MeetingReport
MeetingReport
Meeting Report
MeetingReport
ILOAIDSInternational Labour Offi ce4, route des MorillonsCH-1211 Geneva 22SwitzerlandTel: +41 22 799 64 86E-mail: [email protected]: http//www.ilo.org/aids
IOE-ICFTU meeting to launchjoint action planson HIV/AIDS in Africa
ILO, Geneva
30-31 March 2004
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ILOMeeting Report
AIDS
IOE-ICFTU meeting to launch joint action plans on HIV/AIDS in Africa
International Labour Office Geneva
30-31 March 2004
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First published 2005
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IOE-ICFTU meeting report final June05_1mm.doc1 iii
Contents
Page
Introduction........................................................................................................................................ 1
Opening session ................................................................................................................................. 1
Country reports .................................................................................................................................. 2
Côte d’Ivoire ............................................................................................................................ 2
Ghana ....................................................................................................................................... 2
Kenya ....................................................................................................................................... 3
Malawi ..................................................................................................................................... 3
Mali ....................................................................................................................................... 4
Tanzania................................................................................................................................... 4
Uganda ..................................................................................................................................... 4
Zambia ..................................................................................................................................... 5
Action at the workplace: panel discussion......................................................................................... 6
CFAO....................................................................................................................................... 6
Merck ....................................................................................................................................... 7
Lafarge ..................................................................................................................................... 7
Global Unions Campaign on HIV/AIDS................................................................................. 7
World Health Organization...................................................................................................... 8
Resource mobilization........................................................................................................................ 8
GTZ: the BACKUP Initiative and ACCA ............................................................................... 8
Permanent Mission of Sweden to the United Nations, Geneva............................................... 9
Netherlands Ministry of Foreign Affairs ................................................................................. 9
Overview of US funding opportunities.................................................................................... 9
The Global Fund to Fight AIDS, TB and Malaria................................................................... 10
Working groups: developing the action plans.................................................................................... 10
Closing session................................................................................................................................... 12
Appendix I: IOE-ICFTU joint action plans in eight African countries ............................................. 13
Appendix II: Programme of the meeting ........................................................................................... 15
Appendix III: List of participants..................................................................................................... 17
Appendix IV: Table summarizing activities of employers’ and workers’ organizations in the eight countries ............................................................................................................................................. 20
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Introduction
On 12 May 2003 the General Secretaries of the International Confederation of Free Trade Unions (ICFTU) and the International Organisation of Employers (IOE) 1 signed a joint declaration on HIV/AIDS entitled “Fighting HIV/AIDS Together - A Programme for Future Engagement”. A further statement was signed by the International Confederation of Free Trade Unions–African Regional Organization (ICFTU-AFRO) and the Pan African Employers’ Conference (PEC) on 24th August 2003 in Nairobi. To prepare the way for action at country level, employers and workers submitted a joint resolution on HIV/AIDS that was adopted by the 10th ILO African Regional Meeting held in Addis Ababa on 2-5 December 2003.
As stated in the resolution, the intention is to implement joint action plans on HIV/AIDS in the workplace in eight African countries - Cote d’Ivoire, Ghana, Kenya, Malawi, Mali, Tanzania, Uganda, and Zambia - enabling IOE and ICFTU-AFRO members to come together to develop joint strategies and programmes. The process starts in Africa but lessons learned from the pilot programmes will be shared throughout the two organizations. A meeting was convened on 30 and 31 March to agree the main components of the plans and a strategy for implementation.
Opening session
Messages of welcome and opening presentations were given by Mr Antonio Peñalosa, Secretary-General of the IOE, Mr Andrew Kailembo, General Secretary of ICFTU-AFRO, Mrs Amadi-Njoku, Director of the ILO African Regional Office, and Mr Franklyn Lisk, Director of the ILO Programme on HIV/AIDS and the World of Work.
Mr Lisk welcomed participants, and reminded them of the stages that had led up to the meeting, starting the previous May with the signing of a declaration of collaboration between employers and workers on HIV/AIDS. He pointed out the role of the ILO in encouraging and supporting social dialogue, within the policy and technical framework provided by the ILO Code of Practice on HIV/AIDS and the world of work.
Mr. Peñalosa said that the development of the joint action plans was the practical outcome of a unique collaborative initiative. He made it clear that they would represent only the beginning of practical action - a pilot which, when tried and tested, would be replicated by the member organizations of the IOE and ICFTU in all regions. He reminded participants of the important developmental role played by IOE members worldwide, and the potential of working through them, and through ICFTU affiliates, to provide guidance and support to workers and their families, especially in the small and medium-size local enterprises in countries and populations of need.
Mr Andrew Kailembo drew attention to the unprecedented opportunity offered by the meeting to put aside traditional differences between unions and managers. He spoke of the programme to train union members as HIV/AIDS peer educators and the involvement of African employers in a review meeting the previous April, that had agreed recommendations for joint action. He stressed the importance of the pilot plans being scaled up and replicated widely in other countries.
1 The IOE and the ICFTU are the most representative employers and workers’ organizations at the international level. The IOE represents 137 national employers' organizations from 133 countries. The ICFTU has 231 affiliated national trade union centres in 150 countries, representing 158 million members. The two organizations have a long-established working relationship as they represent two of the three tripartite constituencies of the ILO.
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Mrs Amadi-Njoku stressed the importance of the workplace and the partnership between workers and employers in breaking the vicious circle of HIV/AIDS and poverty. She saw the meeting as the birth of a strong strategic alliance between the IOE, ICFTU and ILO to halt the advance of the disease. She pointed out the need to integrate AIDS-related issues in development and national planning, with a special focus on women and youth, since the epidemic is dangerously undermining the skills, experience, and networks that support women and their families in Africa. Maintaining and expanding youth employment, taking into account the particular risks of HIV/AIDS to young people, is a priority for the African Region.
Country reports
Delegates from the employers’ and workers’ organizations in the eight countries then described their core activities, and exchanged experiences on what they had been able to achieve, as well as identifying obstacles and constraints (see also table at Annex IV).
From the country reports it emerged clearly that a vast range of innovative, practical and effective actions have been undertaken by the partners, both separately and together, and many lessons have been learned that can help shape future action.
Côte d’Ivoire
The presentation was made by Mr. N’guessan Loba, Conseil National du Patronat Ivoirien (CNPI); the worker delegate was unable to attend.
AIDS is the principal cause of death in the labour force and accounts for half of all absenteeism, with measurable impacts on productivity. As a result, 52 enterprises in the CNPI have put in place joint committees and workplace programmes in the framework of the national action plan on HIV/AIDS. These include prevention through sensitization campaigns for behaviour change, the treatment of STIs and promotion of VCT. The prevention campaigns resulted in a decrease of 70% in STIs generally. The programme also includes care, with 100% cover of treatment in larger companies, and the creation of solidarity funds. Future challenges are to mobilize resources to extend treatment to the spouses and children of workers, increase the number of enterprises with committees and programmes, and encourage enterprises with under 50 employees to take action. CNPI’s bipartite HIV/AIDS unit helps to overcome these challenges by following four priorities: coordination, monitoring and evaluation; prevention; care; and resources mobilization.
Ghana
The presentation was made by Mr. K. Ampadu Yeboah, Ghana Employers’ Association (GEA) and Mr. John Brimpong, Trade Union Congress of Ghana (TUC).
The GEA, TUC and the NGO Centre for Aids Information Network (CAIN) collaborate to provide information, awareness-raising and training activities for the formal and informal sectors. Following a survey sponsored by the ILO in 2001, the GEA decided to step up its own action and developed an HIV/AIDS policy for its own Secretariat and guidelines for enterprises. The organization carries out training (focal points, peer educators, counsellors) and develops materials, including a training manual. The greatest challenge to the GEA is the lack of capacity and understanding of HIV/AIDS among enterprise managers.
The TUC policy on HIV/AIDS is to create awareness and build capacity in the membership with the aim of integrating HIV/AIDS in collective bargaining agreements and implementing workplace programmes. The TUC helps its members develop their own policies and programmes, trains educators, and runs distance learning courses. It has also introduced
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HIV/AIDS as a module in the Labour Studies Certificate programme. Union activities include campaigning, behaviour change communication, VCT promotion, and care and support.
Kenya
The presentation was made by Mr. Joel O. Momanyi, Federation of Kenya Employers (FKE) and Mr. Noah Chune, Central Organization of Trade Unions Kenya (COTU(K)).
The FKE has 2,600 members. It started work on AIDS in 1988 and set up an HIV/AIDS Advisory Committee which meets regularly. With FKE assistance, sugar, tea, coffee and service companies have developed workplace programmes including prevention - in collaboration with trade unions - and free treatment to workers and their immediate family. The organization has developed a Code of Conduct on HIV/AIDS, a training manual for facilitators, baseline surveys for monitoring and evaluation, and sector-based policies for plantations, hotels and tourism, and the flower-growing industry. It has also successfully negotiated with the pharmaceutical industry to have the price of ARVs reduced, and is in consultation with the insurance industry to provide cover for workers. FKE strategies to fight AIDS are based on strong prevention campaigns, knowledge of status through VCT, treatment of opportunistic infections, and affordable nutrition; it also promotes the involvement of the family and tripartite collaboration. The main challenge in order to further develop peer education and counselling, care and support is the mobilization of resources.
COTU(K) works with ICFTU-AFRO and the National AIDS Control Council to develop activities such as education of members and their families, counselling, and training of peer educators, shop stewards and union officials. It gives policy guidance for the incorporation of HIV/AIDS issues into collective bargaining agreements. The organization has an HIV/AIDS Coordinating Unit which oversees programme planning, implementation and resource mobilization, and is setting up a solidarity fund for members with HIV/AIDS. All training activities are developed in cooperation with the employers. The challenges to be overcome include assisting young people and reaching out to the informal sector.
Malawi
The presentation was made by Mr. Patrick Chikowi, Shire Buslines Ltd, for the employers’ federation and Mr. Lurther Mambala, Hotel Food and Catering Workers’ Union, for the Malawi Congress of Trade Unions (MCTU).
Both agreed that the epidemic is the greatest development challenge the country faces. In 1999, workplace awareness-raising programmes started with the help of NGOs. The government gives its support to companies for AIDS education associated with vocational training, and includes the workplace in campaigns to increase VCT take-up. Shire Buslines, among other companies, distributes condoms to the work force. Mr. Chiwoki ended by emphasizing the importance of the rights of PLWHA: discrimination is counter-productive and costly for employers as well as workers. He pointed to the need for more resources in order to extend workplace activities.
Mr. Mambala explained that Malawi has given priority to a multisectoral and multi- partner response, which has included strong employer-worker collaboration: an agreement exists with the employers to develop joint action on HIV/AIDS at the national level and through HIV/AIDS committees at the workplace. The trade unions are also represented in the National AIDS Commission. The Hotel Food and Catering Workers’ Union held a workshop in July 2003 to alert the top union leadership and chart the way forward at enterprise level. The unions are committed to campaign against stigmatization, identified as one of the major obstacles in combating HIV and AIDS.
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Mali
The presentation was made by Mr. Lassina Traoré, Conseil National du Patronat du Mali (CNPM) and Ms. Sidibe Kadiatou Touré, Confédération Syndicale des Travailleurs du Mali (CSTM).
There has been widespread mobilization in Mali to respond to HIV/AIDS, with a truly multisectoral response, strong NGO support and community involvement. Mr Traoré referred to the Appel de Douala and the follow-up campaign to raise awareness among chief executives, focusing on the cost-effectiveness of workplace prevention. The organization has developed sectoral plans with the Ministry of Health, starting with the transport sector. The MoH supports prevention activities in enterprises, and has helped the CNPM create a special fund for workers living with HIV/AIDS and their families. There is close collaboration with workers and their organizations, including a recent national planning meeting. The main obstacle to the further development of integrated activities is the lack of funding.
The Confédération Syndicale also organizes awareness-raising activities in enterprises, and recommends that prevention activities under the joint action plan should focus on behaviour change. Ms. Sidibe underlined the importance of work with women and young people, through the Inter-Federation Committee of Working Women and the CSTM training department. Future programmes would be developed in the sectors of transport, construction, and industry in the framework of a multisectoral response to HIV/AIDS.
Tanzania
The presentation was made by Mr. Mark K. Mfunguo, Association of Tanzania Employers (ATE) and Mr. Meja Kapalata, Trade Union Congress of Tanzania (TUCTA).
The partners agreed that AIDS should be seen as a human resource and workplace issue, with implications throughout society. ATE warns employers about falling production, enterprise collapse, loss of workers and contracting markets. It also shows how the workplace provides the best environment for prevention initiatives and measures to combat stigmatization and discrimination. The goal must be to give member organizations of ATE and TUCTA the capacity to run workplace programmes on their own, and a tripartite AIDS taskforce has been created to coordinate activities, covering care, counselling and VCT as well as prevention. Future work should include monitoring and evaluation, using baseline surveys. ATE encourages cooperation with national and local government, lobbies for a decrease in the price of ARVs, and campaigns for employers to be given incentives (tax) for workplace programmes, including treatment provision.
TUCTA developed an HIV/AIDS policy for trade unions with the collaboration of employers and government. It has also set up a national committee to oversee all matters regarding occupational safety and health and HIV/AIDS. TUCTA has developed bipartite programmes for care and support with the employers’ organization, though recognizes that there are still some persisting problems among employers in terms of attitudes to HIV/AIDS activities and discrimination. Future challenges extending collaboration with employers, and training more shop stewards and peer educators – ideally in a tripartite seminar.
Uganda
The presentation was made by Mr. George Tamale, Federation of Uganda Employers (FUE) and Ms. Rose Nassanga, National Organization of Trade Unions Uganda (NOTU).
FUE started a workplace-based HIV/AIDS programme in 1988. The main activities focus on education and training for management and union officials, peer educators and counsellors,
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trainers, and members of the labour force. FUE has also produced many materials (including film), runs advisory services, and sensitizes the mass media. A KAPB survey has shown substantial achievements in increasing knowledge and changing attitudes. In November 2002 the FUE adopted an Employers’ Statement of Recommended Practices on HIV/AIDS at the Workplace, based on the ILO Code of Practice. Current priorities include reaching more employers - especially in rural areas, increasing the level of care and support, and taking measures against sexual harassment at the workplace. Future work will include cosponsoring between FUE and small employers, and income-generating projects for orphans and widows. The obstacles include the lack of resources, the need to establish a databank, and the high price of ARVs.
