hiv/aids mainstreaming in the workplace: an experience of cso’s tanzania aids forum hiv/aids...
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HIV/AIDS mainstreaming in the workplace: an experience of
CSO’s
Tanzania AIDS Forum
HIV/AIDS Technical review meeting Blue Peal Hotel,Dar Es Salaam 30th October 2008
About Tanzania AIDS Forum
Tanzania AIDS Forum (TAF) is an open network which brings together all HIV and AIDS organizations in Tanzania.
TAF was launched in May 2006 The main objective of TAF is to bring
together CSO’s to have one voice on advocating issues on HIV/AIDS, health and gender in Tanzania
Facilitate learning and sharing of knowledge, lessons and experiences among CSOs.
High level engagement in policy and legal processes related to social cultural and economical issues.
Establishment of comprehensive mechanisms for Capacity building among members
Provide conducive atmosphere that will facilitate appropriate coordination and linkage among CSOs
Objectives for TAF
Current TAF membership base
ARUSHA
KAGERA
DODOMA
DAR ES SALAAM
Mwanza
Mbeya
TANGA
MOSHI
SHINYANGA
Rukwa
B’mulo
CSO’s experience in developing interventions at the work place
CSO’s have been among stakeholders that are positioned in the fore front on battle against HIV and AIDS since the first HIV cases were diagnosed in Tanzania in 1983
Some of the initiatives of CSO’s have been programmes targeting communities, but some have been programmes for internal and external mainstreaming of HIV/AIDS in the work place
Some of the outstanding examples of CSO’s implementing HIV in the work place include AMREF, HDT, Concern World Wide, TANESA, VSO to mention but a few.
Rationale for HIV/AIDS intervention at workplace
The disease cuts the labor supply and reduces profit for many institutions
Valuable skills and experience are being lost Most workers spend their time at work places Easy to reach workers Convenient area for workers/their family to
get HIV&AIDS information
Steps for effective HIV/AIDS programme at work place
Management sessions for rationale of the programme Conducting Baseline survey (KABP survey) Sensitization session to management and staff on Basic Facts
on HIV/AIDS Training of Peer Health Educators Provide on going information on HIV/AIDS and STI to staff Formulation of HIV/AIDS committee Developing participatory HIV policy at work place and
dissemination the policy
Steps cont....
Work plans and monitoring indicators including follow up survey
Ensure access to condoms Encourage VCT and sharing confidentiality Linking with services providers for care and support Forum for PHE, focal person and management Reach beyond the work place
Internal HIV/AIDS mainstreaming
CSO’s have been engaging in implementation of HIV/AIDS mainstreaming within their institutions to their workers, partners and families.
Experience shows that programmes which have been implemented vary from one organization to another
Major factors are size of organization, resources at disposal, management commitment and internal policies
Experience from Concern World Wide
Mainstreaming HIV in all guiding documents for in house HIV mainstreaming
Demand driven trainings among staff which include Prevention, care and treatment (ARV and OI), nutrition,, BCC, life skills,
Voluntary Counseling and Testing among staff
Experience from VSO
In house focused session on HIV knowledge Enabling the workplace to open up a dialogue for
HIV/AIDS facts Accommodate HIV/AIDS interventions and Care and
Support to Staff ( AAR) Orientation of new staff and volunteers on HIV/AIDS
and orientation of staff on National HIV guiding documents that include HIV policy, NMSF, MKUKUTA and HIV/AIDS act of 2008.
Experience from HDT
Interventions are implemented for both within HDT and to external institutions
In house programmes: Enabling the workplace to be user-friendly for discussion of HIV/AIDS issues
Prevention programme (Continuously educative sessions, avail condoms at work place and promotion of dialogue on HIV issues among workers)
Trainings on HIV facts, care and treatment, VCT, PMTCT and BCC
Technical support to External institutions
Situational analysis (KABP surveys) Designing of the workplace HIV/AIDS policy Trainings on BCC and peer educators Provision of IEC materials Monitoring and evaluation of the Programme Orientation on national HIV/AIDS guiding
documents such as NMSF,HIV/AIDS policy, MKUKUTA and HIV/AIDS act of 2008.
Achievements attained so far
About 40% of VSO partners have developed HIV/AIDS workplace programmes
Through WPP, the knowledge among staff on HIV/AIDS issues have been raised.
Change of attitude on HIV/AIDS matters including condom use
Increasing rate of behaviour change by practicing safe sex
Increasing rate of Voluntary HIV testing among staff
Challenges
Inadequate resources for implementing HIV/AIDS programmes in the work place among CSOs
Less knowledge among CSO’s on rationale for developing WPP
Lack of baseline information prior establishing interventions on HIV/AIDS
Lack of effective M&E for WPP There is still stigma and discrimination among
workers
Recommendations
Enforcement of policy, strategies and law for HIV WPP to be part of all corporate policy
Situational analysis should be conducted prior to interventions
CSO should be considered to receive funding for WPP
Advocacy (Govt, CSO) to development partners to fund WPP as part of the program
Need to ensure interventions are linked and result based especially for MDA
Summary of experience in national response
Community interventions increased, hard to reach areas remains suffering. Critical shortage of appropriate IEC and moving to skills based education than awareness
Participation in policy formulation improved, but still passive. Few district plans involve CSOs and few CSOs involve LGA
Largely activity based that strategic and not necessarily focused on NMSF targets
Capacity to design strategic interventions & monitoring challenging. Access to technology & challenging for CBO
Funding largely increased, but remained small mainly for programs with no core cost covered
Effective coordination among CSO still challenging but the start has been established. receiving less support! “Often big bang”
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