Hiv prevetion,care and support services. the coast experienc


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Hiv prevetion,care and support services. the coast experienc

  1. 1. HIV/AIDS PREVENTION, CARE AND SUPPORT INTERVENTIONS AT WORKPLACES: THE MOMBASA EXPERIENCE. Nderitu J1 , Kingola N1 , Nyasani N1 , Muindi M1 , Odindo R2 , Luchters S1 2nd Peer Education Conference 14th – 16th June 2006 KICC 1: International Centre for Reproductive Health, IMPACT Project. 2: Family Health International
  2. 2. Introduction • 7% of adults age 15 – 49yrs in Kenya are infected with HIV. • In Coast province, 6.6% of the adult population is HIV infected. • Majority of the people living with HIV/AIDS are in the prime of their working lives. • HIV/AIDS threatens the livelihoods of many workers and those who depend on them - families, communities and enterprises. In doing so, it also weakens the national economy.
  3. 3. Introduction (cont’d) • ICRH is an implementing partner in the IMPACT project, funded by USAID through FHI. • ICRH-IMPACT activities include VCT,FSW, Youth and Workplace HIV prevention, Care and Support Program. • The workplace prevention, care and support program has been running from 2000 to 2006. • 17 companies in Mombasa, Kilifi and Kwale districts are at different stages of program development.
  4. 4. Program objectives • Providing technical expertise to companies in Coast province for five years in designing and implementing comprehensive workplace HIV prevention, care and support programs. • To reduce the incidence of HIV and STIs among workers and mitigate the impact of HIV/AIDS. • Assist workplaces to establish linkages to other services such as counseling and testing, treatment and care.
  5. 5. Activities undertaken • Sensitization of senior Management in the 17 companies. • Identification of a focal person to run the program in each company. • Assistance in formation of a workplace HIV/AIDS Committee to assist the focal person to coordinate the program. • Assistance in drafting a workplace policy on HIV and AIDS.
  6. 6. Activities undertaken (cont’d) • Training of 765 peer educators in the 17 companies targeting a workforce of 30,000. • Regular peer education sessions and referrals to appropriate health services. • 9 mobile VCT outreaches were conducted in 7 companies. • Formation of 2 post-test support clubs. • Condom supply, distribution and installation of condom dispensers in the workplaces.
  7. 7. Activities undertaken (cont’d) • A quarterly networking meeting for the company HIV coordinators. • Exchange visits between different companies to learn from each other and share experiences.
  8. 8. Peer education activities Group Session Held Peer contacts In Group sessions Peer contacts In One on one Sessions Condoms Distributed Referrals VCT STI OIs HBC PMCT CCC Aug- Dec 2003 280 13,608 726 15,352 253 115 Jan-Dec 2004 1425 25,482 5,836 132,825 2,426 1,189 Jan-Dec 2005 1183 23,351 7,072 72,559 3,885 1,736 219 88 230 175 Jan- April 2006 305 6,214 1,595 16,492 1,245 408 166 129 256 224 Total 3193 68,655 15,229 237,228 7,809 3,448 385 217 486 399
  9. 9. Outcome • All 17 companies have established a peer-led HIV prevention, care and support program. • 8 companies have institutionalized the HIV prevention programs. • 13 companies have dedicated a budget for the HIV/AIDS program. • 8 companies are providing ART to members of staff. • 11 companies have workplace HIV policies in place or awaiting approval by the management. • 1 support group for PLWH was formed in one of the companies. • Increased demand for VCT services.
  10. 10. Lessons Learnt • A variety of workplace practices in prevention, care and support that were effective include; – Peer-led HIV/AIDS education sessions. – Prevention activities including the distribution of male and female condoms. – Provision of VCT services. – Opportunistic infections management. – Provision of ARV drug treatment for staff and dependants. – Psychosocial support for PLWH through peer counseling and support groups. – Reasonable accommodation for PLWHA and access to social benefits and protection from discrimination.
  11. 11. Lessons Learnt (cont’d) • Resource-constrained companies can implement a comprehensive HIV/AIDS program by forming linkages and referral systems with other stakeholders e.g. MOH • Management ownership and involvement of employees at all stages of the program are important for the program to succeed • Emphasis on confidentiality during training for managers and peer educators is important in reduction of stigma and discrimination in the workplace. • Regular networking forums among workplaces help to strengthen individual workplace HIV/AIDS programs through experience sharing.
  12. 12. Lessons Learnt (cont’d) • For the workplace program to succeed, it should have the following components: HIV/AIDS POLICY Addressing procedures related to HIV in the workplace PREVENTION BCC for HIV prevention and reduction of stigma & discrimination CARE & SUPPORT Access to appropriate health care & social services
  13. 13. Conclusions • Workplaces provide an additional delivery point for the continuum of holistic services that meets the needs of those infected with or affected by HIV and AIDS. • Workplaces present an important opportunity to mitigate the socio-economic impact of HIV/AIDS for the mutual benefit of the workers and the companies.
  14. 14. Conclusions • Workplace HIV prevention programs have been successful because workplaces are well defined communities and Interpersonal communication is easy to conduct since the target population is homogeneous. • With appropriate technical support, linkages with community services and other stakeholders, all companies can establish a cost-effective and sustainable HIV prevention, care and support program.
  15. 15. Acknowledgements • All 17 companies in the program • All the Peer Educators • Family Health International • USAID • NOPE • Ministry of Health (MOH)
  16. 16. We can work. We pose no risk to our co-workers. If you take away our jobs, you kill us faster than the HIV virus. PLWH on ILO advocacy video