NOTU’s workplace programme was scaled up in 2003 with assistance from ICFTU-AFRO and NORAD. Main activities include training of leaders, shop stewards and members on issues related to HIV/AIDS; of factory/labour inspectors notably on including HIV/AIDS in occupational health and safety briefings; and of counsellors. A drama group has been formed that performs at all major trade unions functions. NOTU advises on the inclusion of HIV/AIDS in collective bargaining agreements, and emphasizes the need to encourage VCT (and helps workers obtain counselling), to protect the rights of infected and affected workers (including sick leave), and to persuade employers to provide ARVs. Obstacles include the lack of funds to sensitize all workers in the country, the lack of co-operation from some employers, discrimination in some cases, and the lack of confidentiality. Ms Nassanga also highlighted the need to fight sexual harassment and to address poverty in rural areas.
Zambia
The presentation was made by Mr. Mostard Allan Simumba, Workers’ Compensation Fund Control Board (Employers), Mr. Peter Mulenga, Zambia Congress of Trade Unions (ZCTU).
The Board has an HIV/AIDS policy based on the ILO Code of Practice, and provides information, education and counselling for its staff. It takes a strong stand on confidentiality and non-discrimination. The Board covers 70% of medical costs for all staff members and their immediate family members. Peer educators support prevention and encourage the take-up of VCT. The main challenges identified are how to promote behaviour change, the need for actions from all sectors (enterprises, donors, trade unions, churches, etc.), and funding shortages. Mr. Simumba underlined the importance of further reducing the price of ARVS.
ZCTU has launched a countrywide ‘Crusade Against HIV/AIDS’. Union activities include training of peer educators, who carry out continuous education, prevention and supportive programme at the workplace; the development of sectoral policies for the health sector, schools and universities, and the hotel industry. Negotiators are given information on the ILO Code of Practice and trained to include key provisions in collective bargaining agreements. The ZCTU works in partnership with the employers, the Business Coalition on AIDS, the National AIDS Council, Kara Counselling, and the AIDS Law Project, but Mr Mulenga stressed the fact that it is the employers and workers who “own” the workplace, so NGOs should only be used to assist programme delivery. A Labour Day Award has been created for the best employer-worker partnership in responding to HIV/AIDS at the workplace. Future challenges include the development of real care and support for workers living with HIV/AIDS (nutrition and healthy living advice, counselling, ARVs). Obstacles include capacity and funding, the lack of national legislation, and the failure of donors to recognize the role and potential of trade unions.
A table presenting employer and worker activities in the countries concerned is contained at Annex IV, and lessons learned are summarized below.
The following points were agreed by all participants:
• employers and workers together are stronger than the sum of their parts;
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• employers and workers can provide leadership in mobilizing civil society against HIV/AIDS, in promoting open discussion of sensitive issues, and in ensuring a broad-based national programme that includes the world of work;
• the workplace is ideally suited to the delivery of programmes for prevention and care – including treatment where drugs can be made available – in a framework of non-discrimination and confidentiality;
• the ILO Code of Practice on HIV/AIDS and the world of work provides the framework for action at national, sectoral and workplace levels;
• workplace policies and programmes need co-ownership by employers and workers if they are to be effective – involving unions helps create the essential conditions of trust and openness that help fight stigma and promote prevention measures, including VCT;
• the particular vulnerabilities of women and needs of young people should be recognized and reflected in policies and programmes;
• workplace programmes must be guided by a clear plan of action, and have the capacity to implement it – training should be focused on the specific needs of organizations and workplaces;
• generalized messages have much less impact than targeted communication for behaviour change, especially when led by peer educators;
• AIDS-related issues should be integrated in the ongoing activities and existing structures of organizations, enterprises and workplaces, rather than added on in a way that may not be sustainable;
• monitoring and evaluation should be built into the programmes to measure their effectiveness.
Action at the workplace: panel discussion
The next session added information from companies, the Global Union Campaign on HIV/AIDS, and the World Health Organization ‘3 by 5’ campaign. The moderator was Dr Jack Chow, Assistant Director-General, HIV/AIDS, Tuberculosis and Malaria, World Health Organization.
CFAO
The CFAO Group is a leading distributor in the automobile, pharmaceutical and IT sectors. It employs some 10,000 workers in 31 African countries and French overseas departments and territories. Aware of the consequences of HIV/AIDS for its workforce and for economic growth in Africa, the company set up an HIV/AIDS programme in early 2003, with the support of the trade unions, covering 24 countries and most of its employees and their families. This includes information, education and prevention activities, VCT, and treatment as necessary. The main features of the programme are the appointment of a country coordinator, the training of peer educators, the development of materials, and the organization of awareness-raising and prevention activities. The company has set up a special fund to cover the costs. CFAO is a founding member of SIDA-Entreprises, which was created in 2003 and brings together major French groups operating in Africa and in Asia to support efforts against AIDS in the countries in which they operate, share experience, develop partnerships, and pool costs. The CFAO chairman was the first chairman of SIDA-Entreprises.
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Merck
Merck is a global pharmaceutical company, and has responded to HIV/AIDS both as a provider of pharmaceutical products and as an employer. The main focus of the company is on the development and delivery of medicines and vaccines. It helps increase access to ARVs by offering them at no profit to government, the private sector, and community groups in the least developed countries. Merck also contributes to the African Comprehensive HIV/AIDS Partnership (ACHAP) in Botswana, a public-private partnership with the Gates Foundation and the Government of Botswana. Merck believes that the success of ACHAP is due to the fact that it is fully integrated with Botswana's national strategy, that it leverages the benefits of the private sector to support public health aims, and that specific initiatives are locally driven. Most importantly, ACHAP is enhancing local capacity through the strengthening of the health care infrastructure and the transfer of managerial, leadership and technical skills.
As an employer, Merck has a workplace policy based on confidentiality, care and treatment, and non-discrimination. But obstacles remain and include employees not knowing their HIV status, the fear of stigmatization, and the failure to commit to treatment. Merck also recognizes that the needs of small businesses and the informal sector are not generally being met.
Lafarge
Lafarge is a world leader in the production of building materials and employs 75,000 workers in 75 countries. It started an HIV/AIDS programme in 2001 in eight Sub-Saharan African countries, and has collected examples of best practice from its subsidiaries. In 2002, the company became a member of the Global Business Coalition on AIDS. Lafarge published its Group HIV/AIDS Guidelines in 2003. These promote non-discrimination and confidentiality, and put in place comprehensive programmes covering awareness and prevention, VCT, and care and support (including ARV treatment). The Lafarge Africa Health Committee has also established a ‘Road Map’, based on local best practices. Lafarge recognizes a number of obstacles which compromise the implementation of its own and other workplace programmes:
• to be aware is not necessarily to believe or to change behaviour
• VCT is not popular unless there is trust and confidentiality
• low ARV take-up is related to problems of communication, privacy, and trust
• confidentiality and discrimination are particular issues in small companies.
At global and national levels, the collaboration with unions was key to the success of their campaign: Lafarge collaborates closely with the International Federation of Building and Wood Workers, and locally with worker representatives on workplace Safety and Health Committees. As a result 80% of staff agreed to be tested in Zambia and South Africa, for example. Lafarge also believes in building public-private partnerships and involving civil society in order to extend workplace programmes into the community.
Global Unions Campaign on HIV/AIDS
Ms. Clementine Dehwe, campaign coordinator, explained that the campaign had been launched on World AIDS Day (1 December) 2004 with the aim of extending and strengthening the trade union response to HIV/AIDS. Key activities include advocacy to make sure that HIV/AIDS is recognized as a central issue for national trade unions, capacity-building and the sharing of good practice to help unions implement relevant strategies and programmes,
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developing partnerships, mobilizing additional resources for trade union-specific action, and strengthening information exchange and cooperation on HIV/AIDS among unions at all levels.
She emphasized the importance of training shop stewards both as workplace focal points/ coordinators and as peer educators. She urged employers to work with rather than against trade unions, and also appealed for more funding to support local trade union initiatives and to ensure access to treatment for all those who need it.
World Health Organization
Participants were encouraged and motivated to hear Dr Jack Chow, in conclusion, express in the strongest possible terms his belief in the vital role of the workplace and the social partners in controlling HIV/AIDS. He placed particular emphasis on the ways that workplaces, both with and without occupational health services, can help massively extend access to ARVs within the framework of the ‘3 by 5’ initiative. He also urged participants to see the ways that AIDS could provide an opportunity to strengthen existing structures and systems, especially the provision of public services. He explained that ‘3 by 5’ had been conceived as a way of responding to the fact that over 8,000 people are dying every day as a result of AIDS. WHO is working to simplify drug regimes (the treatment will consist of two pills a day), to strengthen delivery systems, and to help countries access the Global Fund to ensure more resources. WHO has a vision of a “chain of concerted action” that links financial organizations, technical assistance, and implementers. This is set within the framework of WHO’s existing strategy, which rests on three pillars: supporting public health (from health systems to prevention messages); mobilizing partners and communities; and strengthening leadership at all levels.
Resource mobilization
The issue of resources emerged as a high priority. Participants acknowledged that a number of actions are possible with little or no financial investment, especially in terms of policy and strategy development, but argued that core activities such as training and the production or distribution of materials could not be managed without more resources. They were particularly concerned at the fact that even where funds are available, the world of work is often excluded, and NGOs appear to find it much easier to find funding than trade unions, for example. A number of comments were made about the particular difficulty of taking part in the country coordinating mechanisms of the Global Fund. The donors present, however, were very positive and constructive about ways they could support workplace projects, and the ILO undertook to produce a fact file of resource mobilization opportunities, with guidance for applying.
A panel of donors made presentations, moderated by Mr. Christoph Benn, Director of External Relations, the Global Fund to Fight, AIDS, Tuberculosis and Malaria.
GTZ: the BACKUP Initiative and ACCA
Ms. Johanna Knoess presented the BACKUP Initiative, explaining that GTZ is a technical rather than donor agency of the German government but that it can help support resource mobilization. It has 10,000 employees in 130 countries, with the BACKUP Initiative concentrating on helping a range of civil society institutions, including the world of work partners, access the Global Fund and its CCMs, and other sources of funding. It also works to support CCMs, to develop partnerships (including with the ILO), to build capacity, and to strengthen monitoring and evaluation. The BACKUP Initiative has helped national business committees in Central Africa, for example, to get 25 million USD from the World Bank. It has also supported symposia on workplace policies and programmes and on public-private partnerships.
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Ms. Ute Papkalla presented a further GTZ initiative, the project for AIDS Control in Companies in Africa (ACCA), whereby GTZ has given technical assistance and policy guidance for workplace programmes in about 30 companies to date. ACCA operates at multiple levels, including the workplace, sectoral and national levels (especially with business coalitions), mobilizing the business community and providing IEC, policy guidance, training, and help with drafting proposals for funding. Ms. Papkalla included a case study on Zambia, where ACCA has a project with the Agriflora company, a grower and exporter of vegetables and flowers, and the Zambia Export Growers’ Association. By demonstrating how an HIV/AIDS workplace programme worked on a particular commercial farm, ACCA gained access to the wider agricultural business community. Building on this experience, ACCA intends to build up sectoral competence centres; it also publishes training and advisory materials.
Permanent Mission of Sweden to the United Nations, Geneva
Ms. Pia Stavas said that HIV/AIDS is the main priority for the Swedish technical cooperation agenda and budget. SIDA has channelled most of its funding to date through the UN system and the Global Fund, but plans to increase bilateral relations with some countries, and in particular to take a sectoral approach (e.g. health, education). There are many opportunities for employers and workers to work with SIDA in this respect – for example, support was given to Swedish metalworker unions to implement projects with their counterparts in Africa. The Swedish AIDS Secretariat in Lusaka has about 13 million USD for regional initiatives, and the Swedish embassies in different countries will also have an increasingly important role to play. Ms. Stavas recommended that the ILO’s social partners visit the embassy in their own countries to discuss support either for their own projects or how they can become part of a bigger programme. Swedish embassies already use the ILO Code of Practice to guide their own employment policy.
Netherlands Ministry of Foreign Affairs
Ms. Ingeborg Denissen explained that the priorities for Dutch technical cooperation are the environment, basic education, health and HIV/AIDS. Partnerships with the private sector are starting to be created, while the development of workplace policies is being carried out through Pharmaccess: a pilot project is in place in Ghana. The HIV/AIDS workplace policy and action plan has three objectives: to strengthen political commitment and leadership, improve coordination, and strengthen capacity. The Ministry strategy includes exploring ways of partnering with civil society, including co-financing and joint activities. Partnership arrangements are also in place with the ILO, UNAIDS, the Global Fund, and some research institutions. The Ministry uses the ILO Code of Practice as the framework for its own employment policies.
Overview of US funding opportunities
Ms. Katherine Hagen presented information on the various HIV/AIDS funding initiatives of the US Government, and also provided a list and short description of major private foundations. She pointed out that the US is also increasing its support for bilateral programmes, and that the Global Fund will have its funding reduced in 2005 compared with 2004. The focus is now on the Presidents Emergency Plan for AIDS Relief (PEPFAR), which has been promised 15 billion USD over five years, to be allocated to 15 countries. The estimated impact is two million people treated, seven million lives saved, and ten million given help and support (for example orphans). A five-year strategic plan will be developed for each country concerned. In order for employers and workers to have access to PEPFAR, it will be important to help the US government understand the advantages of workplace action and a tripartite approach; Ms Hagen
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pointed to the potential advocacy role of bodies such as the Corporate Council on Africa, which promotes US-African business exchange and investment.
The Global Fund to Fight AIDS, TB and Malaria
Mr. Christoph Benn stressed the fact that the involvement of civil society is important to the inclusive, multisectoral and country-owned vision of the Global Fund, as well as crucial to its functioning. This is true at national level, through the CCM, and globally where its Board includes representatives of business and NGOs as well as governments and donors. It has no field staff but relies on multilateral and bilateral partners, and indeed should be seen as a successful example of public-private partnership. The first round of funding disbursed 2.2 billion USD, 60% of it in Africa; the deadline for the 4th round was April 2004. Concerns include the level of funding, which falls short of needs, and the fact that most of it comes from public sources. The lack of private sector funding is a disappointment, though Mr Benn acknowledged that business contributes substantially in many practical ways. Other issues include the fact that the CCM is not always as broad-based as was hoped and intended, and that governments tend to control them.
