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The Philippine Seafarers Assistance The Philippine Seafarers Assistance Programme Programme HIV/AIDS Education & Prevention Campaign HIV/AIDS Education & Prevention Campaign for Seafarers for Seafarers Transport Against HIV/AIDS: Continuing the Transport Against HIV/AIDS: Continuing the Mainstreaming Effort Mainstreaming Effort World Bank Headquarters, Washington, DC, USA World Bank Headquarters, Washington, DC, USA 28 November 2007 28 November 2007

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Page 1: The Philippine Seafarers Assistance Programme HIV/AIDS Education & Prevention Campaign for Seafarers Transport Against HIV/AIDS: Continuing the Mainstreaming

The Philippine Seafarers Assistance The Philippine Seafarers Assistance ProgrammeProgramme

HIV/AIDS Education & Prevention HIV/AIDS Education & Prevention Campaign Campaign

for Seafarersfor Seafarers

Transport Against HIV/AIDS: Continuing the Mainstreaming Transport Against HIV/AIDS: Continuing the Mainstreaming EffortEffort

World Bank Headquarters, Washington, DC, USAWorld Bank Headquarters, Washington, DC, USA28 November 200728 November 2007

Page 2: The Philippine Seafarers Assistance Programme HIV/AIDS Education & Prevention Campaign for Seafarers Transport Against HIV/AIDS: Continuing the Mainstreaming

About PSAPAbout PSAP

• A 26-year old grant-maintained charitable A 26-year old grant-maintained charitable foundation (foundation (stichting)stichting) registered in Rotterdam registered in Rotterdam

Historical funding support from: the ITF Seafarers Trust , AIDS Historical funding support from: the ITF Seafarers Trust , AIDS Fonds as well as international development cooperation Fonds as well as international development cooperation organizations like Oxfam-Novib, Cordaid, Bilance, and Misereororganizations like Oxfam-Novib, Cordaid, Bilance, and Misereor

• Port-based activities include direct person-to-person Port-based activities include direct person-to-person assistance services to Filipino seafarers especially in assistance services to Filipino seafarers especially in RotterdamRotterdam

• Education, networking, and empowerment initiatives Education, networking, and empowerment initiatives for the benefit of Filipino seafarers and their familiesfor the benefit of Filipino seafarers and their families

• Advocacy campaigns to promote seafarers’ rights Advocacy campaigns to promote seafarers’ rights and seafarers’ welfare and seafarers’ welfare

Page 3: The Philippine Seafarers Assistance Programme HIV/AIDS Education & Prevention Campaign for Seafarers Transport Against HIV/AIDS: Continuing the Mainstreaming

SHIP VISITINGSHIP VISITING

COPYRIGHT Philippine Seafarers Assistance Programme

Page 4: The Philippine Seafarers Assistance Programme HIV/AIDS Education & Prevention Campaign for Seafarers Transport Against HIV/AIDS: Continuing the Mainstreaming

Information dissemination via ship Information dissemination via ship visitingvisiting

COPYRIGHT Philippine Seafarers Assistance Programme

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Ship visiting as a community Ship visiting as a community serviceservice

COPYRIGHT Philippine Seafarers Assistance Programme

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About Filipino seafarersAbout Filipino seafarers

• The biggest nationality group in the The biggest nationality group in the global maritime workforce (up to global maritime workforce (up to 30% or +260,000 seafarers in 2006)30% or +260,000 seafarers in 2006)

• Contributed at least $2 billion in Contributed at least $2 billion in migrant workers remittances to migrant workers remittances to Philippine economy in 2006Philippine economy in 2006

• Seafarers account for the biggest Seafarers account for the biggest number of sero-positive persons number of sero-positive persons among overseas Filipino workers among overseas Filipino workers suffering from HIV (35-40%).suffering from HIV (35-40%).

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““Seafarers’ market” in Seafarers’ market” in ManilaManila

COPYRIGHT Philippine Seafarers Assistance Programme

Page 8: The Philippine Seafarers Assistance Programme HIV/AIDS Education & Prevention Campaign for Seafarers Transport Against HIV/AIDS: Continuing the Mainstreaming

About the Port of RotterdamAbout the Port of Rotterdam

• Biggest sea port in Europe Biggest sea port in Europe (30,000 ships/year; 378m MT)(30,000 ships/year; 378m MT)

• Some 500 Filipino seafarers Some 500 Filipino seafarers are in transit on any given dayare in transit on any given day

Page 9: The Philippine Seafarers Assistance Programme HIV/AIDS Education & Prevention Campaign for Seafarers Transport Against HIV/AIDS: Continuing the Mainstreaming

