Reaching the informal sector in concentrated epidemics
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Reaching the informal sector in concentrated epidemics
Richard Howard, ILO Regional Office Bangkok
Abstract no.A-641-0382-08354
Protect Human Rights at Work, Prevent HIV
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Goals of Workplace Programs
• Eliminate stigma and discrimination
• Reduce risk behaviors
• Increase uptake of services• Priority focus on voluntary HIV testing
linked to treatment and care
Protect Human Rights at Work, Prevent HIV
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Stigma and Discrimination
PLHIV Currently employed
Dismissed from
employment due to HIV
status
Refused new employment opportunity due to HIV
status
Thailand 79.4% 32.2% 26.2%
China 64% 22.4% 14.8%
Sri Lanka 61.6% 11.1% 4%
Bangladesh 64.7% 43.2% 9.27%
Myanmar 76% 41% 15%
UNAIDS Stigma Index Surveys
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Targeting workplace programs
Asia and the Pacific epidemics are concentrated in key populations – MSM, SW and PID- MSM Prevalence 10 to 30 percent - SW 1 to 20%- PID 1- 37%- Mobile male workers and migrants – 1 – 2%
Protect Human Rights at Work, Prevent HIV
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Approach
• Advocacy, leadership, ownership
• NGO builds capacity and company manages programs
• Linkages with health services, VCT (mobile and referral), adherence support
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Workplace programs for Mobile Men: example Papua, Indonesia
• Partner with large scale resource companies – e.g. Pertamina• Policy• Prevention• Testing linked to care• Extend to community
Protect Human Rights at Work, Prevent HIV
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Bangkok Sauna Program
Targeting workers and customers- Guidelines on safe sauna- Policy at workplace level- Training for workers- Outreach and supplies for
customers
Protect Human Rights at Work, Prevent HIV
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Cambodia Entertainment Sector
• Documentation of labour rights violations – Apheda and WNU
• National policy on labour rights and entertainment work
• Model programs – safety and health and gender equality
Protect Human Rights at Work, Prevent HIV
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Conclusions
• Workplace programs can reach key population in the informal sector
• NGOs play a critical role
• Key to address human rights
• Size matters but reaching the right people with the right intervention if priority