Mr Benn urged trade union and employer representatives to be part of the CCMs, and explained that they can be recipients of funds and help implement activities even if they were not part of the original proposal, and are not members of the CCM. The more that civil society demands a place on CCMs and a role in the projects, the more inclusive the mechanisms will become, and the more effective the national response. A particular effort would be made in the fourth round to include the world of work, in cooperation with the ILO.
Working groups: developing the action plans
The second day provided the opportunity for participants to work in small groups – each one covering two countries – to work out the details of the joint action plans and how to implement them. The groups constructed time-bound plans in tabular form, covering the following main elements: objectives (including both the broad goals and the particular needs the plan should address), activities, output(s), timetable, responsible persons, and resources needed. Discussion included the roles of key partners, both local and international, the identification of target groups, and the process of consultation necessary in drawing up the plan. Consideration was also given to the different levels at which it would be necessary to act, and the particular need for more sector-specific activities.
A consolidated version of the four plans is contained at Annex I.
The joint plan of action
Three stages were identified by participants as being necessary, whatever the national specificities or differences in strategic details:
• the process of drafting and agreeing the plan;
• the contents of the plan;
• the process of implementing the plan.
1 - Developing the plan
i. Identify the main parties responsible for drafting the plan – not just the organizations (national employers’ federation, national
11
trade union centre) but the individuals who will form the drafting committee.
ii. Set up other partnerships for policy, technical and funding support – the Ministry of Labour and other relevant ministries, national AIDS council, ILO, UNAIDS, WHO/ ‘3 by 5’, the Global Fund CCM, associations of people living with HIV/AIDS and other NGOs.
iii. Establish what information and technical advice will be needed – for example, information about risk factors for particular groups, relevant national laws and policies, examples of existing workplace interventions, information about existing services in the community.
iv. Agree what consultations will be carried out by the drafting committee before the plan is finalized.
2 - The plan – objectives and activities
The details will reflect the specific national situation and identified needs, but all plans should be comprehensive and integrated, based on the three ‘pillars’ of workplace action: prevention, care, and non-discrimination. All of these are covered in the ILO Code of Practice on HIV/AIDS and the world of work, which can be used as a guide for both policy principles and practical programme activities. The accompanying education and training manual explains and expands the provisions of the Code.
Prevention
Awareness-raising messages, notices and posters are not enough to make people understand their own risk and change their behaviour: gender-aware behaviour change communication is an essential part of prevention, and so are practical supporting measures such as the provision of condoms, access/referral to treatment for STDs and other diseases that can make the body more susceptible to infection.
VCT links prevention and care: if people know their status they can be guided and supported to take decisions that reduce their risk of getting infection (if the results are negative) or transmitting it to others (if the results are positive). It is also of course the first step to getting treatment.
Care
Care and support should be seen as a broad range of provisions including access to state and company benefits, reasonable accommodation, nutrition and healthy living advice, counselling, as well as treatment for opportunistic infections (especially TB) and ARV provision where possible – workplaces are encouraged to partner with the state and with donors to get access to ARVs for employees, their families, and the local community.
Non-discrimination
A policy of ‘zero tolerance’ for discrimination and stigmatization, and measures to protect the rights of those infected and affected by HIV/AIDS, are essential to ensure the take-up of both prevention and care.
3 - Implementing the plan
The plan must set out the steps that need to be taken to reach its objectives:
12
• identify the structures or individuals who will be responsible (or create a new structure/ mechanism) – an existing HIV/AIDS focal point for example, the occupational safety and health committee/officer, or a new committee with specific responsibility for HIV/AIDS;
• include provisions to train and support them, and recruit/ train additional staff as necessary;
• agree the activities that will be undertaken in working towards each objective, and put them in a time-frame;
• identify the resources that will be needed - human (partner organizations, staff, volunteers…), cash, and kind (materials, rooms, equipment, technology …) – invest some time in fund-raising, with advice from global bodies (IOE, ICFTU, ILO, the Global Fund) but focusing on country missions;
• decide on a report-back mechanism that makes sure that the executive bodies of each organization follow the plan’s implementation;
• build in a monitoring and evaluation procedure, including a baseline survey/study before activities start, to track the effectiveness of the plan and help modify it as necessary.
Closing session
Mr. Assane Diop, Executive Director of the Social Protection Sector, ILO, made some closing comments on the work of the meeting and the issues involved. He reminded participants that the main emphasis of the resolution on HIV/AIDS passed at the 10th ILO African Regional meeting had been, first, on the importance of the increased involvement of employers and workers, and their organizations, both separately and together through the process of social dialogue; and secondly on the need for the ILO, its tripartite partners and the international community to support efforts to extend access to ARV treatment, especially in the framework of the ‘3 by 5’ initiative.
In reflecting on the proceedings and findings of the two days of meeting, Mr. Diop pointed out the rich combination of experiences that had been shared by a range of stakeholders - the workplace partners, selected multinational companies, specialized institutions, and bilateral donor and technical assistance agencies. He had been especially struck by the strong emphasis on the benefits of joint programmes, and the strategic strength of the joint action plans that had been drafted during the meeting. What was most encouraging was the fact that the organizations of employers and workers in eight key countries now had practical steps that they could take immediately on their return. The social partners have enormous responsibilities ahead in tackling the epidemic, in protecting the members of their organizations and workplaces, in defending the rights of those at particular risk, especially women and children. Mr. Diop ended by reminding participants that the ILO stood at their sides to support their ongoing efforts in every way possible.
«As soon as we’re back in our countries, we’ll call together employer and worker representatives to report on this meeting, discuss the issues and share our vision of how to strengthen our response to the epidemic. We’ll link our action plan to the national AIDS strategy, and reinforce national efforts through workplace action.” (Cote d’Ivoire/Mali working group)
13
Appendix I: IOE-ICFTU joint action plans in eight African countries
Consolidated workplan for employers’ and workers’ organizations, developed by participants at IOE-ICFTU meeting, Geneva, 30-31 March 2004
Main goal: To reduce mortality and morbidity due to HIV/AIDS through workplace programmes for prevention, care and support
Objectives Activities Partners & resources Outputs Time frame
Employers and workers mobilized to take collaborative action against HIV/AIDS
-Set up joint steering group -Organize a survey (rapid assessment) to determine current impact and needs regarding HIV/AIDS intervention in the workplace -Find examples of workplace action -Collect information & advocacy materials -Organize briefing meetings for employers & workers -Make contact with MoL
National AIDS Council, MoL, MoH, MoE, ILO, IOE, ICFTU, UNAIDS, business coalitions on HIV/AIDS, small enterprise associations, informal sector organizations, NGOs, academic institutes
Steering group in place Report summarizing impact & needs, & making recommendations for priority action Collection of case studies/ lessons learned Briefing meetings held
Complete first steps by September 2004
Strengthened capacity of employers and workers to plan, implement & sustain comprehensive workplace programmes
i) structures & organization -Appoint focal points in the EO & WO -Develop workplans in framework of ILO Code of Practice (adapt & translate code as necessary) – include monitoring & evaluation -Seek funds for programme activities, arrange meeting with CCM -Make contacts with workplaces & set up network of stakeholders ii) guidance & training -Train trainers, peer educators and HIV/AIDS focal points -Organize information exchange and learning from existing programmes -Gather/adapt/produce materials to guide programme development & training
As above Bilateral donors (national embassy, mission) esp. GTZ Global Fund & CCM Other multilateral donors through UN Theme Group ILO, UNAIDS, National AIDS Council, NGOs
i) Focal points in place Agreed workplan Sufficient funds for 1st year of activities Contact list of workplace representatives (management & labour) implementing workplace programmes or willing to ii) Trainers identified Training planned or started Collection of materials
i) Starting June 2004, ongoing ii) Starting September 2004
14
Expanded workplace programmes providing prevention, care, treatment and the protection of rights to workers and their families
-Create workplace environment free of discrimination & fear through policy & education -Adopt workplace policies & amend employment contracts to protect rights & provide prevention & care -Conduct gender-sensitive education for prevention, incl. behaviour change communication -Encourage VCT through ‘know your status’ campaigns -Find donor partners to co-fund treatment -Adapt/train occupational health services for the delivery of treatment
National AIDS Council, MoL, MoH, MoE, ILO, IOE, ICFTU, business coalitions on HIV/AIDS, small enterprise associations, informal sector organizations, NGOs, UNAIDS Labour education/ health & safety institutes (where exist)
Workplace policies agreed Workplace programmes being implemented
ongoing
A legal, policy & organizational framework that supports workplace action
-Sensitize/lobby appropriate bodies (where necessary) to ensure that national AIDS plan includes workplace policy & involves social partners -Develop sectoral strategies on HIV/AIDS where relevant -Establish a regional coordinating committee to monitor progress and share good practice
MoL, IOE/PEC, ICFTU-AFRO, ILO, UNAIDS, National AIDS Council, CCM, Sectoral/trade associations IOE/PEC, ICFTU-AFRO, ILO Regional Office, UNAIDS
National HIV/AIDS policy for the world of work EO & WO represented on national AIDS body(ies), including CCM Regional committee in place
Starting June 2004
EO = employers’ organization
WO = workers’ organization
IOE/PEC = International Organisation of Employers/PanAfrican Employers’ Confederation
ICFTU-AFRO = African Regional Organization of the International Confederation of Free Trade Unions
MoL, MoH, MoE = ministries of labour, health, education
CCM = country coordinating mechanism for the Global Fund to Fight AIDS, TB & Malaria
15
Appendix II: Programme of the meeting
Launch of the IOE/ICFTU Joint Action Plans on HIV/AIDS in Africa:
follow-up to the declaration of collaboration on HIV/AIDS
30-31 March 2004 ILO, Geneva
PROGRAMME
Tuesday 30 March 08.30 - 09.00 Registration 09.00 – 10.00 Orientation meetings (employers, workers) 10.00 – 10.15 Opening session
Welcome and opening remarks by Mr. Franklyn Lisk, Director, ILO Programme on HIV/AIDS and the World of Work (ILO/AIDS) Mr. Antonio Peñalosa, Secretary General, International Organisation of Employers (IOE) Mr. Andrew Kailembo, Secretary General, African Regional Organization of the International Confederation of Free Trade Unions (ICFTU-AFRO) Mrs. Regina Amadi-Njoku, Director, ILO Regional Office for Africa
Moderator: Mr. Franklyn Lisk 10.15 – 13.00 Presentation of delegates’ reports (10 to 12 minutes for each
country, including a short coffee break at 11.00) Followed by general discussion
13.00 - 14.30 Lunch break 14.30 – 15.15 Action at the workplace
Moderated by Dr. Jack Chow, Assistant Director-General, HIV/AIDS, Tuberculosis and Malaria, World Health Organization (WHO) Presentations from multinational companies and trade unions: focus on lessons learned from their active involvement in responding to HIV/AIDS
15.15 – 16.00 Resource mobilization and involvement of specialized institutions and
bilateral agencies
16
Moderated by Mr. Christoph Benn, Director of External Relations, the Global Fund to Fight AIDS, TB & Malaria Presentations from donors: focus on how they see their role in relation to existing and planned action by employers and workers
16.00—16.15 Coffee break
16.15 – 18.00 General discussion Wednesday 31 March 09.00 – 09.30 Follow-up meetings (employers, workers) 09.30 – 12.30 Presentation of working groups - objectives and practical
arrangements
Work in groups: four working groups each covering two countries to discuss the joint action plans at country level
Groups proposed: - Côte d’Ivoire and Mali - Malawi and Zambia - Ghana and Uganda - Kenya and Tanzania 12.30 - 14.30 Lunch break 14.30 – 17.00 Working groups report to plenary
General discussion
17.20 Closing comments
Mr. Assane Diop, Executive Director, Social Protection Sector 17.30 Close
17
Appendix III: List of participants
The lists are in alphabetical order
Participants
NAME COUNTRY
Employers Workers
Côte d’Ivoire
Mr. Diack Diawar
Président
Conseil national du Patronat Ivoirien (CNPI)
Mr. Loba N’Guessan
Président, cellule focale de lutte contre le SIDA
Conseil national du Patronat Ivoirien (CNP)
Unable to attend
Ghana
Mr. K. Ampadu Yeboah
Focal Person on HIV/AIDS
Ghana Employers Association
Mr. John Brimpong
Ghana Trade Union Congress (GTUC
Kenya
Mr. Joel O. Momanyi
HIV/AIDS Programme Coordinator
Federation of Kenya Employers
Mr. Noah Chune
Central Organisation of Trade Unions Kenya (COTU (K))
Malawi Mr. Patrick Chikowi
Shire Buslines Ltd
Mr. Lurther Mambala
Malawi Congress of Trade Unions (MCTU)
Mali Mr. Lassina Traoré
Conseil National du Patronat du Mali
Ms. Sidibe Kadiatou Toure
Confédération Syndicale des Travailleurs du Mali (CSTM)
Tanzania
Mr. Mark K. Mfunguo
Training Coordinator and HIV/AIDS Focal Point
Association of Tanzania Employers
Mr. Meja Kapalata
Trade Union Congress of Tanzania (TUCTA)
Uganda Mr. George Tamale
Federation of Uganda Employers
Ms. Rose Nassanga
National Organisation of Trade Unions (NOTU Uganda)
Zambia Mr. Mostard Allan Simumba
Workers Compensation Fund Board
Mr. Peter Mulenga
Zambia Congress of Trade Unions (ZACTU)
18
Observers and panellists
NAME ORGANIZATION
Alain Jabot Directeur du Développement Durable et de la Responsabilité Sociale
Compagnie Française de l'Afrique Occidentale CFAO / SIDA-ENTREPRISES
Alan Leather Public Services International (PSI)
Alke Bössiger Union Network International (UNI)
Amrita Sietaram ILO/ACTRAV
Clementine Dehwe Global Unions HIV/AIDS Campaign Coordinator
International Confederation of Free Trade Unions (ICFTU)
Duncan Pruett
Campaigns Coordinator
Campaigns & Communications Department
International Confederation of Free Trade Unions (ICFTU)
Edward Vela Joint United Nations Programme on HIV/AIDS (UNAIDS)
Partnerships Development Division
Ingeborg Denissen Dutch Ministry of Foreign Affairs
Netherlands
Jeffrey Kemprecos Merck & Co., Inc.
