HIV/AIDS can be treated as a medical issue, a public health concern, or a socio-economic problem – among other approaches . For many years the focus was on the medical implications of the epidemic, especially the search for a cure and a vaccine. As these proved hard to find, the emphasis shifted to prevention. All these approaches are necessary, BUT they should be pursued in parallel with the protection of the human rights of all affected by the epidemic.
1 . Reducing the supply of labour and available skills, increasing labour costs, reducing productivity, threatening the livelihoods of workers and employers, and undermining rights. 2. Workplaces are communities where people come together and they discuss, debate, and learn from each other. This provides an opportunity for awareness raising, education programmes, and the protection of rights. 3. Leadership is crucial to the fight against HIV/AIDS:
It is not only the responsibility of health agencies, but a challenge to economic growth and global security. The whole international community is now mobilized against HIV/AIDS and the Special Session of the UN General Assembly in June 2001 was a demonstration of that commitment.
Fundamental principles and rights at work Basic human rights, including fair treatment in recruitment and job security, are compromised by discrimination against people living with HIV/AIDS. This is why the ILO Code of Practice on HIV/AIDS and the world of work places an emphasis on rights. Employment and income opportunities for women and men The negative effects of HIV/AIDS on development and employment have been discussed. The ILO will provide guidance and practical help to sustain employment. Social protection The majority of workers in developing countries lack access to social insurance and services. There is concern that HIV/AIDS is undermining even the limited social security that exists. Social dialogue and tripartism The spread of HIV/AIDS has been helped by the culture of silence imposed by the stigma against people living with HIV and AIDS, and by reluctance to discuss issues such as drug use and sexual behaviour. The ILO’s tripartite structure can open up difficult issues to frank discussion, leading to co-operative solutions.
1. HIV/AIDS is a workplace issue because it affects workers and enterprises (cutting the workforce, increasing labour costs and reducing productivity) 2. Non-discrimination principle extends to employment status, recognized dependants, and access to health insurance, pension funds and other staff entitlements 3. Women are more likely to become infected and are more often adversely affected by the HIV/AIDS epidemic than men due to biological, socio-cultural and economic reasons . 4. This includes the responsibility for employers to provide information and education on HIV transmission, and appropriate first aid provisions in the event of an accident
5 . The successful implementation of an HIV/AIDS policy and programme requires co-operation and trust between employers, workers and their representatives and government, where appropriate 6. HIV/AIDS screening should not be required of job applicants or persons in employment. Compulsory HIV testing not only violates the right to confidentiality but is also impractical and unnecessary. At best, an HIV test result is a “snapshot” of someone’s infection status today. It’s no guarantee that he or she will not become infected tomorrow, or next month. It should also be remembered that people with HIV may remain perfectly fit and healthy for many years. 7. There is no justification for asking job applicants or workers to disclose HIV-related personal information. Nor should co-workers be obliged to reveal such personal information about fellow workers. 8. HIV infection is not a cause for termination of employment. As with many other conditions, persons with HIV-related illnesses should be encouraged to work for as long as medically fit in available, appropriate work. This principle is based on the fact that being HIV-positive is not the same as having AIDS and related infections. Workers infected by HIV can, in most cases, carry on at their jobs for a number of years. It benefits the enterprise as well as the worker if she or he can be helped to work for as long as medically fit. Reasonable accommodation to help workers continue in employment can include rearrangement of working time, special equipment, opportunities for rest breaks, time off for medical appointments, flexible sick leave, part-time work and return-to-work arrangements. 