Death lurks at the gate HIVAIDS IN THE WORLD OF WORK

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Death lurks at the gate HIV/AIDS IN THE WORLD
OF WORK
Presented by Joseph Motsepe International Labour
Organisation (ILO)
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Global Estimates

• Prevalence of HIV (15-49 yrs) in 50 countries 40
  by 2003
• ILO estimates 36.5m persons engaged in productive
  activity are HIV
• 70 of HIV labour force live in Africa
• Majority of infections are recorded in
  Sub-Saharan Africa
• Estimates 3.7m workers HIV in South Africa

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ILO Projections of HIV labour force in the
world
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Socio-polito-economic impact of HIV/AIDS

• Distabilizes mechanisms for population growth and
  development of human capital
• Undermines efforts for occupational health and
  safety
• Increased expenditure on health costs
• Changes to household expenditure
• Negative effect on government expenditure
• Lower physical and human investment

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Impact on labour, production human capital
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Impact of HIV/AIDS on rate of growth of GDP
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Macro impact on the municipalities

• Alterations in demographic structure of society
• Cumulative projected death on population growth
• Severe reduction in service delivery, quality of
  service and human capital
• Continuous reduction and inefficiency in managing
  revenues

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Response Key requirements

• Impact assessment
• Political commitment
• Formulation of a workplan
• Development of strategy and plan of action
• HIV/AIDS Programme Monitoring Plan

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ILO Response

• Strengthen the capacity of constituents
• to create and achieve workplace policies and
• programmes to achieve three overarching
• objectives
• Prevent transmission of HIV,
• Reduce the impact of the epidemic on workers,
  families, and communities
• Ensure the protection of human rights

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PERIODIC MONITORING OF WORKERS HEALTH AGAINST
EXPOSURE AT WORK.
PROACTIVE HEALTH SURVEILLANCE
MUNICIPAL POPULATION HEALTH
MENTAL HEALTH AND PSYCHOSOMATIC FACTORS
PROTECTION AGAINST KNOWN HAZARDS
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Guide Principles of the ILO SA Codes of
Good Practice

Prevention
A workplace issue
No discrimination
Care and support
No screening
Social dialogue
Confidentiality
Gender equality
Continuation of employment
Healthy work environment
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Two Key Elements

• Collaborating with the government to ensure that
  the national legal and policy framework is
  conducive to workplace protection
• Collaborating with employers and workers to
  launch effective and sustainable prevention
  education and behaviour change programmes within
  the workplace and surrounding communities.

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Areas of focus

• Advocacy and policy development
• Sensitization and capacity building for the
  partners
• Behaviour change communication programme at the
  municipal-level spanning the prevention-care
  continuum.
• Action at the community-level in collaboration
  with NGOs and CBOs linking with existing services
• Reaching out to the informal economy and
  particularly to SMEs

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BASELINE DATA AND INFORMATION FOR HIV/AIDS
HEALTH SERVICES
PROFILING OF iNFECTIONS AT THE MUNICIPALITY LEVEL
SCIENTIFIC EVALUATION OF INFECTION HAZARDS
HIV/AIDS MANAGEMENT
MONITORING NATIONAL AND MUNICIPAL COMPLIANCE
TO EXPOSURE LIMITS
MONITORING OF PREVENTION CONTROL MEASURES AND
SYSTEMS
PREVALENCE OPERABILITY STUDIES AND ANALYSIS
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CAPACITY BUILDING FOR PROFESSIONALS
CAPACITY BUILDING FOR IMPLEMENTATION OF
EFFECTIVE PROGRAMMES
TRAINING OF MANAGEMENT ON MANAGEMENT OF
HIV/AIDS
HIV/AIDS TRAINING
NATIONAL TRAINING OF PROFESSIONALS FROM
GOVERNMENT DEPARTMENTS
TRAINING OF WORKERS ON SAFE BEHAVIOUR AND
ATTITUDES
TRAINING OF OCCUPATIONAL HEALTH PRACTITIONERS
WITHIN MUNICIPALITIES
TRAINING ON HIV/AIDS PROGRAMME ELEMENTS
CERTIFIED NATIONAL TRAINING IN HIV/AIDS
TRAINING ON HIV/AIDS MANAGEMENT SYSTEMS
TRAINING ON HIV/AIDS LEGAL PROVISIONS
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ME Support

• Development of monitoring and evaluation systems
• Assessment of the impact
• Identification of programme strengths and
  weaknesses for remedial action

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Proposed Possible Outcomes

• Networking arrangements among the social partners
• Training and peer education programme for
  employers, workers and government
• A range of resource materials for HIV/AIDS
  prevention including behaviour change
  communication packages and elements needed for
  policy and programme development
• A directory of community-based services that
  provide HIV/AIDS-related support to enterprises
  and workers