United States
Johanna Knoess Deutsche Gesellschaft für Technische Zusammenarbeit (GTZ) BACKUP Initiative
Kizito Nsarhaza Joint United Nations Programme on HIV/AIDS (UNAIDS)
Luc Barriere-Constantin Programme Development Adviser, Division for Africa
Joint United Nations Programme on HIV/AIDS (UNAIDS)
Marc Flegenheimer International Committee of the Red Cross
Masahiko Hayashi Permanent Mission of Japan to the United Nations Organization and other International Organizations in Geneva
Olivier Vilaça Lafarge
Pia Stavas Permanent Mission of Sweden to the United Nations Organization and other International Organizations in Geneva
Roger Sala Ntounga Sub-Regional Coordinator, Deputy Associate Director for Africa
Joint United Nations Programme on HIV/AIDS (UNAIDS)
Silvana Cappuccio International Textile, Garment and Leather Workers Federation (ITGLWF)
Sue Longley International Union of Food, Agricultural, Hotel, Restaurant, Catering, Tobacco and Allied Workers' Association (IUF)
Tina Draser Fund Portfolio Manager, Africa
The Global Fund to Fight AIDS, Tuberculosis and Malaria
Ute Papkalia Deutsche Gesellschaft für Technische Zusammenarbeit (GTZ) ACCA project
19
Speakers and moderators
NAME ORGANIZATION
Andrew Kailembo
Secretary General
Africa Regional Office of the International Confederation of Free Trade Unions (ICFTU-AFRO)
Antonio Peñalosa Secretary General
International Organisation of Employers (IOE)
Assane Diop Executive Director
Social Protection Sector
Christoph Benn Director of External Relations
The Global Fund to Fight AIDS, TB & Malaria
Franklyn Lisk Director
ILO Programme on HIV/AIDS and the World of Work (ILO/AIDS)
Frederick Muia Regional Adviser for Africa
International Organisation of Employers (IOE)
Jack Chow Assistant Director-General
HIV/AIDS, Tuberculosis and Malaria, World Health Organization (WHO)
Regina Amadi Njoku Director
ILO Regional Office for Africa
Susan Leather ILO Programme on HIV/AIDS and the World of Work (ILO/AIDS)
20
Ap
pen
dix
IV:
Tab
le s
um
mar
izin
g a
ctiv
itie
s o
f em
plo
yers
’ an
d w
ork
ers’
org
aniz
atio
ns
in t
he
eig
ht
cou
ntr
ies
Info
rmat
ion
E
mp
loye
rs
Wo
rker
s
1. T
rip
arti
te/b
ipar
tite
res
po
nse
So
cial
dia
log
ue
st
ruct
ure
s an
d in
itia
tive
s (&
fu
rth
er e
xam
ple
s b
elo
w)
CN
PI:
has
set u
p bi
part
ite H
IV/A
IDS
uni
t: em
ploy
ers’
rep
rese
ntat
ives
and
th
ree
wor
kers
’ org
aniz
atio
ns.
GE
A: w
orki
ng in
col
labo
ratio
n w
ith G
hana
Tra
de U
nion
Con
gres
s on
sev
eral
ac
tiviti
es.
FK
E: i
nvol
ves
trip
artit
e pa
rtne
rs. C
orpo
rate
cer
tific
atio
n fo
r m
embe
rs w
ho
sens
itize
ent
ire w
orkf
orce
s an
d ad
opt a
Tim
e-B
ound
Act
ion
Pro
gram
me.
AT
E: T
ripar
tite
foru
m o
n H
IV/A
IDS
. Pre
vent
ion
prog
ram
me
deve
lope
d in
volv
ing
wor
kers
and
thei
r un
ions
. Wor
ksho
p in
Jul
y 20
00 w
ith th
e G
over
nmen
t of T
anza
nia
and
TU
CT
A (
spon
sore
d by
the
ILO
). L
obby
ing
with
th
e go
vern
men
t for
tax
ince
ntiv
es to
bus
ines
s or
gani
zatio
ns in
vest
ing
in
HIV
/AID
S w
orkp
lace
inte
rven
tions
.
FU
E: E
mpl
oyer
of t
he Y
ear
Aw
ard.
TU
CG
: Col
labo
rate
s w
ith G
over
nmen
t, em
ploy
ers,
& o
ther
sta
keho
lder
s in
H
IV/A
IDS
aw
aren
ess
crea
tion
cam
paig
n fo
r w
orke
rs a
nd th
eir
fam
ilies
. Joi
nt
activ
ities
with
the
Gha
na E
mpl
oyer
s A
ssoc
iatio
n.
CO
TU
(K
): c
olla
bora
tive
sem
inar
s fo
r un
ion
lead
ers,
man
agem
ent,
empl
oyee
s an
d em
ploy
ers.
MC
TU
: Mal
awi H
otel
Foo
d an
d C
ater
ing
Uni
on o
rgan
ized
a w
orks
hop
in J
uly
2003
to b
ring
unio
n le
ader
ship
toge
ther
to c
hart
the
way
forw
ard
in th
e fig
ht
agai
nst H
IV/A
IDS
at e
nter
pris
e le
vel.
Obj
ectiv
es in
clud
ed fo
rmul
atin
g a
fram
ewor
k of
und
erst
andi
ng w
ith e
mpl
oyer
s to
gui
de jo
int a
ctio
n on
H
IV/A
IDS
.
TU
CT
A: i
nvol
ved
the
Gov
ernm
ent a
nd A
ssoc
iatio
n of
Tan
zani
a E
mpl
oyer
s (A
TE
) in
form
ulat
ing
its T
rade
Uni
on H
IV/A
IDS
Pol
icy.
NO
TU
Uga
nda:
col
labo
ratin
g w
ith e
mpl
oyer
s in
the
deve
lopm
ent o
f w
orkp
lace
pol
icie
s on
HIV
/AID
S.
Nat
ion
al le
gal
an
d p
olic
y fr
amew
ork
FK
E: p
artic
ipat
ion
in th
e pr
ogra
mm
e of
the
Nat
iona
l AID
S C
ontr
ol C
ounc
il (N
AC
C)
to im
plem
ent t
he N
atio
nal S
trat
egic
Pla
n.
AT
E: c
oope
ratio
n w
ith T
anza
nia
Nat
iona
l Com
mis
sion
for
AID
S in
dev
elop
ing
the
Tan
zani
a N
atio
nal M
ultis
ecto
ral S
trat
egic
Fra
mew
ork
2003
-200
7 (N
MS
F).
CO
TU
(K
): p
artic
ipat
ion
in th
e pr
ogra
mm
e of
the
Nat
iona
l AID
S C
ontr
ol
Cou
ncil
(NA
CC
) to
impl
emen
t the
Nat
iona
l Str
ateg
ic P
lan.
MC
TU
: the
gov
ernm
ent r
ecog
nize
s H
IV/A
IDS
as
a la
bour
and
pro
duct
ivity
is
sues
& p
rom
otes
mul
tisec
tora
l res
pons
e. N
atio
nal A
IDS
Com
mis
sion
in
clud
es th
e tr
ade
unio
n m
ovem
ent.
CS
TM
: a n
atio
nal H
IV/A
IDS
pol
icy
is in
clud
ed in
the
heal
th p
olic
y dr
afte
d w
ith
the
WH
O, t
he W
orld
Ban
k an
d th
e In
tern
atio
nal M
onet
ary
Fun
d. W
ithin
this
fr
amew
ork,
a N
atio
nal P
rogr
amm
e to
figh
t aga
inst
HIV
/AID
S (
PN
LS)
has
been
cre
ated
, with
a s
truc
ture
of c
are
and
supp
ort f
or p
eopl
e in
fect
ed b
y H
IV.
TU
CT
A: c
oope
ratio
n w
ith T
anza
nia
Nat
iona
l Com
mis
sion
for
AID
S in
de
velo
ping
the
Tan
zani
a N
atio
nal M
ultis
ecto
ral S
trat
egic
Fra
mew
ork
2003
-20
07.
21
2. O
rgan
izat
ion
al
stre
ng
then
ing
& p
olic
y d
evel
op
men
t
Co
des
of
pra
ctic
e, p
olic
y g
uid
elin
es, m
anu
als,
etc
. (a
nd
see
Par
t 3.
Tra
inin
g)
GE
A: d
evel
opm
ent o
f HIV
/AID
S g
uide
lines
for
ente
rpris
es, n
atio
nal w
orkp
lace
H
IV/A
IDS
pol
icy,
and
wor
kpla
ce p
olic
y fo
r G
EA
Sec
reta
riat,
and
supp
ort f
or
colla
bora
ting
com
pani
es to
dev
elop
thei
r ow
n tr
aini
ng m
anua
l and
pol
icy
(cap
acity
bui
ldin
g). D
evel
opm
ent o
f a tr
aini
ng m
anua
l for
edu
catio
n at
the
wor
kpla
ce.
FK
E: C
ode
of c
ondu
ct o
n H
IV/A
IDS
in th
e w
orkp
lace
tran
slat
ed in
to K
isw
ahili
an
d di
strib
uted
to a
ll em
ploy
ers
of th
e F
KE
. Fac
ilita
tors
’ tra
inin
g m
anua
l de
velo
ped.
Sec
tor
base
d po
licie
s an
d gu
idel
ines
.
AT
E: d
raft
code
of p
ract
ice
in d
ealin
g w
ith H
IV/A
IDS
in T
anza
nia,
HIV
/AID
S
polic
y be
ing
adap
ted
to b
usin
ess
setti
ng.
FU
E: E
mpl
oyer
s’ S
tate
men
t of R
ecom
men
ded
Pra
ctic
es o
n H
IV/A
IDS
at t
he
Wor
kpla
ce la
unch
ed in
Nov
embe
r 20
02 a
nd b
ased
on
the
ILO
Cod
e of
P
ract
ice
WC
FC
B: t
he B
oard
has
an
HIV
/AID
S p
olic
y to
pro
vide
info
rmat
ion,
edu
catio
n an
d co
unse
lling
for
its s
taff
in a
ll th
e pr
ovin
ces
of Z
ambi
a.
CO
TU
(K
): tr
aini
ng o
n H
IV/A
IDS
pol
icy
draw
ing
on IL
O C
ode
of P
ract
ice
on
HIV
/AID
S a
nd th
e F
KE
Cod
e of
Con
duct
. In
part
ners
hip
with
ICF
TU
-AF
RO
, de
velo
ped
a tr
aini
ng m
anua
l for
Sho
p S
tew
ards
on
HIV
/AID
S in
the
wor
kpla
ce.
MC
TU
: Sho
p st
ewar
ds u
se tr
aini
ng m
anua
ls p
rodu
ced
by IC
FT
U-A
FR
O.
Rec
ent w
orks
hop
agre
ed to
use
ILO
Cod
e as
bas
is fo
r w
orkp
lace
act
ion,
and
th
e G
over
nmen
t will
inte
nsify
effo
rts
to im
plem
ent t
hese
doc
umen
ts in
the
wor
kpla
ce, t
o re
duce
dis
crim
inat
ion
and
prom
ote
prev
entio
n.
TU
CT
A: T
rade
Uni
on H
IV/A
IDS
Pol
icy
has
been
form
ulat
ed, a
nd H
IV/A
IDS
C
ode
of P
ract
ice
for
Agr
icul
ture
and
Pla
ntat
ion
Wor
kers
’ Uni
on. T
he C
ode
shou
ld fo
rm p
art a
nd p
arce
l of e
xist
ing
colle
ctiv
e ba
rgai
ning
agr
eem
ent.
NO
TU
Uga
nda:
incl
usio
n of
HIV
/AID
S in
Col
lect
ive
Bar
gain
ing
Agr
eem
ents
of
som
e co
mpa
nies
and
dev
elop
men
t of w
orkp
lace
pol
icie
s on
HIV
/AID
S fo
r so
me
com
pani
es. D
evel
opm
ent o
f 2 m
anua
ls o
n H
IV/A
IDS
: Bas
ic F
acts
ab
out H
IV/A
IDS
, and
Tra
inin
g M
anua
l for
Sho
p S
tew
ards
on
HIV
/AID
S a
t the
W
orkp
lace
.
ZC
TU
: mat
eria
ls h
ave
been
pro
duce
d fo
r tr
aini
ng &
pol
icy
guid
ance
. D
evel
opm
ent o
f wor
kpla
ce p
olic
ies
for
med
ical
sec
tor,
edu
catio
n se
ctor
, un
iver
sitie
s an
d ho
tel i
ndus
try.
Act
ion
pla
n
CN
PI:
bipa
rtite
uni
t has
bee
n se
t up
to d
evel
op a
ctio
n pl
an to
be
laun
ched
in
Apr
il 20
04. O
bjec
tives
incl
ude
to p
ersu
ade
targ
et g
roup
of 2
500
ente
rpris
es o
f 50
wor
kers
and
mor
e to
cre
ate
inte
rnal
com
mitt
ees,
and
500
sm
alle
r en
terp
rises
to c
reat
e jo
int c
omm
ittee
s ov
er 2
to 3
yea
rs. F
irst a
ctiv
ity o
f uni
t: co
nfer
ence
on
peer
edu
catio
n an
d aw
aren
ess-
rais
ing.
GE
A: p
roje
ct d
rafte
d -
to in
clud
e w
orks
hops
, tra
inin
g ac
tiviti
es a
nd V
CT
UG
TC
I: na
tiona
l and
sec
tora
l act
ion
plan
s fo
r la
bour
, and
cre
atio
n of
a jo
int
HIV
/AID
S u
nit a
nd fo
cal p
oint
s w
ith th
e C
NP
I.
CO
TU
(K
): n
atio
nal s
trat
egic
pla
n w
ith m
ulti-
sect
oral
app
roac
h, p
rom
otin
g co
mpr
ehen
sive
wor
kpla
ce p
rogr
amm
es.