9. Prevention of all means of transmission can be achieved through a variety of strategies. Prevention is not simply a matter of providing a few posters, leaflets, or talks. A climate for prevention needs to be created, including an open discussion of relevant issues and respect for human rights. Measures for prevention include a combination of information, participatory education, practical support for behaviour change such as condom distribution, treatment for sexually transmitted infections (STIs), and the promotion of voluntary counselling and testing (VCT) where available. 10. Prevention, care and treatment should be seen as a continuum rather than separate elements of a workplace programme. The availability of treatment encourages confidential voluntary testing, making it easier to provide care and encouraging prevention. Care and support includes the provision of voluntary testing and counselling, treatment for opportunistic infections – especially TB - and antiretroviral therapy where affordable, workplace accommodation, employee and family assistance programmes, and access to benefits from health insurance and occupational schemes
lejla tanovic - human rights and hiv
Partnerships in HealthSixth Regional Conference on HIV and AIDS"Treatment of Co-Infections and Innovative Approaches to prevention of HIV“ May 17-18 2012, Sarajevo Lejla Tanovic, ILO National Coordinator in B&H ILO DWT/CO Budapest Promoting Decent Work for All
HIV/AIDS - a human rights issue The ILO’s Approach•The ILO approach to HIV/AIDS is a rights-based approach(applying human rights principles to HIV/ AIDS problem)•Human rights are a matter of principle, but with verypractical effects.•The best way to respond to the human rights implicationsof HIV/AIDS is to develop policies at national andenterprise levels that protect the rights of thoseconcerned. Promoting Decent Work for All
HIV/AIDS - a human rights issue The ILO’s Approach (cont.)It is necessary to deal with HIV/AIDS in the workplacebecause:1.HIV/AIDS has a huge impact on the world of work2. Workplace is a good place to tackle HIV/AIDS. Standardsare set for working conditions and labour relations3.Employers and trade unions are leaders in theircommunities and countries. Promoting Decent Work for All
The role of the ILO•The ILO is involved in the fight against HIV/AIDS becausethe epidemic is everybody’s business.•HIV/AIDS threatens the ILO’s constituents andcompromises the ILO’s goal of achieving decent work.• The ILO’s goal: the promotion of opportunities for menand women to obtain decent and productive work, inconditions of freedom, equity, security and human dignity. Promoting Decent Work for All
The role of the ILO (cont.)To achieve decent work,4 strategic objectives have beendeveloped – and HIV/AIDS is threatening all of them:1.Fundamental principles and rights at work2. Employment and income opportunities for women andmen3.Social protection4. Social dialogue and tripartism Promoting Decent Work for All
ILO standards and HIV/AIDS• ILO Recommendation 200 on HIV/AIDS in place since2000•No ILO Convention specifically addresses the issue ofHIV/AIDS at the workplace BUT there are Conventionswhich cover both protection against discrimination andprevention of infection, and these can be and have beenused Promoting Decent Work for All
ILO standards and HIV/AIDS (cont.)• C 111 - Discrimination (Employment and Occupation), 1958• C 155 - Occupational Safety and Health Convention, 1981• C 161 - Occupational Health Services Convention, 1985• C 158 - Termination of Employment Convention, 1982• C159 -Vocational Rehabilitation and Employment (Disabledpersons), 1983• C 102 - Social Security (Minimum Standards), 1952• C 81 - Labour Inspection Convention, 1947• C 129 - Labour Inspection (Agriculture),1969 Promoting Decent Work for All
ILO standards and HIV/AIDS (cont.)•In 2000, Recommendation No. 200 on HIV/AIDS adopted•ILO Code of Practice•ILO Code of Practice establishes fundamental principles(10) for policies at all levels, and practical guidance forworkplace programmes. Promoting Decent Work for All
ILO Code of Practice : 10 key principles1. Recognition of HIV/AIDS as a workplace issue:2. No discrimination against workers on the basis of real orperceived HIV status.3.Gender equality: The gender dimensions of HIV/AIDSshould be recognized.4.Healthy work environment: The work environmentshould be healthy and safe for all concerned parties. Promoting Decent Work for All
ILO Code of Practice : 10 key principles5. Social dialogue6.No screening for purposes of exclusion from employmentor work processes7. Confidentiality8. Continuation of employment relationship9. Prevention: HIV infection is preventable10. Care and support: Solidarity, care and support shouldguide the response to HIV/AIDS in the world of work. Promoting Decent Work for All
THANK YOU More info available at: www.ilo.org/aidsPromoting Decent Work for All