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www.aids2014.org 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
www.aids2014.org
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
www.aids2014.org
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
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
www.aids2014.org
Approach
• Advocacy, leadership, ownership
• NGO builds capacity and company manages programs
• Linkages with health services, VCT (mobile and referral), adherence support
www.aids2014.org
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
www.aids2014.org
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
www.aids2014.org
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
www.aids2014.org
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
