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Figure 2: Impact of the epidemic Deaths by age group, Namibia

Key facts about workplaces

Serv�ces, �ndustry, m�n�ng, trade, commerce and agr�culture (much of �t subs�stence agr�culture) form the bas�s of the Nam�b�an economy. A breakdown of data on workplaces �n d�fferent sectors prov�des the follow�ng p�cture of the world of work �n Nam�b�a.

Workers �n the publ�c sector (�nclud�ng parastatals) 89 �66

Number of Offices, Ministries and Agencies �8

Workers �n the pr�vate sector �69 ��7

Number of employers w�th �0-50 employees � 500

Number of employers w�th more than 50 employees � 000

The impact of the epidemic on workplaces

Ev�dence of the �mpact of HIV and AIDS �n the workplace has not yet been documented nat�onally, however the ep�dem�c threatens the world of work �n many ways; negat�vely �mpact�ng on the demand for, supply of and qual�ty of goods and serv�ces and, too often, creat�ng a m�smatch between human resources and labour requ�rements. The �llustrat�on below dep�cts what happens �n a typ�cal workplace.

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Increased absentee�sm

Increased staff turnover

Loss of sk�lls

Loss of �nst�tut�onal memory

Decl�n�ng morale

Costs relating to:

• Medical Aid cost cover• Ret�rement funds• Health and safety• Medical assistance• Funeral costs• Recru�tment costs• Tra�n�ng and retra�n�ng costs

Impact on profits and productivity:

• Decl�n�ng nat�onal �ncome and sav�ngs• Decl�n�ng markets, labour pool, suppl�ers• Increased demands for tra�n�ng and recru�tment• Decl�n�ng �ntellectual cap�tal• Decl�n�ng rel�ab�l�ty

HIV and AIDS workplace programmes – the challenges

Desp�te the fact that the ep�dem�c has taken �ts toll on workplaces �n every sector, the responses have, �n many �nstances, been less than opt�mal. Reasons for th�s are that:

• There �s often a lack of leadersh�p comm�tment and support for HIV and AIDS workplace programmes (WPP).

• HIV and AIDS are cons�dered to be a health �ssue to be dealt w�th by �nd�v�dual workers, rather than as a workplace �ssue.

• HIV and AIDS and WPP are not recogn�sed as a pr�or�ty by employers and managers and they are scept�cal about workplace HIV and AIDS �ntervent�ons, th�nk�ng that the t�me and cost requ�red w�ll comprom�se the�r operat�ons.

• Stigma and discrimination constitute significant barriers to the effective implementation of HIV and AIDS act�v�t�es �n the workplace.

• Desp�te �n�t�at�ves to encourage organ�sat�ons to have HIV and AIDS pol�c�es and programmes few have compl�ed.

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Access to Treatment, Care and Support Services

Invest�ng �n fac�l�tat�ng access to treatment, care and support serv�ces for employees who are HIV �nfected or affected can:

• Complement and enhance prevent�on;• Improve the�r qual�ty of l�fe and ma�nta�n the�r work�ng capac�ty; and• Decrease the soc�al �mpact of the ep�dem�c.

Importantly all the serv�ces should be part of a cont�nuum of �ntegrated, qual�ty care, as dep�cted below:

Figure 5: Framework for a continuum of care

TARGET GROUP NEEDS

All employees General l�fe sk�lls and HIV prevent�onSTI, TB prevent�on and carePromot�on of VCTAccess to VCT and PMTCTAccess to condoms

Infected and affected employees Access to HIV counsell�ng and test�ngCounsell�ngSupport groupsNetworks of PLWHAAccess to treatment and care serv�cesNutr�t�on �nformat�on

Infected employees – early HIV d�sease Hol�st�c care serv�ces and wellness management (cl�n�cal, psycholog�cal, soc�al, sp�r�tual and pos�t�ve prevent�on) Prophylax�s for opportun�st�c �nfect�ons (�ncl. TB)Integrated HIV/TB care