CS
TM
: a b
ienn
ial p
rogr
amm
e an
d an
act
ion
plan
incl
udin
g st
rate
gies
for
awar
enes
s-ra
isin
gan
dIE
C
22
cam
paig
n.
FK
E: C
SR
Str
ateg
y. C
orpo
rate
cer
tific
atio
n fo
r m
embe
rs w
ho s
ensi
tize
entir
e w
orkf
orce
s an
d ad
opt a
Tim
e-B
ound
Act
ion
Pro
gram
me;
pro
ject
incl
udes
a
sust
aina
bilit
y co
mpo
nent
.
CN
PM
: pro
gram
me
esta
blis
hed,
incl
udin
g dr
aft p
roje
ct to
ass
ist w
ith th
e im
plem
enta
tion
of a
wor
kpla
ce s
trat
egy
on H
IV/A
IDS
, with
the
part
icip
atio
n of
se
vera
l par
tner
s.
AT
E: d
evel
opm
ent o
f HIV
/AID
S p
lan
with
bud
get,
incl
udin
g pr
ovis
ion
of h
uman
re
sour
ces
and
supp
ortiv
e en
viro
nmen
t.
awar
enes
s-ra
isin
g an
d IE
C.
Mec
han
ism
s es
tab
lish
ed f
or
imp
lem
enta
tio
n
CN
PI:
crea
tion
of a
bip
artit
e un
it to
dea
l with
HIV
/AID
S, s
uppo
rted
by
coor
dina
ting
com
mitt
ee (
& s
ee a
bove
) -
unit
will
sup
ervi
se th
e ac
tiviti
es o
f the
en
terp
rise
com
mitt
ees,
trai
n pe
er e
duca
tors
, cam
paig
n to
mak
e A
RT
ac
cess
ible
and
affo
rdab
le.
FK
E: H
IV/A
IDS
Adv
isor
y C
omm
ittee
with
mem
bers
hip
from
indu
stry
. C
onsu
ltativ
e ro
le.
AT
E: c
reat
ion
of a
Trip
artit
e T
ask
For
ce c
oord
inat
ing
wor
kpla
ce p
reve
ntio
n in
itiat
ives
.
UG
TC
I: cr
eatio
n of
inte
rnal
com
mitt
ees
(tra
inin
g ar
rang
ed),
and
inte
rnal
co
ordi
natio
n st
ruct
ure.
Com
mitt
ees
for
teac
hers
in th
e C
entr
al r
egio
n.
TU
CG
: HIV
/AID
S h
as b
een
iden
tifie
d as
one
of t
he c
ore
subj
ects
to b
e in
clud
ed in
the
stan
dard
cur
ricul
um fo
r tr
ade
unio
n ed
ucat
ion.
Uni
on
educ
ator
s ha
ve r
egul
ar m
eetin
gs th
at fo
cus
on p
olic
y de
velo
pmen
t, aw
aren
ess-
rais
ing,
trai
ning
of t
rain
ers,
and
inte
grat
ing
HIV
/AID
S is
sues
in
colle
ctiv
e ba
rgai
ning
agr
eem
ents
.
CO
TU
(K
): H
IV/A
IDS
Co-
ordi
natin
g U
nit e
stab
lishe
d un
der
a P
roje
ct
Man
ager
, whi
ch o
vers
ees
prog
ram
me
plan
ning
, im
plem
enta
tion
and
reso
urce
mob
iliza
tion.
MC
TU
: joi
nt in
volv
emen
t with
em
ploy
ers
thro
ugh
HIV
/AID
S C
omm
ittee
s at
w
orkp
lace
. T
he e
mpl
oyer
s in
clud
e ca
paci
ty b
uild
ing
for
com
pani
es,
prom
otio
n of
bes
t hum
an r
esou
rce
man
agem
ent p
ract
ices
, aw
aren
ess
crea
tion
and
polic
y fo
rmul
atio
n -
Sun
bird
s H
otel
s, b
ig c
hain
of h
otel
s w
ith a
w
orkf
orce
of o
ver
1300
em
ploy
ees,
is c
ited
as e
xam
ple.
CS
TM
: act
iviti
es in
the
actio
n pl
an to
be
impl
emen
ted
by th
e In
ter-
fede
ratio
n C
omm
ittee
of W
omen
Wor
kers
(C
omité
Con
fédé
ral d
es fe
mm
es
trav
aille
uses
) w
ith th
e su
ppor
t of t
he T
rain
ing
Dep
artm
ent.
TU
CT
A: C
omm
ittee
est
ablis
hed
to o
vers
ee a
ll m
atte
rs r
egar
ding
OS
H a
nd
HIV
/AID
S -
com
pris
es r
epre
sent
ativ
es fr
om a
ll 12
affi
liate
s.
ZC
TU
: joi
nt e
mpl
oyer
/trad
e un
ion
HIV
/AID
S C
onsu
ltativ
e T
eam
. E
stab
lishm
ent o
f mob
ile c
ouns
ellin
g an
d tr
aini
ng c
entr
es to
enc
oura
ge V
CT
, an
d a
phon
e-in
“S
olid
arity
Life
Mai
l” C
ouns
ellin
g C
entr
e in
Lus
aka/
Kitw
e.
Mo
nit
ori
ng
an
d e
valu
atio
n
CN
PI:
mon
itorin
g of
the
activ
ities
of t
he e
nter
pris
e co
mm
ittee
s un
dert
aken
by
the
bipa
rtite
uni
t, in
clud
ing
draf
t and
follo
w u
p of
indi
cato
rs. T
he r
espo
nse
indi
cate
s th
e re
sult
of th
e aw
aren
ess-
rais
ing
cam
paig
n by
52
ente
rpris
es w
ith
a de
crea
se in
the
infe
ctio
n ra
te o
f 70%
. It a
lso
incl
udes
eva
luat
ion
of th
e lt
fth
it
dti
fAR
Tith
thf
lli
idi
tt
f
UG
TC
I: ev
alua
tion
to b
e un
dert
aken
at n
atio
nal a
nd r
egio
nal l
evel
of
tech
nica
l and
inst
itutio
nal c
apac
ity in
vie
w o
f the
cre
atio
n of
600
ent
erpr
ise
com
mitt
ees.
CO
TU
(K
): C
o-or
dina
ting
Uni
t und
erta
kes
join
t pro
gram
me
revi
ews
with
oth
er
23
resu
lts o
f the
intr
oduc
tion
of A
RT
with
the
follo
win
g in
dica
tors
: per
cent
age
of
deat
hs c
ause
d by
HIV
/AID
S,
abse
ntee
ism
rat
e du
e to
HIV
/AID
S,
hosp
italiz
atio
n co
st d
ue to
AID
S in
clud
ing
the
decr
ease
eva
luat
ion,
an
fune
ral
cost
s ev
alua
tion,
eva
luat
ion
of v
olun
tary
test
ing.
AT
E: i
n th
e fr
amew
ork
of th
e N
atio
nal M
ultis
ecto
ral S
trat
egic
Fra
mew
ork.
FU
E: s
urve
y of
kno
wle
dge,
atti
tude
s an
d pr
actic
es to
indi
cate
the
succ
esse
s of
the
inte
rven
tion.
stak
ehol
ders
.
Fin
anci
ng
– a
mo
un
t an
d
sou
rce
CN
PI:
crea
tion
of e
nter
pris
e so
lidar
ity fu
nds
for
AR
T (
with
mon
thly
con
trib
utio
n fr
om e
mpl
oyer
s an
d w
orke
rs).
Sup
port
for
proj
ect p
ropo
sals
by
the
ente
rpris
e co
mm
ittee
s to
the
Wor
ld B
ank
MA
P, G
loba
l Fun
d, P
EP
FA
R, e
tc.
FK
E: f
rom
UN
DP
, Wor
ld B
ank,
ILO
(an
d te
chni
cal s
uppo
rt);
res
ourc
es fr
om
Gov
ernm
ent a
genc
ies,
NG
Os
and
othe
r co
mm
unity
-bas
ed o
rgan
izat
ions
to
exte
nd H
IV/A
IDS
ser
vice
s fr
om th
e w
orkp
lace
to th
e co
mm
unity
.
CN
PM
: spe
cial
fund
for
the
care
of t
he w
orke
rs in
fect
ed b
y H
IV/A
IDS
, and
su
ppor
t for
affe
cted
fam
ilies
.
FU
E: f
inan
cial
ass
ista
nce
from
US
AID
, UN
DP
, NO
RA
D (
thro
ugh
the
Con
fede
ratio
n of
Nor
weg
ian
Bus
ines
s an
d In
dust
ry)
UG
TC
I: fin
anci
al s
uppo
rt fr
om th
e W
orld
Ban
k fo
r th
e ed
ucat
ion
sect
or
prog
ram
me.
CO
TU
(K
): p
lans
to e
stab
lish
a fu
nd to
miti
gate
soc
io e
cono
mic
impa
ct.
Don
or s
uppo
rt fr
om IC
FT
U-A
FR
O a
nd th
e N
atio
nal A
IDS
Con
trol
Cou
ncil.
MC
TU
: fin
anci
al a
nd te
chni
cal s
uppo
rt fr
om U
SA
ID, U
ND
P a
nd U
NA
IDS
.
TU
CT
A: D
AN
IDA
, Can
adia
n La
bour
Con
gres
s (C
LC),
ICF
TU
AF
RO
.
ZC
TU
: cam
paig
n m
ater
ials
pro
duce
d w
ith fu
nds
from
ICF
TU
/AF
RO
. Tra
de
unio
ns n
egot
iato
rs tr
aini
ng in
col
lect
ive
barg
aini
ng te
chni
ques
with
fina
ncia
l su
ppor
t of F
ES
and
AF
RO
.
Par
tner
ship
s w
ith
oth
er
inst
itu
tio
ns
(ou
tsid
e tr
ipar
tite
co
nst
itu
ency
)
GE
A: U
NF
PA
and
the
Cen
tre
for
AID
S In
form
atio
n N
etw
ork
(NG
O).
FK
E: F
amily
Hea
lth In
tern
atio
nal,
US
AID
, DfiD
, AM
RE
F, P
SI,
DeD
(G
erm
an
deve
lopm
ent a
genc
y), t
he N
atio
nal A
IDS
Con
trol
Cou
ncil
(NA
CC
).
CN
PM
: col
labo
rate
d w
ith th
e go
vern
men
t in
the
fram
ewor
k of
the
sect
oral
pl
ans.
AT
E: c
ivil
soci
ety
orga
niza
tions
, NG
Os
and
faith
org
aniz
atio
ns. A
MR
EF
: T
anza
nia
Nat
iona
l Com
mis
sion
for
AID
S.
WC
FC
B: h
elp
from
the
Wor
ld B
ank,
the
Inte
rnat
iona
l Lab
our
Org
aniz
atio
n,
and
the
loca
l com
mun
ity.
UG
TC
I: re
crui
tmen
t of a
join
t foc
al p
oint
with
the
CN
PI.
Col
labo
ratio
n of
the
SY
NE
PP
CI (
teac
hers
trad
e un
ion)
with
the
Min
istr
y re
spon
sibl
e fo
r th
e fig
ht
agai
nst H
IV/A
IDS
.
CO
TU
(K
): s
hare
s re
sults
and
col
labo
rate
s w
ith o
ther
sta
keho
lder
s.
NO
TU
Uga
nda:
net
wor
king
and
co-
ordi
natio
n w
ith o
rgan
izat
ions
han
dlin
g H
IV/A
IDS
. Net
wor
king
with
AID
S In
form
atio
n C
entr
e.
TU
CG
: the
TU
C h
as s
et u
p a
Cer
tific
ate
in L
abou
r S
tudi
es in
col
labo
ratio
n w
ith th
e C
ente
r fo
r D
evel
opm
ent S
tudi
es, U
nive
rsity
of C
ape-
Coa
st, i
nclu
ding
H
IV/A
IDS
. The
TU
C E
duca
tion
Dep
artm
ent c
olla
bora
tes
with
Gha
na S
ocia
l M
arke
ting
Fou
ndat
ion,
an
NG
O e
ngag
ed in
HIV
/AID
S e
duca
tion
for
wor
kers
.
ZC
TU
: coo
pera
tion
with
the
Zam
bia
Bus
ines
s C
oalit
ion
on H
IV/A
IDS
, the
C
hurc
h O
rgan
isat
ion
– K
ara
Cou
nsel
ling,
the
Nat
iona
l AID
S C
ounc
il of
Z
ambi
a, A
IDS
Law
, the
Zam
bia
Nat
iona
l Res
pons
e to
HIV
/AID
S, a
nd o
ther
N
GO
s.
24
3. A
ctiv
itie
s
Ad
voca
cy a
nd
aw
aren
ess-
rais
ing
CN
PI:
info
rmat
ion
to w
orke
rs a
nd th
eir
fam
ilies
for
beha
viou
r ch
ange
, ad
voca
cy o
n V
CT
, dis
trib
utio
n of
con
dom
s w
ith th
e sa
lary
pay
men
t bul
letin
, cr
eatio
n of
net
wor
k of
com
mitt
ees.
FK
E: w
ebsi
te fo
r pu
rpos
es o
f mak
ing
avai
labl
e va
rious
sec
tor
repo
rts
and
docu
men
ts to
mem
bers
and
oth
er in
tere
sted
sta
keho
lder
s, a
ded
icat
ed e
mai
l ad
dres
s to
faci
litat
e co
mm
unic
atio
n w
ith m
embe
rs, a
nd s
ensi
tisat
ion
of o
ver
10,0
00 w
orke
rs a
mon
g va
rious
ent
erpr
ises
. Con
fere
nces
to id
entif
y ex
ampl
es
of b
est p
ract
ice.
CN
PM
: Cam
paig
n of
info
rmat
ion
base
d on
the
“App
el d
e D
oual
a” to
rai
se
awar
enes
s of
chi
ef e
xecu
tives
.
AT
E: f
orum
s to
info
rm e
mpl
oyer
s on
the
mic
ro a
nd m
acro
econ
omic
co
nseq
uenc
es o
f HIV
/AID
S, a
nd to
em
phas
ize
hum
an r
esou
rces
dim
ensi
on.
