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Blueprint For Business Action on HIV/AIDS
Workplace prevention activities
A presentation by George WainainaProgram 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 negative2. The social vaccine…in the absence of a cure3.Commercial self interest…invest in prevention, get
the dividends4. 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
Treatment, C
are and Support
Voluntary counseling
and testingIMPACT?
Outcomes?
Prevention, aw
areness &
education
Relevant partnerships
Ext. Comm. & stakeholder mgt.
MO
NITO
RIN
G A
ND
EVA
LUA
TION
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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