international organization for migration (iom)
DESCRIPTION
International Organization for Migration (IOM). HIV risk and vulnerabilities of migrant farm workers in South Africa: G ood practice in addressing migrants’ rights to health. IOM’s HIV Prevention & Care Project: Targets seasonal farm workers on 38 commercial farms in South Africa. - PowerPoint PPT PresentationTRANSCRIPT
HIV risk and vulnerabilities of migrant farm workers in South Africa:
Good practice in addressing migrants’ rights to health
International Organization for Migration International Organization for Migration (IOM)(IOM)
IOM’s HIV Prevention & Care Project: HIV Prevention & Care Project: Targets seasonal farm workers on 38 commercial farms in South Africa
The Evidence: findings from the IBBS
0
5
10
15
20
25
30
35
Female Workers Male Workers
HIV Prevalence on surveyed farms
71%
29%
28.5% HIV Positive
Female workers have higher HIV prevalence
Young women (18-24 yrs) 3 times more likely to be HIV positive
Unmarried women and married men more at risk
Females living away from the workplace more at risk
Females travelling more than an hour to work more vulnerable than males
38% of workers know their HIV Status
Circumcised males lower HIV prevalence but the difference is mainly due to circumcision during early
childhood
Drivers of HIV infection in a large agri-estate setting
Environmental Drivers
Structural Drivers
Individual Drivers
- Seasonal labour- Poverty in rural areas- high % of women- high levels of gender inequality
• Gender (power) dynamics on farms, esp. transactional sex for jobs, accommodation, transport, exaggerated “masculinity” • Separation from regular sexual partners• Lack of access to health services due to unstable contract status/ no time/no money for transport• Boredom - lack of recreation• Low literacy / low skilled • Fatalism: “I can be replaced anytime”• Lack of targeted and appropriate (culture/language) HIV prevention information
- High levels of multiple, concurrent sexual partners with low consistent condom use- Low levels of behaviour change (myths/ misconceptions)
IOM’s response: A comprehensive HIV prevention and care project in large agri-estates
Sustainability – building
institutional capacity of
local partner
Access to health
services incl. ARVs
Recreational activities
Social Change
Communi-cation
Gender
Peer education
and referral to PHC
Building life skills
Workplace policies
Farm worker HIV
Prevention and Care Project
Impact ..
• Project started in 2005
• 78% of employees trust in the confidentiality of the IOM implementing partner.
• 25% of all employees surveyed in IBBS had been tested 6 months prior to survey suggesting the VCT programme is starting to reach more employees
• Grown from 18 farms to 38 – the model is being replicated throughout the district
• All 38 farms have HIV workplace policies
• Wellness Clinic in the farm community for all farm workers providing primary health care and ARVs
• Gender: Community Policing Forums are active, men becoming more vocal on GBV related issues
Gender on farms - in 2003/4 IOM survey found 52% of female workers had exchanged sex for goods
This mural was painted by farm workers and is on one of the farm compounds
Contact Details:
Barbara RijksRegional HIV AdvisorInternational Organization for MigrationRegional Office for Southern AfricaTel: +27 12 342 2789Email: [email protected]