Pap
er o
n “T
he R
espo
nse
of B
usin
ess
Em
ploy
ers
to th
e ch
alle
nge
of H
IV/A
IDS
an
d its
Impa
ct o
n B
usin
ess”
pre
sent
ed to
the
Ann
ual G
ener
al M
eetin
g in
Apr
il 20
01-
info
rmed
mor
e th
an 1
00 C
hief
Exe
cutiv
e O
ffice
rs.
WC
FC
B: a
rran
ges
info
rmat
ion
activ
ities
(po
ster
s an
d pa
mph
lets
etc
.) a
nd
trai
ns p
eer
educ
ator
s.
UG
TC
I: ad
voca
cy o
f the
wor
kers
to e
ncou
rage
them
to s
ubsc
ribe
the
trad
e un
ions
’ pro
gram
mes
to fi
ght a
gain
st H
IV/A
IDS
. Lob
byin
g fo
r aw
aren
ess-
rais
ing.
TU
CG
: mai
nstr
eam
ing
of H
IV/A
IDS
act
iviti
es, i
nclu
ding
edu
catio
nal
prog
ram
mes
, to
enab
le m
embe
rs to
mak
e in
form
ed d
ecis
ion
abou
t the
ir be
havi
our.
CO
TU
(K
): e
duca
tion
of m
embe
rs a
nd th
eir
fam
ilies
thro
ugh
wor
kers
’ aw
aren
ess
wor
ksho
ps o
n th
e ba
sics
of H
IV/A
IDS
. Pro
duct
ion,
di
strib
utio
n/ci
rcul
atio
n of
new
slet
ter.
Aw
aren
ess-
rais
ing
of le
ader
s in
the
Nat
iona
l Exe
cutiv
e an
d so
me
affil
iate
d un
ions
.
MC
TU
: pro
gram
me
focu
ses
on th
e ro
le o
f sho
p st
ewar
ds. C
arrie
d ou
t aw
aren
ess-
rais
ing
cam
paig
n in
200
1, in
col
labo
ratio
n w
ith M
inis
try
of H
ealth
, M
inis
try
of L
abou
r, e
mpl
oyer
s’ a
ssoc
iatio
n -
AID
S p
oste
rs o
n bu
ses,
co
ndom
s w
ere
dist
ribut
ed.
CS
TM
: the
trad
e un
ions
and
the
priv
ate
sect
or w
ere
mob
ilize
d fo
r th
e N
atio
nal D
ay w
ith a
war
enes
s-ra
isin
g an
d se
nsiti
zatio
n ac
tiviti
es. C
ST
M
orga
nize
d tr
aini
ng a
nd in
form
atio
n se
ssio
ns, a
s w
ell a
s di
scus
sion
in th
e tr
ade
unio
ns a
nd th
e en
terp
rises
to s
yste
mat
ize
info
rmat
ion
and
educ
atio
n.
TU
CT
A: a
war
enes
s-ra
isin
g to
the
wor
kers
thro
ugh
cam
paig
n m
eetin
gs a
t w
orkp
lace
s an
d se
min
ars.
NO
TU
Uga
nda:
nat
iona
l and
reg
iona
l wor
ksho
ps to
sen
sitiz
e tr
ade
unio
n m
embe
rs. I
nfor
mat
ion
and
awar
enes
s ca
mpa
igns
.
ZC
TU
: “C
rusa
de A
gain
st H
IV/A
IDS
” pr
ojec
t to
crea
te c
ritic
al a
war
enes
s.
Leg
al a
nd
po
licy
gu
idan
ce
(& s
ee a
bo
ve in
Co
des
an
d
po
licie
s)
FK
E: d
evel
opm
ent o
f sec
tor-
base
d po
lices
for
fight
ing
agai
nst H
IV/A
IDS
in th
e w
orkp
lace
with
a C
SR
com
pone
nt.
FU
E: i
nitia
tion
and
impl
emen
tatio
n of
pol
icie
s at
the
wor
kpla
ce.
UG
TC
I: su
ppor
ts th
e ad
optio
n an
d im
plem
enta
tion
of r
egul
atio
ns p
rote
ctin
g th
e w
orke
rs li
ving
with
HIV
/AID
S.
TU
CG
: uni
on p
olic
y en
cour
ages
affi
liate
s to
ens
ure
ther
e is
wor
kpla
ce p
olic
y on
HIV
/AID
S.
CO
TU
(K
): u
se o
f col
lect
ive
barg
aini
ng a
gree
men
t pro
cess
.
MC
TU
: var
ious
pol
icy
agre
emen
ts a
t int
erna
tiona
l lev
el th
roug
h th
e IC
FT
U &
G
loba
l Uni
ons.
NO
TU
Uga
nda:
Pro
tect
ion
of in
fect
ed w
orke
rs th
roug
h ne
gatio
ns e
spec
ially
in
col
lect
ive
barg
aini
ng a
gree
men
ts. P
rovi
de in
form
atio
n on
rel
evan
t in
tern
atio
nal l
abou
r st
anda
rds,
esp
ecia
lly th
e D
iscr
imin
atio
n C
onve
ntio
n N
o.
111
and
natio
nal l
aws
and
regu
latio
ns.
25
ZC
TU
: enc
oura
ges
and
guid
es c
olle
ctiv
e ba
rgai
ning
to e
nsur
e H
IV/A
IDS
pr
ovis
ions
incl
uded
in e
mpl
oym
ent c
ontr
acts
and
wor
kpla
ce p
olic
es.
Dev
elop
men
t of s
peci
fic p
olic
y fo
r m
edic
al s
ecto
r, e
duca
tion
sect
or,
univ
ersi
ties
and
hote
l ind
ustr
y.
Tra
inin
g
(& s
ee P
art
2. T
rain
ing
m
anu
als,
als
o P
reve
nti
on
b
elo
w)
CN
PI:
trai
ning
for
mem
bers
of t
he e
nter
pris
e co
mm
ittee
s to
bec
ome
peer
ed
ucat
ors
(car
ried
out b
y bi
part
ite u
nit)
.
GE
A: t
rain
ing
of w
orkp
lace
HIV
/AID
S fo
cal p
erso
ns a
nd c
ouns
ello
rs.
FK
E: t
rain
ing
for
hum
an r
esou
rces
man
ager
s an
d he
ads
of d
epar
tmen
t. T
rain
ing,
equ
ippi
ng a
nd fa
cilit
atin
g an
est
imat
ed 1
,000
HR
man
ager
s as
an
imat
ors
in 2
004
and
2005
.
AT
E: t
rain
ing
for
key
reso
urce
per
sons
i.e.
man
ager
s, s
uper
viso
rs, p
erso
nnel
of
ficer
s, p
eer
educ
ator
s, w
orke
rs’ r
epre
sent
ativ
es, h
ealth
and
saf
ety
offic
ers,
an
d fa
ctor
y la
bour
insp
ecto
rs
FU
E: t
rain
ing
for
man
agem
ent a
nd u
nion
offi
cial
s, p
eer
educ
atio
n m
odel
ta
ilore
d to
beh
avio
ur c
hang
e, s
elec
tion
of tr
aine
rs a
s co
unse
llors
, vid
eota
pes
used
for
trai
ning
pur
pose
s be
nefit
ing
mem
bers
of t
he la
bour
forc
e, fa
mili
es,
and
depe
ndan
ts a
nd im
med
iate
nei
ghbo
urho
od.
UG
TC
I: tr
aini
ng o
f tra
iner
s an
d fo
cal p
oint
s in
the
nine
reg
iona
l uni
ons,
als
o th
e in
tern
al c
omm
ittee
s. C
apac
ity b
uild
ing
wor
ksho
ps a
nd a
dapt
atio
n of
the
natio
nal m
ulti-
sect
oral
pla
ns o
rgan
ized
by
the
Min
istr
y re
spon
sibl
e fo
r th
e fig
ht a
gain
st H
IV/A
IDS
.
TU
CG
: edu
cato
rs in
the
affil
iate
d un
ions
trai
ned
as fo
cal p
erso
ns –
follo
w-u
p su
ppor
t thr
ough
qua
rter
ly m
eetin
gs. T
here
is q
uart
erly
mee
ting
for
thes
e ed
ucat
ors
to e
quip
men
t the
m. A
lso
educ
atio
n pr
ogra
mm
e fo
r fie
ld o
ffice
rs,
indu
stria
l rel
atio
ns o
ffice
rs a
nd s
ome
wor
kpla
ce le
ader
s. F
ive
sem
inar
s he
ld
to tr
ain
peer
edu
cato
rs a
nd c
reat
e fr
amew
ork
for
sust
aina
ble
trad
e un
ion
actio
n on
HIV
/AID
S. T
opic
s in
clud
ed: w
hy H
IV/A
IDS
is a
trad
e un
ion
issu
e;
wor
kpla
ce p
olic
y on
HIV
/AID
S; f
orm
atio
n of
HIV
/AID
S c
omm
ittee
and
its
role
at
the
wor
kpla
ce; p
reve
ntio
n of
occ
upat
iona
l exp
osur
e; a
nd e
ffect
s of
H
IV/A
IDS
on
prod
uctiv
ity.
CO
TU
(K
): tr
aini
ng o
f Occ
upat
iona
l Hea
lth In
spec
tors
, of p
eer
educ
ator
s,
faci
litat
ion
of tr
aini
ng o
f cou
nsel
lors
, tra
inin
g of
uni
on o
ffici
als
on H
IV/A
IDS
po
licy
at th
e w
orkp
lace
. Lea
ders
hip
capa
city
bui
ldin
g an
d pr
ojec
t ow
ners
hip.
T
rain
ing
of 6
00 r
esou
rcef
ul in
divi
dual
s (in
clud
ing
VC
T)
and
200
shop
st
ewar
ds (
on H
IV/A
IDS
pol
icy)
. Sho
p st
ewar
ds in
trod
uced
to c
ouns
ellin
g an
d ho
me-
base
d ca
re.
MC
TU
: sho
p st
ewar
ds tr
aini
ng.
TU
CT
A: t
rain
ing
of tr
aine
rs a
nd w
orkp
lace
pee
r ed
ucat
ors
for
affil
iate
d un
ions
. 5 d
ay b
asic
cou
rse
on O
SH
for
Tra
de U
nion
Tra
iner
s (2
from
eac
h af
filia
te)
in A
ugus
t 200
2 –
thos
e tr
aine
d th
en tr
ain
wor
kpla
ce O
SH
re
pres
enta
tives
. Sub
ject
s in
clud
ed: o
ccup
atio
nal h
azar
ds, H
IV c
ouns
ellin
g,
colle
ctiv
e ba
rgai
ning
ski
lls, f
orm
ulat
ing
wor
kpla
ce p
olic
y an
d ho
me-
base
d ca
re.
NO
TU
Uga
nda:
trai
ning
of l
eade
rs, s
hop
stew
ards
and
mem
bers
on
issu
es
rela
ted
to H
IV/A
IDS
., al
so fa
ctor
y/la
bour
insp
ecto
rs n
otab
ly o
n in
clud
ing
HIV
/AID
S in
to o
ccup
atio
nal h
ealth
and
saf
ety
brie
fings
and
wor
kpla
ce
trai
ning
. Tra
inin
g of
cou
nsel
lors
, and
ass
ista
nce
for
wor
kers
with
HIV
/AID
S to
ob
tain
cou
nsel
ling.
ZC
TU
: tra
inin
g of
pee
r ed
ucat
ors
who
car
ry o
ut c
ontin
uous
edu
catio
n,
prev
entio
n an
d su
ppor
t pro
gram
me
at w
orkp
lace
and
dis
tric
t lev
els.
Tra
inin
g
26
of n
egot
iato
rs fr
om n
atio
nal u
nion
s in
col
lect
ive
barg
aini
ng te
chni
ques
to
incl
ude
HIV
/AID
S. A
dvan
ced
trai
ning
for
each
of t
he 2
6 na
tiona
l uni
on fo
cal
pers
ons.
4. K
ey is
sues
Sti
gm
a an
d d
iscr
imin
atio
n/
hu
man
rig
hts
pro
tect
ion
CN
PI:
awar
enes
s-ra
isin
g an
d ad
voca
cy c
ampa
igns
, str
essi
ng th
e ne
ed to
ke
ep th
e in
fect
ed p
erso
n in
the
fam
ily, t
he e
nter
pris
e an
d so
ciet
y.
AT
E: p
rivac
y an
d co
nfid
entia
lity,
and
pro
mot
ion
of a
wor
king
env
ironm
ent f
ree
of s
tigm
a an
d di
scrim
inat
ion
for
empl
oyee
s w
ith H
IV/A
IDS
or
perc
eive
d to
be
infe
cted
by
HIV
/AID
S
FU
E: t
he E
mpl
oyer
s’ S
tate
men
t of R
ecom
men
ded
Pra
ctic
es d
eals
with
di
scrim
inat
ion
and
stig
ma,
con
fiden
tialit
y, r
ecru
itmen
t and
con
tinue
d em
ploy
men
t.
WC
FC
B: n
on-d
iscr
imin
atio
n is
a k
ey p
rinci
ple:
em
ploy
ees
are
not r
equi
red
to
unde
rgo
HIV
scr
eeni
ng, d
irect
ly o
r in
dire
ctly
, all
empl
oyee
s ar
e gi
ven
equa
l op
port
uniti
es fo
r pr
omot
ion,
trai
ning
, tra
nsfe
rs a
nd a
ny o
ther
ince
ntiv
es; H
IV-
posi
tive
empl
oyee
s ar
e tr
eate
d lik
e w
orke
rs w
ith o
ther
chr
onic
sic
knes
s/
disa
bilit
y. C
onfid
entia
lity
also
ens
ured
.
TU
CG
: cam
paig
n fo
r re
spec
t of t
he r
ight
s of
peo
ple
livin
g w
ith H
IV w
ith
rega
rd to
em
ploy
men
t and
soc
ial s
ervi
ces.
NO
TU
Uga
nda:
pro
tect
ion
of v
ulne
rabl
e w
orke
rs a
nd e
limin
atio
n of
HIV
/AID
S
disc
rimin
atio
n at
wor
k. Id
entif
y in
divi
dual
wor
kpla
ce b
ehav
iour
, con
duct
or
prac
tices
whi
ch d
iscr
imin
ate
or a
liena
te w
orke
rs w
ith H
IV/A
IDS
, in
orde
r to
ef
fect
ivel
y co
mba
t suc
h co
nduc
t.