Dry dock in RotterdamDry dock in Rotterdam

COPYRIGHT Philippine Seafarers Assistance Programme

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Education & Prevention Education & Prevention CampaignCampaign

• 1996-19991996-1999

• 2000-present2000-present

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Early 1990s: the beginningsEarly 1990s: the beginnings

• Concerns and questions about HIV/AIDS Concerns and questions about HIV/AIDS heard from Filipino seafarersheard from Filipino seafarers

• PSAP ship visitors worry about their PSAP ship visitors worry about their incapacity to share proper information incapacity to share proper information on HIV/AIDSon HIV/AIDS

• Need for an education & awareness-Need for an education & awareness-raising programme for seafarers raising programme for seafarers recognizedrecognized

Page 12: The Philippine Seafarers Assistance Programme HIV/AIDS Education & Prevention Campaign for Seafarers Transport Against HIV/AIDS: Continuing the Mainstreaming

Challenge: How can a small Challenge: How can a small community- and port-based NGO community- and port-based NGO pursue a meaningful education pursue a meaningful education campaign on HIV/AIDS?campaign on HIV/AIDS?

• Limited guidance from national Limited guidance from national and international networks and international networks about “HIV/AIDS and Seafarers”about “HIV/AIDS and Seafarers”

• Highly mobile populationHighly mobile population

• Taboo and other cultural Taboo and other cultural peculiarities surrounding peculiarities surrounding

sex/sexualitysex/sexuality

Page 13: The Philippine Seafarers Assistance Programme HIV/AIDS Education & Prevention Campaign for Seafarers Transport Against HIV/AIDS: Continuing the Mainstreaming

1996-1999:1996-1999:ITF Seafarers Trust Project ITF Seafarers Trust Project OutputsOutputs • 8 HIV/AIDS educators completed training 8 HIV/AIDS educators completed training

administered by the municipal health department administered by the municipal health department (GGD) in Rotterdam(GGD) in Rotterdam

• Quarterly informal “peer group” social gatherings Quarterly informal “peer group” social gatherings with Filipino seafarerswith Filipino seafarers

• Annual mini-expo events for seafarers of all Annual mini-expo events for seafarers of all nationalities in Rotterdamnationalities in Rotterdam

• ““Singing Mate” – a biographical best-seller on a Singing Mate” – a biographical best-seller on a Filipino Seafarer with HIV/AIDSFilipino Seafarer with HIV/AIDS

• ““Play Safe” slogan & logo launched via sport Play Safe” slogan & logo launched via sport activities for seafarers; poem-postersactivities for seafarers; poem-posters

• Mainstreaming HIV/AIDS in bi-monthly Mainstreaming HIV/AIDS in bi-monthly ParolaParola (global (global circulation 10,000)circulation 10,000)

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HIV/AIDS expo for seafarersHIV/AIDS expo for seafarers

COPYRIGHT Philippine Seafarers Assistance Programme

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HIV/AIDS preventionfor seafarers asexemplified and

personified in thelives of seafarers

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HIV/AIDSLOGO

designed by a

seafarer,1998

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Safe sex poster Safe sex poster campaigncampaign

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OutcomesOutcomes

• Regular dissemination of HIV/AIDS information Regular dissemination of HIV/AIDS information materials by ship visitors, including one-to-one materials by ship visitors, including one-to-one counseling, using “be direct by being indirect" counseling, using “be direct by being indirect" communication techniquescommunication techniques

• ““Home away from home” strategies to discourage Home away from home” strategies to discourage risk-taking by seafarers on shore leave; resident risk-taking by seafarers on shore leave; resident community involvement as a form of interventioncommunity involvement as a form of intervention

• Consciousness-raising for PSAP, PSAP partners and Consciousness-raising for PSAP, PSAP partners and networksnetworks

• Commendations for PSAP’s port-based education Commendations for PSAP’s port-based education approach approach

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Seafarer-beneficiaries, yr. 2000 On Board Education

(by PSAP ship visitors) Estimated number of

seafarers accessed Level I - Minimum education:

passing of leaflets & materials/introductory discussion

5500

Level II - Average discussion: + input on STI’s, HIV transmission, & safe sex methods

2000

Level III - Maximum discussion & exchange: + demo of condom use and counseling

1000

Shore-based Education (by PSAP and partners)

Level I (by PSAP and community) 1500

Level II (by PSAP) 3800 Level III (by PSAP and GGD) 400

Total (local Rotterdam education campaign) 14200

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•Field research findingsField research findings

pre-departure orientation seminars for pre-departure orientation seminars for seafarers not effective in imparting seafarers not effective in imparting informationinformation

sexuality and sexual practices of sexuality and sexual practices of seafarersseafarers

identification of work-related factors that identification of work-related factors that increase risk-taking behaviourincrease risk-taking behaviour