Infected employees – late HIV d�sease Treatment of opportun�st�c �nfect�onsARTSupport w�th success�on plann�ng, �nsurance, pens�on funds, etc.Pall�at�ve care serv�ces (�nclud�ng effect�ve pa�n rel�ef, management of symptoms and psychosoc�al and sp�r�tual support)

Affected employees Ass�stance w�th mater�al and phys�cal needsSp�r�tual and emot�onal supportAdv�ce about w�lls, pens�on funds and �nher�tance

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ORGANISATIONAND RESPONSIBLE PORTFOLIO

AREAS OF SUPPORT CONTACT DETAILS

German Techn�cal Cooperat�on (GTZ)/ DEDProgramme Manager

Technical and financial support for selected sectors

Tel: +�6� 6� �0��7�8Fax: +�6� 6� ���5��

Intra-health Capac�tyProgramme Coord�nator

VCT and BCC tra�n�ng support Tel: +�6� 6� �0�799Fax: +�6� 6� �0�797

Internat�onal Labour Organ�sat�onNat�onal Coord�nator

Techn�cal support to selected Ministries

Tel: +�6� 6� �066�75Fax: +�6� 6� �066�75

AIDS Law Un�tProject Coord�nator

Techn�cal support on pol�cy, legal and human r�ghts �ssues

Tel: +�6� 6� ����56Fax: +�6� 6� ���95�

L�fel�ne/Ch�ldl�ne Onl�ne psychosoc�al support Tel: +�6� 6� ��6889Fax: +�6� 6� ��689�

L�ronga EparuNat�onal Coord�nator

GIPA partnersh�ps, pos�t�ve speakers

Tel: +�6� 6� ���6�8/��Fax: +�6� 6� ���6�5

Ministry of Health and Social Welfare,Programme Manager

Techn�cal support and coord�nat�on, condom prov�s�on, and IEC mater�als

Tel: +�6� 6� �0��8�9Fax: +�6� 6� ����55

Ministry of Information and Broadcast�ng, Campa�gn and Exh�b�t D�v�s�onProgramme Manager

HIV/AIDS �nformat�on campa�gns and broadcast�ng

Tel: +�6� 6� �����6Fax: +�6� 6� �0690�

Ministry of Labour and Social Welfare HIV-FP

Techn�cal support, pol�c�es and gu�del�nes, and soc�al welfare grants

Tel: +�6� 6� �066��6Fax: +�6� 6� �066�07

NABCOAProgramme Coord�nator

Techn�cal and tra�n�ng support for pr�vate

Tel: +�6� 6� �78750Fax: +�6� 6� �78777

NANASONat�onal Coord�nator

Coord�nat�on c�v�l soc�ety Tel: +�6� 6� �6����Fax: +�6� 6� �6�778

!Nara Tra�n�ng CentreTra�n�ng Coord�nator

Tra�n�ng support Tel: +�6� 6� ���860Fax: +�6� 6� ���86�

NASOMAPromot�on Coord�nator

Condom prov�s�on, condom demonstrat�on support, IEC mater�als

Tel: +�6� 6� �56��7Fax: +�6� 6� �56���

NAWA L�fe (JHU)Media Manager

IEC mater�als, research Tel: +�6� 6� ��7950Fax: +�6� 6� ��795�

Nam�b�a Employment Federat�onSecretary General

Techn�cal support for d�fferent sectors

Tel: +�6� 6� ���089Fax: +�6� 6� ������

PACTO.D. Manager

Peer educat�on tra�n�ng, pos�t�ve speaker tra�n�ng

Tel: +�6� 6� �0�79�Fax: +�6� 6� �0�797

Polytechn�c of Nam�b�aProject Officer

WPP tra�n�ng support Tel: +�6� 6� �07����Fax: +�6� 6� �07���0

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NUNW/NAMDEF and other worker federat�onsEducat�on Coord�nators