Pre
ven
tio
n (
incl
ud
ing
VC
T
and
beh
avio
ur
chan
ge)
CN
PI:
VC
T, c
ondo
m d
istr
ibut
ion,
cre
atio
n of
coo
rdin
atin
g co
mm
ittee
s in
the
ente
rpris
es, p
eer
educ
atio
n, a
dvoc
acy
cam
paig
ns. A
dvoc
acy
and
IEC
for
beha
viou
r ch
ange
und
erta
ken
by th
e bi
part
ite u
nit.
GE
A: a
dvoc
acy
and
educ
atio
n (p
eer
educ
ator
s, IE
C a
ctiv
ities
, sen
sitiz
atio
n of
ch
ief e
xecu
tives
and
man
agin
g di
rect
ors)
, cap
acity
bui
ldin
g (w
ith tr
aini
ng),
and
cr
eatin
g en
ablin
g en
viro
nmen
t, bo
ostin
g a
VC
T c
ampa
ign.
FK
E: p
roje
ct in
clud
es a
pee
r ed
ucat
ion
com
pone
nt (
trai
ning
, equ
ippi
ng a
nd
faci
litat
ing
HR
man
ager
s as
ani
mat
ors
in 2
004
and
2005
).
CN
PM
: col
labo
rate
d w
ith th
e M
inis
try
of H
ealth
to la
unch
info
rmat
ion
and
sens
itiza
tion
cam
paig
ns fo
r th
e tr
ansp
ort s
ecto
r. D
istr
ibut
ion
of p
oste
rs. F
ree
cond
oms
dist
ribut
ion,
IEC
, VC
T, a
nd s
ensi
tizat
ion
cam
paig
ns b
y th
e en
terp
rises
.
AT
E: V
CT
(fo
r w
orke
rs a
nd th
eir
spou
ses)
, inf
orm
atio
n an
d ed
ucat
ion,
pr
actic
al m
easu
res
to s
uppo
rt b
ehav
iour
cha
nge.
FU
E: e
duca
tion
and
prev
entio
n pr
ogra
mm
e –
incl
udes
beh
avio
ur c
hang
e.
Ach
ieve
men
ts: o
ver
10,0
00 p
eer
educ
ator
s tr
aine
d, 7
50 tr
aine
rs tr
aine
d, 2
00
top
exec
utiv
es s
ensi
tized
, 170
,000
wor
kers
rea
ched
, a d
ram
atic
vid
eota
pe
prod
uced
and
dis
trib
uted
, ove
r 10
,000
,000
con
dom
s di
strib
uted
. The
E
mpl
oyer
s’ S
tate
men
t of R
ecom
men
ded
Pra
ctic
es d
eals
with
com
mun
icat
ions
UG
TC
I: tr
aini
ng w
orks
hop
for
trai
ners
, rec
ruitm
ent a
nd tr
aini
ng o
f foc
al p
oint
s in
the
nine
reg
iona
l uni
ons.
IEC
act
iviti
es, i
nclu
ding
act
iviti
es fo
r te
ache
rs in
th
e so
uth
and
east
reg
ions
. Car
e an
d su
ppor
t for
200
teac
hers
and
orp
hans
. P
reve
ntio
n pr
ogra
mm
e to
rea
ch 8
0% o
f the
wor
kers
and
thei
r fa
mily
in a
ll th
e re
gion
s an
d to
red
uce
the
new
infe
ctio
ns b
y 90
%, t
hrou
gh p
eer
educ
ator
s an
d tr
aini
ng o
f tra
iner
s.
TU
CG
: edu
cate
s an
d en
cour
ages
mem
bers
to p
reve
nt th
emse
lves
and
thei
r fa
mili
es fr
om b
eing
infe
cted
, enc
oura
ges
posi
tive
attit
udes
am
ong
wor
kers
to
war
ds p
eopl
e liv
ing
with
AID
S, p
rom
otes
and
sup
port
s co
unse
lling
ser
vice
s fo
r m
embe
rs. S
pons
ors
med
ia p
rogr
amm
es o
n H
IV/A
IDS
.
CO
TU
(K
): m
obili
zatio
n an
d ed
ucat
iona
l act
iviti
es w
ith s
emin
ars
in le
ader
ship
m
eetin
gs, e
duca
tion
of m
embe
rs a
nd th
eir
fam
ilies
on
prev
entio
n an
d ca
re
(incl
udin
g in
the
hom
e), e
duca
tion
of p
eer
educ
ator
s. N
atio
nal l
eade
rshi
p se
min
ars,
pre
vent
ion
and
advo
cacy
wor
ksho
ps, s
hop
stew
ards
trai
ning
w
orks
hop,
Lab
our
Day
sen
sitiz
atio
n, T
oT w
orks
hop,
new
slet
ter,
Res
ourc
e C
entr
e de
velo
ped
equi
pped
with
vid
eo p
laye
r an
d T
V m
onito
r, d
istr
ibut
ion
of
cond
oms
and
disp
ense
rs, t
rain
ing
of c
ouns
ello
rs fo
r V
CT
site
at H
Q,
hand
outs
, IE
C m
ater
ials
- p
amph
lets
, fac
t she
ets,
T-s
hirt
s ca
ps, b
anne
rs e
tc.
MC
TU
: wor
ksho
p to
sho
w s
hop
stew
ards
how
to e
duca
te w
orke
rs in
pr
even
tive
mea
sure
s
27
polic
y, H
IV s
cree
ning
, pre
vent
ion.
Dev
elop
men
t and
upd
atin
g of
HIV
/AID
S
mat
eria
ls fo
r IE
C (
incl
. aud
iovi
sual
AID
S p
oste
rs, t
apes
, tra
inin
g m
anua
l, br
ochu
res
and
com
ic b
ooks
). A
dvic
e on
mas
s m
edia
.
WC
FC
B: i
nfor
mat
ion,
edu
catio
n an
d pr
even
tion
activ
ities
, inc
ludi
ng tr
aini
ng o
f pe
er e
duca
tors
and
wor
ksho
p to
em
pow
er e
mpl
oyee
s w
ith th
e kn
owle
dge
and
skill
s to
pre
vent
HIV
/AID
S. T
he B
oard
’s H
IV/A
IDS
pol
icy
is s
ubje
ct to
rev
iew
ta
king
into
acc
ount
beh
avio
ur c
hang
e by
em
ploy
ees.
prev
entiv
e m
easu
res.
CS
TM
: IE
C a
nd s
ensi
tizat
ion
activ
ities
are
to b
e in
tens
ified
in th
e ne
xt tw
o ye
ars
to c
hang
e be
havi
our
at th
e w
orkp
lace
.
NO
TU
Uga
nda:
impr
ovem
ent o
f atti
tude
s th
roug
h co
ntin
ued
educ
atio
n an
d se
nsiti
zatio
n. In
form
atio
n an
d aw
aren
ess
cam
paig
ns. I
nstr
uct w
orke
rs
(esp
ecia
lly h
ealth
-car
e w
orke
rs)
on th
e us
e of
Uni
vers
al P
reca
utio
ns a
nd
info
rm th
em o
f pro
cedu
res
to b
e fo
llow
ed in
cas
e of
exp
osur
e.
ZC
TU
: cam
paig
n m
ater
ials
pro
duce
d. M
ater
ials
dis
trib
uted
to n
atio
nal u
nion
s w
ith r
elat
ion
to w
orkp
lace
pro
gram
mes
. Est
ablis
hmen
t of m
obile
cou
nsel
ling
and
trai
ning
cen
tres
to e
ncou
rage
VC
T, a
nd a
pho
ne-in
“S
olid
arity
Life
Mai
l” C
ouns
ellin
g C
entr
e in
Lus
aka/
Kitw
e.
Car
e an
d s
up
po
rt (
incl
ud
ing
se
rvic
e p
rovi
sio
n)
CN
PI:
trea
tmen
t of o
ppor
tuni
stic
infe
ctio
ns a
nd A
RT
by
the
ente
rpris
es
(fin
ance
d at
100
% b
y th
e en
terp
rise)
– c
hild
ren
and
spou
ses
excl
uded
. The
ex
tens
ion
of A
RV
s to
rel
ativ
es to
the
wor
kers
is p
art o
f the
bip
artit
e un
it fu
ture
go
als.
AT
E: c
are
and
supp
ort,
heal
th p
rom
otio
n, o
ccup
atio
nal a
nd o
ther
ser
vice
s,
wor
ker
and
fam
ily a
ssis
tanc
e pr
ogra
mm
e, s
ocia
l sec
urity
cov
erag
e, a
nd
prov
isio
n of
ben
efits
and
oth
er s
ervi
ces
shou
ld b
e in
clud
ed in
any
inte
rven
tion
prog
ram
me
at th
e w
orkp
lace
. AT
E w
ill lo
bby
the
Gov
ernm
ent t
o m
ake
HA
AR
T
acce
ssib
le a
nd a
fford
able
to w
orke
rs a
nd th
eir
imm
edia
te fa
mily
mem
bers
. E
ncou
rage
s th
e co
mpa
nies
/org
aniz
atio
ns to
mai
nstr
eam
HIV
/AID
S in
hea
lth
care
pro
gram
mes
.
FU
E: t
he E
mpl
oyer
s’ S
tate
men
t of R
ecom
men
ded
Pra
ctic
es d
eals
with
soc
ial
prot
ectio
n an
d ca
re a
nd s
uppo
rt.
WC
FC
B: a
pol
icy
obje
ctiv
e is
to fa
cilit
ate
care
and
sup
port
to w
orke
rs in
fect
ed
and
affe
cted
by
HIV
/AID
S. S
ubsi
dies
70%
of m
edic
al c
are
cost
to m
embe
rs o
f st
aff a
nd th
eir
imm
edia
te fa
mily
. The
Boa
rd p
rovi
des
reas
onab
le a
ltern
ativ
e w
orki
ng a
rran
gem
ents
, enc
oura
ges
VC
T, t
rain
s co
unse
llors
.
CO
TU
(K
): s
hop
stew
ards
intr
oduc
ed to
cou
nsel
ling
and
hom
e-ba
sed
care
. P
rogr
amm
e ta
rget
ing
thos
e in
fect
ed a
nd a
ffect
ed (
espe
cial
ly w
idow
s an
d or
phan
s).
MC
TU
: org
aniz
ed w
orks
hop
to g
ive
care
and
ass
ista
nce
to th
ose
affe
cted
.
TU
CT
A: b
ipar
tite
wor
kpla
ce H
IV/A
IDS
pro
gram
mes
whe
re e
mpl
oyer
s pr
ovid
e A
RV
s -
with
the
follo
win
g co
mpa
nies
: Tan
zani
a C
igar
ette
s C
ompa
ny,
Tan
zani
a B
rew
erie
s Li
mite
d, K
aham
a M
inin
g B
ank
of T
anza
nia,
Tan
zani
a P
lant
atio
n an
d A
gric
ultu
ral s
ecto
r th
roug
h C
BA
.
NO
TU
Uga
nda:
hel
ps w
orke
rs w
ith A
IDS
-rel
ated
illn
esse
s to
acc
ess
reas
onab
le a
ccom
mod
atio
n. G
ives
wor
kers
the
oppo
rtun
ity to
exp
ress
and
di
scus
s th
eir
reac
tions
and
em
otio
ns c
ause
d by
HIV
/AID
S. I
nstr
ucts
wor
kers
(e
spec
ially
hea
lth-c
are
wor
kers
) on
the
use
of U
nive
rsal
Pre
caut
ions
and
in
form
s th
em o
f pro
cedu
res
to b
e fo
llow
ed in
cas
e of
exp
osur
e.
Gen
der
AT
E: g
ende
r-sp
ecifi
c pr
ogra
mm
es p
art o
f int
erve
ntio
ns a
t wor
kpla
ce
FU
E: t
he E
mpl
oyer
s’ S
tate
men
t of R
ecom
men
ded
Pra
ctic
es d
eals
with
ge
nder
.
WC
FC
B: t
he B
oard
exe
rcis
es g
ende
r eq
ualit
y w
hen
faci
litat
ing
the
prov
isio
n of
ca
re a
nd s
uppo
rt to
all
HIV
/AID
S e
mpl
oyee
s i.e
. no
segr
egat
ion
base
d on
sex
.
UG
TC
I: ad
voca
cy a
nd a
war
enes
s-ra
isin
g in
are
as w
here
ent
erpr
ises
em
ploy
m
any
wom
en.
CO
TU
(K
): w
orks
hop
for
wom
en (
ICF
TU
/AF
RO
spo
nsor
ship
) -
twen
ty w
omen
le
ader
s tr
aine
d in
var
ious
asp
ects
of H
IV/A
IDS
incl
udin
g pr
even
tion
of
mot
her
to c
hild
tran
smis
sion
. Gen
der
sens
itive
pro
gram
mes
(m
ore
than
200
m
othe
rs w
ere
sens
itize
d ex
clus
ivel
y on
PM
CT
)
MC
TU
: vul
nera
ble
pers
ons
such
as
youn
g gi
rls a
nd w
omen
can
be
take
n ad
vant
age
of, a
nd m
ore
wom
en a
re c
omin
g in
to th
e la
bour
forc
e. C
lear
28
polic
ies
need
to ta
ke in
to a
ccou
nt th
e m
ale
dom
inan
ce in
soc
iety
, the
ad
vers
e co
nseq
uenc
es o
f HIV
/AID
S o
n w
omen
, and
issu
es o
f dis
crim
inat
ion
and
term
inat
ion
in e
mpl
oym
ent.
NO
TU
Uga
nda:
wom
en s
tate
d as
a ta
rget
gro
up w
ith th
e tr
ade
unio
n le
ader
s,
shop
ste
war
ds, y
outh
and
ran
k an
d fil
e m
embe
rs.
Co
mm
un
ity
ou
trea
ch
CN
PI:
goal
is to
ext
end
care
and
sup
port
to th
e sp
ouse
s an
d ch
ildre
n of
the
wor
kers
.