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A Filipino seafarer’s trinity: Mother Mary, Wife, Wonder Woman

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2000-present:2000-present:Sustaining PSAP’s activities and Sustaining PSAP’s activities and interventionsinterventions

• Continuing distribution of education & prevention campaign Continuing distribution of education & prevention campaign materials, e.g., “Singing Mate”; HIV/AIDS features in Parola; materials, e.g., “Singing Mate”; HIV/AIDS features in Parola; GGD Rotterdam and SOA AIDS NL materialsGGD Rotterdam and SOA AIDS NL materials

• Integration of “peer gatherings on HIV/AIDS” to “Port-able Integration of “peer gatherings on HIV/AIDS” to “Port-able seafarers’ club” activitiesseafarers’ club” activities

• Training of Indonesian and African HIV/AIDS educatorsTraining of Indonesian and African HIV/AIDS educators

• Related health information campaigns for seafarers' wives & Related health information campaigns for seafarers' wives & families organizations in the Philippinesfamilies organizations in the Philippines

• Continuing linking-and-learning via international conferencesContinuing linking-and-learning via international conferences

• Motivating and assisting the graduate-level research work of Motivating and assisting the graduate-level research work of a Filipino medical doctor in the field of “Seafarers and a Filipino medical doctor in the field of “Seafarers and HIV/AIDS” HIV/AIDS”

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Continuing education Continuing education campaigncampaign

COPYRIGHT Philippine Seafarers Assistance Programme

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Training for HIV/AIDS Training for HIV/AIDS EducatorsEducators

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Working with seafarers families in the Working with seafarers families in the PhilippinesPhilippines

COPYRIGHT Philippine Seafarers Assistance Programme

Page 28: The Philippine Seafarers Assistance Programme HIV/AIDS Education & Prevention Campaign for Seafarers Transport Against HIV/AIDS: Continuing the Mainstreaming

SOME LESSONS LEARNEDSOME LESSONS LEARNED

Q: Does a port-basedQ: Does a port-based

education & education & preventionprevention

strategy work?strategy work?

A: YES, but …….A: YES, but …….

Page 29: The Philippine Seafarers Assistance Programme HIV/AIDS Education & Prevention Campaign for Seafarers Transport Against HIV/AIDS: Continuing the Mainstreaming

• A port-based strategy, while A port-based strategy, while insufficient, must be regarded as a insufficient, must be regarded as a necessary component of a wider necessary component of a wider and continuing transnational and continuing transnational programme on HIV/AIDS education programme on HIV/AIDS education & prevention for seafarers& prevention for seafarers

• Ship visiting is the vital foundation Ship visiting is the vital foundation of a port-based strategy on of a port-based strategy on HIV/AIDS preventionHIV/AIDS prevention

… limitations and opportunities

Page 30: The Philippine Seafarers Assistance Programme HIV/AIDS Education & Prevention Campaign for Seafarers Transport Against HIV/AIDS: Continuing the Mainstreaming

A seafarer’s voyage from A seafarer’s voyage from AWARENESSAWARENESS to to PREVENTIONPREVENTIONis possible because there isis possible because there is

TRUSTTRUST

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COPYRIGHT Philippine Seafarers Assistance Programme

Page 32: The Philippine Seafarers Assistance Programme HIV/AIDS Education & Prevention Campaign for Seafarers Transport Against HIV/AIDS: Continuing the Mainstreaming

COPYRIGHT Philippine Seafarers Assistance Programme

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COPYRIGHT Philippine Seafarers Assistance Programme

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COPYRIGHT Philippine Seafarers Assistance Programme

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COPYRIGHT Philippine Seafarers Assistance Programme

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COPYRIGHT Philippine Seafarers Assistance Programme

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COPYRIGHT Philippine Seafarers Assistance Programme

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COPYRIGHT Philippine Seafarers Assistance Programme

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COPYRIGHT Philippine Seafarers Assistance Programme

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Page 43: The Philippine Seafarers Assistance Programme HIV/AIDS Education & Prevention Campaign for Seafarers Transport Against HIV/AIDS: Continuing the Mainstreaming

Philippine Seafarers Assistance Philippine Seafarers Assistance ProgammeProgamme

Rotterdam, The NetherlandsRotterdam, The NetherlandsServing Filipino seafarers since 1981Serving Filipino seafarers since 1981

www.psap-parola.orgwww.psap-parola.org

Peter B. Payoyo, LL.M., Ph.D.Peter B. Payoyo, LL.M., Ph.D.

Programme ManagerProgramme ManagerTHANK YOU

28 November 2007