Techn�cal support for d�fferent sectors

Tel: +�6� 6� ��50�7Tel: +�6� 6� �5��9�Fax: +�6� 6� ��5589

Office of the Prime Minister, Head of HIV Un�t

Regulates publ�c sector workplaces

Tel: +�6� 6� �87��9�Fax: +�6� 6� �87�500

MRLGHRD HIV UnitReg�onal coord�nator

Provide technical and financial support to Reg�onal Counc�ls

Tel: �6� 6� �975500Fax: �6� 6� ��60�9

Social Marketing Association:Programme Manager

Tra�n�ng related to test�ng, condoms demonstrat�on and condoms prov�s�on

Tel: +�6� 6� ���9�6Fax: +�6� 6� ���9�7

HIV/AIDS Commun�ty L�a�son Officers for all 13 regions Coord�nate Reg�onal and Local HIV/AIDS act�v�t�es.

Establ�sh and prov�de tra�n�ngs to CACOCs

See contact �nformat�on for Reg�onal Counc�ls �n table below

UNAIDS:Programme Officer

Provide technical and financial support

Tel: +�6� 6� �0�6���Fax: +�6� 6� �0�6���

UNDPHIV Programme Officer

Technical and financial support

Tel: +�6� 6� �0�6��6Fax: +�6� 6� ���95�

UNAMHIV Focal Person

Research, tra�n�ng on counsell�ng

Tel: +�6� 6� �06����Fax: +�6� 6� �06����

Women and Ch�ld Protect�onNat�onal Coord�nator

Prov�de Counsell�ng, legal serv�ces, referrals

Tel: +�6� 6� �09��95/6/7Fax: +�6� 6� ��06��

Reg�onal Counc�ls for all �� Reg�ons

Capr�v� Reg�onal Counc�l:HIV/ADS Commun�ty L�a�son Officer

Katima Mulilo Tel: +�6� 66 �5�0�6Fax: +�6� 66 �5�6�9

Erongo Reg�onal Counc�l: HIV/AIDS Commun�ty L�a�son Officer

Swakopmund Tel: +�6� 6� ��05700Fax: +�6� 6� ��0570�

Hardap Reg�onal Counc�l: HIV/AIDS Commun�ty L�a�son Officer

Mariental Tel: +�6� 6� ��5800Fax: +�6� 6� ��05�7

Karas Reg�onal Counc�l: HIV/AIDS Commun�ty L�a�son Officer

Keetmanshoop Tel: +�6� 6� ���900Fax: +�6� 6� ���5�8

Kavango Reg�onal Counc�l: HIV/AIDS Commun�ty L�a�son Officer

Rundu Tel: +�6� 66 �55�96Fax: +�6� 66 �550�6/�55789

Khomas Reg�onal Counc�l: HIV/AIDS commun�ty L�a�son Officer

W�ndhoek Tel: +�6� 6� �9���5Fax: +�6� 6� ��0��7

Kunene Reg�onal Counc�l: HIV/AIDS Commun�ty L�a�son Officer

Opuwo Tel: +�6� 65 �7�950/�7�Fax: +�6� 65 �7�077

Ohangwena Reg�onal Counc�l: HIV/AIDS Commun�ty L�a�son Officer

Eenhana Tel: +�6� 65 �6��00Fax: +�6� 65 �6�0��

Omaheke Reg�onal Counc�l: HIV/AIDS Commun�ty L�a�son Officer

Gobab�s Tel: +�6� 6� 56��9�Fax: +�6� 6� 56����

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Omusat� Reg�onal Counc�l: HIV/AIDS Commun�ty L�a�son Officer

Outap� Tel: +�6� 65 �5�0�9/�5����Fax: +�6� 65 �5�078

Oshana Reg�onal Counc�l: HIV/AIDS Commun�ty L�a�son Officer

Oshakat� Tel: +�6� 65 ��0���Fax: +�6� 65 ����9�

Osh�koto Reg�onal Counc�l: HIV/AIDS Commun�ty L�a�son Officer

Tsumeb Tel: +�6� 65 ����60/50Fax: +�6� 67 ��07�9

Otjozondjupa Reg�onal Counc�l:

HIV/AIDS Commun�ty L�a�son Officer

Otj�warongo Tel: +�6� 67 �0�70�Fax: +�6� 67 �0�760

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