FK
E: c
omm
unity
out
reac
h pr
omot
ed in
the
Cor
pora
te S
ocia
l Res
pons
ibili
ty
(CS
R)
stra
tegy
AT
E: w
orke
r an
d fa
mily
ass
ista
nce
prog
ram
me,
ext
ensi
on o
f int
erve
ntio
n se
rvic
es to
fam
ilies
and
com
mun
ity, a
nd lo
bbyi
ng to
the
gove
rnm
ents
to m
ake
HA
AR
T a
cces
sibl
e to
the
wor
kers
and
thei
r im
med
iate
fam
ily m
embe
rs.
FU
E: v
ideo
tape
s us
ed fo
r tr
aini
ng p
urpo
ses
bene
fitin
g m
embe
rs o
f the
labo
ur
forc
e, fa
mili
es, d
epen
dant
s an
d im
med
iate
nei
ghbo
urho
od p
opul
atio
n. C
ode
of
prac
tice
for
the
miti
gatio
n of
HIV
/AID
S im
pact
on
wor
kers
and
thei
r fa
mili
es.
UG
TC
I: pe
er e
duca
tors
and
trai
ners
trai
ning
to r
each
80%
of t
he w
orke
rs a
nd
thei
r fa
mili
es in
all
the
regi
ons.
TU
CG
: HIV
/AID
S a
war
enes
s –r
aisi
ng c
ampa
ign
espe
cial
ly fo
r w
orke
rs a
nd
thei
r fa
mili
es.
CO
TU
(K
): e
duca
tion
and
coun
selli
ng fo
r m
embe
rs o
n ho
w to
offe
r ca
re a
nd
supp
ort i
n th
e w
orkp
lace
and
at h
ome.
Wor
ksho
p fo
r el
ders
, you
th a
nd
wom
en. P
rovi
des
supp
ort t
o or
phan
s an
d w
idow
s in
clud
ing
the
prov
isio
n of
ba
sic
nece
ssiti
es, f
ood
supp
lem
ents
, tra
nspo
rt, s
choo
l uni
form
s, b
ooks
etc
.
NO
TU
Uga
nda:
you
th a
nd r
ank
and
file
mem
bers
incl
uded
in th
e ta
rget
gr
oups
.
Sec
tora
l act
ivit
ies
FK
E: t
ea, s
ugar
and
cof
fee
indu
strie
s, fl
ower
-pro
duct
ion
and
tour
ism
. F
acili
tato
rs’ t
rain
ing
man
ual a
nd s
ecto
r-sp
ecifi
c po
licie
s an
d gu
idel
ines
.
CN
PM
: IE
C c
ampa
ign
for
the
tran
spor
t sec
tor
(with
the
Min
istr
y of
Hea
lth).
AT
E: r
oad
tran
spor
t, m
inin
g, c
omm
erci
al a
gric
ultu
re p
lant
atio
ns
FU
E: r
ural
sec
tor
e.g.
tea
esta
tes
and
suga
r pl
anta
tions
.
UG
TC
I: co
oper
ates
with
the
sect
oral
pla
n of
labo
ur. A
war
enes
s-ra
isin
g ac
tiviti
es in
fish
ing
and
cons
erva
tion,
zen
ith-p
last
ic, t
rade
, and
food
pr
oces
sing
. Tra
de u
nion
s of
the
publ
ic s
ecto
r ha
ve d
raft
prog
ram
mes
, pa
rtic
ular
ly in
the
educ
atio
n se
ctor
(pr
imar
y sc
hool
) w
here
a b
road
pr
ogra
mm
e of
adv
ocac
y an
d pr
even
tion
is b
eing
und
erta
ken
at n
atio
nal a
nd
regi
onal
leve
l. A
dapt
atio
n of
the
natio
nal m
ulti-
sect
oral
pla
ns o
rgan
ized
by
the
HIV
/AID
S M
inis
try.
CO
TU
(K
): s
ensi
tizat
ion
of 6
,000
pla
ntat
ion
and
fact
ory
wor
kers
.
CS
TM
: act
iviti
es to
be
deve
lope
d in
the
tran
spor
t, bu
ildin
g an
d m
etal
lurg
y se
ctor
s.
TU
CT
A: m
ultis
ecto
ral a
ppro
ach
unde
r w
hich
eve
ry s
ecto
r cu
rren
tly in
volv
ed.
HIV
/AID
S C
ode
of P
ract
ice
for
Agr
icul
ture
and
Pla
ntat
ion
Wor
kers
’ Uni
on.
NO
TU
Uga
nda:
hea
lth-c
are
wor
kers
.
ZC
TU
: med
ical
sec
tor,
edu
catio
n se
ctor
, uni
vers
ities
and
hot
el in
dust
ry.
Nat
iona
l airp
orts
coo
pera
tion,
ban
ks, N
atio
nal P
ensi
on S
ocia
l Sec
urity
A
utho
rity,
Nat
iona
l Rev
enue
Aut
horit
y, Z
ambi
a T
elec
omm
unic
atio
n C
ompa
ny, Z
ambi
a E
lect
ricity
Sup
ply
Coo
pera
tion,
min
ing
indu
stry
, sel
ecte
d co
mpa
nies
in th
e co
mm
erci
al a
nd th
e in
dust
rial s
ecto
rs.
Info
rmal
sec
tor
GE
A: c
olla
bora
tes
with
CA
IN (
NG
O)
to c
over
the
info
rmal
sec
tor
UG
TC
I: th
e U
GT
IC d
evel
ops
prog
ram
mes
in a
ll en
terp
rises
of t
he fo
rmal
and
th
if
lt
29
CN
PM
: the
pla
n of
act
ion
targ
ets
the
info
rmal
as
wel
l as
the
form
al s
ecto
r.
FU
E: e
ncou
rage
s al
l mem
ber
and
non-
mem
ber
orga
niza
tions
bot
h in
the
form
al a
nd th
e in
form
al s
ecto
rs to
follo
w th
e S
tate
men
t whi
le fo
rmul
atin
g in
divi
dual
org
aniz
atio
nal p
olic
ies
on H
IV/A
IDS
at t
he w
orkp
lace
.
the
info
rmal
sec
tor.
5. C
hal
len
ges
/co
nst
rain
ts
GE
A: i
nitia
l lac
k of
cap
acity
and
exp
ertis
e re
latin
g to
HIV
/AID
S. N
eed
for
a fu
ll tim
e co
ordi
nato
r. L
ack
of k
now
ledg
e ab
out t
he p
ande
mic
at t
he w
orkp
lace
w
hich
mad
e it
diffi
cult
to o
pera
te w
ithin
the
targ
eted
pop
ulat
ion.
Ser
o-po
sitiv
e w
orke
rs w
ere
not w
illin
g to
ope
n up
to h
elp
in th
e cr
usad
e. N
eed
to in
volv
e al
l th
e op
erat
ors
in th
e w
orkp
lace
act
iviti
es. N
eed
for
seni
or m
anag
emen
t co
mm
itmen
t, in
clud
ing
thei
r su
ppor
t for
pee
r ed
ucat
ors.
Nee
d fo
r en
ough
W
orkp
lace
HIV
/AID
S C
ouns
ello
rs to
ens
ure
the
succ
ess
of V
CT
pro
gram
mes
. Jo
int p
rogr
amm
es b
y al
l sta
keho
lder
s to
opt
imis
e sc
arce
res
ourc
es a
t the
w
orkp
lace
.
CN
PM
: the
dra
ft pr
ojec
t men
tione
d in
its
“pla
n of
act
ion”
nee
ds fu
ndin
g pa
rtne
rs fo
r its
impl
emen
tatio
n.
FU
E: t
ime
to b
e al
loca
ted
by th
e en
terp
rises
for
HIV
/AID
S p
rogr
amm
es,
stru
ctur
al a
djus
tmen
t pol
icie
s (w
hich
cau
sed
trai
ners
to b
e lo
st th
roug
h st
aff
cutb
acks
), c
onfli
ctin
g m
essa
ges
from
faith
-bas
ed o
rgan
izat
ions
, pov
erty
, di
fficu
lties
to r
each
rur
al s
ecto
r, e
stab
lishm
ent o
f a d
atab
ank,
fund
ing
and
sust
aina
bilit
y, h
igh
med
ical
cos
t to
expa
nd c
are
and
trea
tmen
t to
fam
ilies
WC
FC
B: t
here
is a
nee
d to
enc
oura
ge e
mpl
oyee
s to
cha
nge
thei
r lif
e st
yle
– so
cial
ly a
nd m
oral
ly. T
he B
oard
nee
ds th
e in
terv
entio
n of
the
Gov
ernm
ent o
f th
e R
epub
lic o
f Zam
bia
and
othe
r st
akeh
olde
rs s
uch
as C
hurc
hes
and
NG
Os
for
them
to a
ctiv
ely
diss
emin
ate
info
rmat
ion
sinc
e th
ey h
ave
the
mea
ns to
re
ach
the
gras
sroo
ts le
vel o
f soc
iety
.
UG
TC
I: st
igm
a an
d di
scrim
inat
ion
are
obst
acle
s to
VC
T.
CO
TU
(K
): la
ck o
f fun
ds, l
ack
of c
omm
itmen
t fro
m s
ome
trad
e un
ion
lead
ers,
di
scrim
inat
ion,
beh
avio
ur a
mon
g th
e yo
uth,
and
failu
re to
incl
ude
HIV
/AID
S
prov
isio
ns in
col
lect
ive
barg
aini
ng a
gree
men
ts. N
eed
to w
ork
in p
artn
ersh
ip
with
don
or a
genc
ies,
the
man
agem
ent,
the
FK
E, t
he IL
O, t
he G
FA
TM
and
th
e G
over
nmen
t as
a te
am. A
ll tr
ade
unio
ns s
houl
d pu
t in
plac
e H
IV/A
IDS
ed
ucat
ion
prog
ram
me
and
gene
rate
trai
ning
mat
eria
ls a
nd in
cent
ives
. Mor
e re
sour
ces
requ
ired
to p
urch
ase
and
dist
ribut
e A
RV
s.
MT
CU
: cul
tura
l and
rel
igio
us p
ract
ices
, gov
erna
nce
and
pove
rty,
div
ersi
ty in
te
rms
of la
ngua
ge, r
elig
ion
and
ethn
icity
. O
ther
cha
lleng
es a
re th
e fo
llow
ing:
co
ntin
uing
dis
crim
inat
ion,
dev
elop
ing
prog
ram
mes
for
mob
ile p
opul
atio
ns
and
thei
r pa
rtne
rs, h
ow to
ext
end
assi
stan
ce to
orp
hans
, dev
elop
men
t of
hum
an c
apac
ity, h
ow to
pro
vide
car
e su
stai
nabl
e su
pply
of d
rugs
(A
RV
S).
Nee
d fo
r in
crea
sed
sens
itiza
tion
cam
paig
ns th
roug
h its
affi
liate
s, fo
r in
crea
sed
part
ners
hips
, for
the
Gov
ernm
ent t
o co
mm
it in
crea
sed
reso
urce
s,
and
for
mon
itorin
g an
d ev
alua
tion
of a
ctiv
ities
.
NO
TU
Uga
nda:
Lac
k of
fund
s to
sen
sitiz
e al
l wor
kers
in th
e co
untr
y. L
ack
of
co-o
pera
tion
amon
g so
me
empl
oyer
s. D
iscr
imin
atio
n in
som
e ca
ses,
and
la
ck o
f con
fiden
tialit
y. S
exua
l har
assm
ent.
Nee
d to
ens
ure
VC
T, p
rote
ct th
e rig
hts
of b
oth
the
infe
cted
and
affe
cted
wor
kers
, inc
ludi
ng s
ick
leav
e. E
ngag
e em
ploy
ers
to p
rovi
de A
RV
s an
d sh
ow th
at H
IV d
oes
not m
ean
AID
S. S
et u
p ne
twor
k of
HIV
/AID
S C
omm
ittee
s at
wor
kpla
ces,
use
dra
ma.
Tra
nsla
te
trai
ning
man
ual.
Acr
onym
s:
Em
ploy
ers:
C
NPI
C
onse
il N
atio
nal d
u Pa
tron
at I
voir
ien
GE
A
Gha
na E
mpl
oyer
s’ A
ssoc
iatio
n FK
E
Fede
ratio
n of
Ken
ya E
mpl
oyer
s C
NPM
Con
seil
Nat
iona
l du
Patr
onat
du
Mal
i
30
AT
E
Ass
ocia
tion
of T
anza
nia
Em
ploy
ers
FUE
Fe
dera
tion
of U
gand
a E
mpl
oyer
s al
so in
clud
ed is
the
para
stat
al W
CFC
B (
Wor
kers
’ C
ompe
nsat
ion
Fund
Con
trol
Boa
rd, Z
ambi
a) a
s an
exa
mpl
e of
indi
vidu
al e
mpl
oyer
act
ion
(but
not
rep
rese
ntin
g th
e em
ploy
ers’
fed
erat
ion
of Z
ambi
a)
Wor
kers
: U
GT
CI
U
nion
Gén
éral
e de
s T
rava
illeu
rs d
e C
ôte
d’Iv
oire
T
UC
G
T
rade
Uni
on C
ongr
ess
of G
hana
C
OT
U (
K)
Cen
tral
Org
anis
atio
n of
Tra
de U
nion
s K
enya
M
CT
U
M
alaw
i Con
gres
s of
Tra
de U
nion
s (H
otel
Foo
d an
d C
ater
ing
Wor
kers
Uni
on)
CST
M
C
onfé
déra
tion
Synd
ical
e de
s T
rava
illeu
rs d
u M
ali
TU
CT
A
T
rade
Uni
on C
ongr
ess
of T
anza
nia
NO
TU
Uga
nda
Nat
iona
l Org
anis
atio
n of
Tra
de U
nion
s (N
OT
U)
Uga
nda
ZC
TU
Z
ambi
a C
ongr
ess
of T
rade
Uni
ons
MeetingReport
MeetingReport
Meeting Report
MeetingReport
ILOAIDSInternational Labour Offi ce4, route des MorillonsCH-1211 Geneva 22SwitzerlandTel: +41 22 799 64 86E-mail: [email protected]: http//www.ilo.org/aids
IOE-ICFTU meeting to launchjoint action planson HIV/AIDS in Africa
ILO, Geneva
30-31 March 2004
5
ILOMeeting Report
AIDS