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Blueprint For Business Action on HIV/AIDS

Workplace prevention activities

A presentation by George Wainaina

Program Manager, Kenya HIV/AIDS Business Council

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Introduction

• Why prevention is important?

1.Majority are negative….target the uninfected .E.g. 93% of Kenyans are negative

2. The social vaccine…in the absence of a cure

3.Commercial self interest…invest in prevention, get the dividends

4. Workplace provides captive audience.. Entry point to prevention

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Prevention in the workplace

• Must be part of a response package as demonstrated in the building blocks model whose bedrock is the policy

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AWARENESS, EDUCATION &PREVENTION, ETC

•Awareness programs•Workplace discussion forums•Peer group educators•People living with HIV/AIDS (PLWHA) involved•Condoms distributed•In-house counselors •VCT available•Post exposure prophylaxis policy/procedure•Site Committees on HIV/AIDS

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Prevention in the workplace

• Must address critical success factors• Create the necessary pillars that support

prevention activities• Be part of a comprehensive package that addresses

all issues• Ensure safe working environment, focusing on

stigma and discrimination• Best when it is part of the wellness programs

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Critical success factors

• Content

• Form

• Implementation pathway with critical pillars

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1. Identify focal point/team

2. Baseline assessment

3.Develop a plan of action

4. Implement the various build block of a program

5. Monitor and evaluate

6. Implement lessons learnt

7. Ensure prevention fits overall policy and program activities

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Leadership and commitment

Policy, budget, management systems and structures

Treatm

ent, Care and

Support

Voluntary counseling

and testingIMPACT?

Outcomes?

Prevention, aw

areness &

education

Relevant partnerships

Ext. Comm. & stakeholder mgt.

MO

NIT

OR

ING

AN

D E

VA

LU

AT

ION

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FOCAL POINT/WORKPLACE COMMITTEE

&CONSULTANTS

HEALTH CARE SERVICESOPERATIONAL

COMMUNITY MANAGEMENT

M & E

M & E

INTEGRATED APPROACH

POLICY, COMMITMENTFUNDS/RESOURCE

ALLOCATION

CLINICAL SERVICESVCT

ARV PROVISION

EMPLOYEES, PEER EDUCATORS,

HR MANAGERSLABOR UNIONS

FAMILIES CBOS

NGOS & OTHER STAKEHOLDERS

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Common pitfalls in prevention programs• Failure to

– target real problem- behaviour change – involve all levels of staff– allocate enough resources– Must address stigma and discriminations – mainstream HIV/AIDS into the business way of doing

things– Sustain the program. Hit and run…not a once off

activity

• lack of senior mgt. commitment• Address cultural and gender issues

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• HIV/AIDS not a once off activity i.e not a hit and run activity.

• Need for continuous improvement calling for innovative approaches

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Prevention

Treatment

Controls the epidemic, reducing the number of people in need of treatment and allowing better use of resources

• Reduces denial, stigma and discrimination• Provides incentive to learn HIV status• Preserves community structures, keeps families intact, and reduces size of at-risk populations such as widows and orphans• Supports PLWHA who can educate others• Lowers transmission risk• PMTCT Plus program protects the mothers and the children

Prevention and treatment: a virtuous cyclePrevention and treatment: a virtuous cycle

Dr. Jim Kim Director- HIV AIDS Department, World Health Organization

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Thank you