories- maternity, cesarean, miscarriage/legal and other medical claims (fever, vomiting, diarrhea etc.) and clearly this section is dominated by maternity claims(67 claims) although the information shows others medical claims (87 claims) are dominating but they are the assorted medical claims not specific like maternity We found that 97 and 67 claims were made for spouse and maternity respectively. Here we found a relationship that among 67 maternity claims around 55 claims were made for spouse and rest were made by our female employee. Claim settled by ALICO Of the total claim settled by ALICO, 52.85 % were benefited for spouses, 31.26% for employees and 15.89% for children form 67 maternity claims 87 medical claims 21 caesarean claims and 11 miscarriage claims. Corporate Social Responsibility Activities from HSE in 2006 Introduction Grameenphone s corporate social responsibility is incorporated in its Business Plan, which maps out the path to economic growth within a strategic framework of environmental protection and social development. Grameenphone is not only the leading telecommunication company in terms of its quality and service but also shares its profit with the society with lots of enthusiasm. Grameen Phone feels the social contribution as a commitment to the society and thus it is termed as Corporate Social Responsibility. Corporate Social Responsibility (CSR) is dealt in different angles sometimes it is totally market communication via the city beautification scheme and sometimes it only targets the youth group to hold up the brand image and excellence. CSR in the light of Health, Safety & Environment From the Health, Safety and Environmental point of view GP has aimed the young clients of medical college and universities, medical associations, blood donation associations, plantation projects, vaccination programs etc. for its corporate social contribution. Targeting this customer group will fulfill the point of youth targeting as well as the purpose of corporate social responsibility.
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CSR done so far CSR in 2006: A quite significant no. of CSRs has been already done in the year 2006. The followings are a glimpse of CSR done in 2006. Sandhani Ü GP has patronized health related organizations like Shandhani of different medical colleges and hospitals. The major two contributions are for Sandhani 25th Central Half Yearly Conference and safe blood transfusion campaign to Sandhani Jalalabad Ragib-Rabeya Medical College unit and to Sandhani Rajshahi Medical College unit for celebration of Silver Jubilee. Bangla Barsha Biday O Baran Sammilan Parishad, Chittagong Ü GP sponsored Bangla Barsha Biday O Baran Sammilan Parishad, Chittagong focusing the youth group. Celebration of World Asthma Day 2006 with Asthma Association Ü To build up an awareness regarding Asthma among general public GP sponsored the Children s Painting Competition of Asthma Association in the celebration of World Asthma Day. Cancer Awareness Program with Bangladesh Cancer Foundation Ü GP has also become a part of Cancer Awareness Program by patronizing Bangladesh Cancer Foundation s different awareness programs. Souvenir Advertisement for Bani Bandana Celebration 1412 (Bangla) Ü Grameenphone gave Souvenir advertisement for Bani Bandana Celebration 1412 (Bangla), Dhaka Medical College and Management Department Association reunion, Chittagong University. Silver Jubilee of Department of Public Administration, Chittagong University Grameenphone patronized Silver Jubilee of Department of Public Administration, Chittagong University by providing 600 pcs. Tee-shirts. Contribution for SEID Trust: v GP contributed an amount of 3,54,000 Taka to SEID Trust and arranged a program for the disabled children attended by SIED Trust. Contribution of Grameenphone to Fund Raising Event and Concert by ALO: v Drug addiction awareness organization, ALO arranged a fund raising program and an open air concert in Gulshan Youth Club Ground, which was focused at giving anti-drug messages to the young generation. HSE arranged for the program to be under the banner of Djuice. Advertisement to the International Centre for Study of Bengal Art v Grameenphone provided a sum of 1, 00,000 Taka as advertisement to the journal published by International Centre for Study of Bengal Art in 2006. The journal contained research articles from eminent scholars of different parts of the world. v was provided as advertisement to the association. v This contribution will show GP s interest in preserving national culture and heritage. Advertisement to the souvenir of Badhan v Badhan is a voluntary blood donation organization working for helping people in need. v GP contributed 20,000 Taka to their souvenir as advertisement.
