http://online.wsj.com/public/article/SB115508541739330603-zzAnY8rso9pSc9P3CgbN5LfldqQ_20060815.html?mod=regionallinks
As
loud music throbs in the air, Rohit Nag and his friends recline on steps just
off the dance floor at the nightclub Elevate in Noida, a middle-class suburb of
New Delhi. The 22-year-old Mr. Nag sports a thumb ring and four tattoos. His
female companion, who works at the same call center as Mr. Nag, has a silver
stud in her nose and another piercing her chin.
Young and free-spending, Mr. Nag and other workers at India's call centers
are relishing social freedoms that their parents couldn't have imagined. They
are also learning that a new lifestyle brings new risks and the need for
precautions, especially amid the looming threat of HIV/AIDS. "Everybody knows
you have to use a condom during sex," he says. "And when we get tattoos, we
insist on disposable needles."
As India grapples with a growing AIDS problem, activists and industry
executives have identified the country's 1.3 million call center and outsourcing
workers as a surprising new risk group, alongside truckers, migrant workers and
prostitutes. Predominantly young, single and mobile, call-center employees are
away from the traditionally strict family life and partying hard when they are
not working diligently.
As a result, some companies in India are establishing in-house programs to
educate their workers about the disease.
"If you look at the way the pandemic in India is progressing, [call-center
workers] are at risk because they are young and sexually active," says Emma
Schmitt, spokeswoman for Standard Chartered Bank PLC. The London-based bank,
which has nearly one-fourth of its 43,000 employees based in India, has targeted
its roughly 6,000 call-center workers in Chennai for classroom-based AIDS
education. Soon, HIV prevention messages will pop up on their workstation
screens as part of an online refresher course.
A study in February of 2006 found that 11% of 1,100 workers at iEnergizer
Inc., a call center and outsourcing business in Noida, India, have had more than
five sexual partners. By contrast, 7% of 1,300 adults across the country said
they had had more than five sexual partners, a separate study found.
The data speak to a dramatic lifestyle change in a society where parents
often arrange marriages for their children and rarely speak to them about sex.
Both surveys, the only such ones conducted to date, were done by SSL
International PLC, maker of Durex condoms. The call-center survey was
co-sponsored by Global Business Coalition on HIV/AIDS, a nonprofit New
York-based advocacy group, with iEnergizer's cooperation.
"We decided one thing we had to do was include in our employee induction a
whole new chapter on HIV/AIDS so every new employee would be made aware of this
disease," says Ashish Mittal, iEnergizer's vice president of operations. "We
made it top management policy."
During an HIV/AIDS education fair earlier this year at iEnergizer's one
million square-foot call center in Noida, 3,000 workers decorated their cubicles
with AIDS charts, graphs, cartoons and slogans stating, "No one should die of
ignorance."
Although the prevalence of HIV among adults in India is low, at less than 1%,
India still leads all other nations with 5.7 million HIV cases, due to its
enormous population, according to the United Nations' AIDS agency. South Africa,
by contrast, has 5.3 million cases, representing 19% of the adult population. In
both countries, the virus is largely hitting heterosexuals.
The Indian government has played down predictions of an exploding AIDS
epidemic, particularly a forecast by the U.S. Central Intelligence Agency that
the virus could infect more than 20 million people in India by 2010. India's
National AIDS Control Organization, under the Ministry of Health, estimates that
at the current pace, India could have 6.3 million HIV-positive people by 2012.
"That's if we do nothing," says K. Sujatha Rao, the organization's director
general. "It's bound to reverse by expanding treatment and increased use of
condoms." (Since the early 1990s, the organization has promoted the use of
condoms, conducted AIDS awareness programs and improved clinical services.)
Richard Holbrooke, chief executive of the Global Business Coalition on
HIV/AIDS, warns that the prevalence of the disease among young professionals
could rise without diligent efforts. "We don't want India to end up like South
Africa, where the overwhelming epidemic is dismantling the working population,
and causing skilled professionals -- doctors, lawyers and engineers -- to flee
the country," says Mr. Holbrooke, a former U.S. ambassador to the United
Nations.
Left unchecked, AIDS experts fear the epidemic could seriously weaken
economic growth in India, whose young, educated, English-speaking work force has
become a magnet for multinationals establishing parts of their businesses in the
country. In July, the U.N. published a report that estimated India could lose
almost a percentage point of economic growth annually over the next decade due
to AIDS.
Call centers aren't the only companies recognizing their workers are at risk
and establishing AIDS-education programs for employees. Intel Corp. and
Microsoft Corp. have AIDS-awareness programs in their workplaces. Microsoft and
Texas Instruments Inc. include HIV/AIDS care as an employee benefit. Intel
offers online AIDS education, holds HIV health fairs and passes out red ribbons
to its Bangalore engineers. Ford Motor Co. has an HIV/AIDS-education program. It
has rolled out similar efforts at its operations in South Africa, Thailand and
China.
A handful of Indian companies are stepping up, too. Diversified giant Tata
Group Ltd., auto-parts supplier Apollo Tyres Ltd., Reliance Industries Ltd. and
direct marketer Modicare Ltd. offer a range of clinical, condom and prevention
programs.
Game company ZMQ Software Systems, based in New Delhi, offers free downloads
of cellphone games with a health message to some 22 million users. In the four
games, players compete in an HIV quiz show, the virus chases a hero around the
globe, cricketers swing their bats to whack AIDS, and a dove flies to Indian
villages delivering condoms. "We're trying," says ZMQ's 37-year-old CEO Subhi
Quraishi, "But we're a drop in the ocean."
Indeed, much of corporate India isn't as alarmed. Many don't see any impact
from AIDS, in a society where stigma of the disease keeps many patients silent.
The Confederation of Indian Industry, a nonprofit trade group, says 10% of its
5,000 member companies have committed to study AIDS as a first step; fewer still
have workplace HIV education or prevention programs, according to the trade
group's director and health chief Shefali Chaturvedi. "It is minuscule compared
to the task at hand," she says. The trade group campaigns for more action
through its newsletters and by sponsoring AIDS awareness programs.
At the Noida dance club, Mr. Nag says he's on his own when it comes to
learning facts about AIDS. His employer, a call center operated by a British
insurance company, doesn't have an education program, and the knowledge he does
have was mostly gleaned from friends. His parents haven't offered much guidance,
either. "I can do whatever I want," he says. "I just have to be
careful."