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Vaccination program:
This year HSE extended vaccination program to all support staff and outsourced associated with GP. It has become a continuous process. The picture of vaccination can be found from below: Number of employees in the vaccination course In 2006, total 3050 employees were enrolled in the course of HBV vaccination. Out of these, 1423 employees had taken first dose, 965 taken second dose, 600 taken third dose, and 62 employees had taken booster dose. In contrast, the number of vaccination in 2005was only 1345. In 2006, employees gave more response than in 2005. There was a slow growth of response from the employees in 2005, which was around 100 whereas in 2006 the response rate was around 250 which indicates HSE is well in their way to make their objective fulfilled. Comparison of new employees response between 2005 and 2006: As mentioned earlier HBV is a continuous vaccination process. One employee has to take four doses to complete ones HBV course. Therefore, 3050 vaccinated employees in 2006 do not mean all were new vaccinated employees. Among them, some were new and some were continuing their course. It was found that in 2006 vaccination program had taken more attention of new response than from 2005. Expense of Vaccination: Around BDT 2,500,000.00 was spent on vaccination in 2006. Family Vaccination HSE opened the door for the family members of the employees through vaccination. This movement was initiated in the year of 2005; in that year, around 250 family members were vaccinated and the course was continued till 2006. Last year HSE also arranged this family vaccination program in the HSE week, which draws the attention of around 100 family members and the course of the still continues.
Executive Health Check up in 2006
HSE conducted executive health check up of a large number of employees this year. The total numbers of employees receiving health check up this year were 493. They were performed the following tests:
Pre-employment Medical Check up:
HSE conducted pre-employment medical check ups of 109 employees, 143 assistants, 92 drivers employed by Admin.
Medical Service Agreements:
HSE has done a number of agreements with different medical service providers home and abroad for the benefit of the employees and stake holders.
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The new agreements made in 2006 include Raffles Hospital, Singapore, Bangkok Hospital, Thailand, Apollo Hospitals, Dhaka, Health and Hope Hospital, Dhaka and quite a few other regional hospitals and medicine shops. The detailed description of all listed medical service providers and the facilities provided has been posted at the common drive (I:\HSE\Discount Medical Facilities.doc)
HSE Week 2006
HSE Week 2006 at a glance (10th December to 14th December 2006) HSE Week 2006 was observed simultaneously in all workstations of GP including Sub centers, GPCs and GPDC/GPSD Preparation for HSE Week 2006: ¨ 450 traffic staff training on First Aid and Basic Health issues in Dhaka during the weekends of September. ¨ Checkup of traffic staffs ¨ ERT team members workshop on Basic Life Skills This year we dropped our usual theme for HSE week as we want to align with our vision & live with our values. HSE wants to walk with the business line and want to involve employees in the march to move forward. A regional based HSE week was observed with the following activities: ¨ ¨ ¨ ¨ ¨ ¨ ¨ ¨ ¨ ¨ Family Vaccination Blood Donation Program Workshop on Save your own back Vaccination Program on Hepatitis A Sessions on Ever Young Fresh Look Sessions on Common Pediatric Problem: participants 30 Sessions on Early Childhood Education & Development : participants 30 Blood donation rally of employees to donate blood in a blood bank Inauguration of a physiotherapy center for disabled children. Children s Painting Competition was observed in Dhaka and Chittagong region.
HSE Audit
HSE made inspections all over the country at workstations and food suppliers kitchens for ensuring health to employees.
Emergency Medical Support:
Emergency medical support was provided to a great number of employees. The count is as below: a) Emergency Specialist Appointment: 409 b) Emergency medical support through physical presence: 214 c) Hospital Admission aid: 43
Preliminary Steps of Risk Assessment Process for the Technical Division of Grameenphone:
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A project has been undertaken by Technical division and HSE jointly for risk analysis in the Technical division. The outline is as follows: Project Team: The team formed for the project consists of the following members: § § § § § § The team will be headed by HSE and the Head of HSE will have the authority of overall supervision of the project. The team will consist of two members from the HSE department. There will be, in the team, HSE coordinators from the Technical division HSE Representatives from the Technical division will also be present. Members from Internal Audit will also be part of the team. Finally there will be members from the Admin division.
Project Methodology: The project has been designed to function as a pilot project based on the design of a cross sectional study. It has been planned to be conducted over a particular section of a department of the Technical division. The preliminary steps has been completed in December.
Accident/undesired incidents in GP in the year 2006
During the year 2006 there were 6 number of reported accidents. In all of the cases first aid was administered. In one of the occurrences, the victim required hospitalization while there was material damage in two of the cases. Accidents/undesired incidents are encouraged to be reported to the proper authority. By publishing information about the incidents and following analysis, other employees can also share in the learning process.
Assist HealthLine Service Inauguration:
HSE has facilitated the inauguration and has provided the outline of activities, and program for the HealthLine (789) project. HSE has also conducted a survey among a number of selected super users from GP employees. Their feedback would be used to improve the service from HealthLine.
Conclusion:
HSE has conducted a large number of activities all throughout 2006. All activities were not recorded entirely due to lack of facilities for efficient and convenient record keeping. HSE has taken steps for automation and also introduction of some web based services and database software upgradation, which will enhance the services from HSE in coming days.
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