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ICSW - S.H.I.P. Seafarers Health Information Programme Topic 7 : STIs, including HIV / AIDS.

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Presentation on theme: "ICSW - S.H.I.P. Seafarers Health Information Programme Topic 7 : STIs, including HIV / AIDS."— Presentation transcript:

1 ICSW - S.H.I.P. Seafarers Health Information Programme Topic 7 : STIs, including HIV / AIDS

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4 Maritime Sector >90% of World Trade is transported by Ship ± 1.2 million people work at sea: 450,000 officers = 2-5% shortage 750,000 ratings = 10-15% surplus 60 % from Asia >20% from The Philippines

5 Maritime Industry

6 Global sector: –fierce competition >> low wages –harsh working conditions –manning countries = cheap labor countries –manning agencies for recruitment and contract Maritime Sector

7 Threats and Challenges

8 Maritime Regulators IMO: Standards on Training, Certification & Watchkeeping STCW 95 treaty 1995 International Shipping & Port facilities Security ISPS Code 2001 SOLAS: Safety of Life at Sea MARPOL ILO: Maritime Labor Convention 2006

9 Seafarers Health Plenty occupational, physical, chemical and other health hazards: Construction, cargo, isolation, climate changes Noise, vibration, radiation Loading, discharging, cleaning, painting Travelling, accidents, infections, unsafe sex

10 Why S.H.I.P.? To stimulate seafarers to take responsibility for their health in the living and working environment onboard Healthier, fitter, safer…

11 Ten Topics Food Safety Fit on Board Safe travel Healthy food Malaria Overweight STI, HIV / AIDS Mental Care Dental Care Skin Care

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13 How? Pre-employment examination: clinics Health Policies: Shipping Companies Transit points: seafarers centers Ship visitors in ports Courses Website Sportsevents: ISS … Contact points

14 An intervention has to involve: Shipping Companies Unions Welfare Organizations IMHA ILO / IMO / WHO Seafarers and STIs, HIV / AIDS

15 –Shipping Companies: C.S.R. = Corporate Social Responsibility –Unions –Welfare Organizations –IMHA –ILO / IMO / WHO Seafarers and STIs, HIV / AIDS

16 C.S.R. The essence of corporate social responsibility (CSR) is that companies should not seek profits alone; they must conduct their business activities with consideration of society, the environment, and human rights, and strive for sustainable growth as part of the global and local community Corporations are one of the building blocks of modern society. And we have seen time and time again that when a company loses the trust of society, it is quite difficult to recover

17 C.S.R. & Health Health of employees is an integrated part of the organisation People are the most important asset in the organisation Every employee, on any level, has a unique contribution to create and maintain a healthy work environment and promote a healthy lifestyle Care for health of employees is an essential part of the success of an organisation Healthy employees improve the performance of the organisation

18 –Shipping Companies –Unions ITF = International Transport Workers Federation –Highway of Hope –AIDS coordinator ITF Seafarers Trust: startup funding for S.H.I.P. –Welfare Organizations –IMHA –ILO / IMO / WHO Seafarers and STIs, HIV / AIDS

19 –Shipping Companies –Unions –Welfare Organisations International Committee on Seafarers Welfare Faith-based Organisations: –AOS, MTS, BISS, DSM … Seafarers Centres –IMHA –ILO / IMO / WHO Seafarers and STIs, HIV / AIDS

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21 What Are We ? –A Charity registered in the UK –An international umbrella organisation dedicated to the implementation of the ILO Instruments on Seafarers Welfare. Convention 163 Recommendation 173

22 –Shipping Companies –Unions –Welfare Organisations –IMHA Maritime Medical Professionals Expertise & Research 2007 IMHA & ITF join to condemn HIV discrimination at sea –ILO / IMO / WHO Seafarers and STIs, HIV / AIDS

23 ILO / IMO / WHO 1988 IMO resolution A.639 (16): undesirability of HIV screening of crews and passengers on ships 1989 IMO/IMO/ WHO joint consultation: seafarers are not at particular risk of HIV infection in their occupational environment Seafarers and STIs, HIV / AIDS

24 HIV / AIDS is a maritime issue. Not only because it affects the workforce, but also because ships have a role to play in the wider struggle to limit the spread and effects of the epidemic

25 Seafarers and STIs,HIV / AIDS Risks and vulnerabilities: Working and living away from spouses and partners Working in isolation with limited social interaction and limited health facilities Single-sex working and living arrangements dominated by men, where women are in a small minority Limited control by the individual on protection against infection

26 The number of HIV positive seafarers is thought to be quite low, because of: Shorter turnaround time in ports Stringent duty and watch systems High workload ~ crew reduction Port facilities far away from town centers ISPS code: more stringent security systems Increased dangers and hostilities faced by seafarers in some regions …/… Seafarers and STIs,HIV / AIDS

27 Mandatory pre-employment testing in major manning countries Higher education and training level: –…Making choices… Drug and Alcohol policies: –dry ships Healthy worker effect True for all Seafarers? Seafarers and STIs,HIV / AIDS

28 Prevalence: Not enough facts and figures HIV prevalence among seafarers is not higher in most studies Prevalence of other STI is higher in most studies Absence of evidence evidence of absence Seafarers and STIs,HIV / AIDS

29 Prevalence: The Philippines: HIV +n=1611n=2484 OFW28%50-60% Seafarers 38% (n=171) UNAIDS estimate: n=12,000 Seafarers and STIs,HIV / AIDS

30 Prevalence: Higher in certain sailing areas? Patchy pattern of high prevalence? Like Corridors in road transport Higher in certain types of trade: e.g. cabotage? Seafarers and STIs,HIV / AIDS

31 Knowledge, Attitude, Behavior and Practice: Small group: sexually very active Large group: occasionally unsafe sex Small group: no risk at all Seafarers and STIs,HIV / AIDS

32 Knowledge, Attitude, Behavior and Practice: Knowledge: misconceptions Peers are more important than knowledge for behavioral change Use of condoms varies from 20% to 60% depending on the study Seafarers and STIs,HIV / AIDS

33 Challenges of a Maritime STI, HIV / AIDS Awareness Campaign: Neutrality of the message: –Tone, level, technicality –Culturally indifferent –No stigmatization Faith-based welfare organizations Participation of sector and community Seafarers and STI, HIV / AIDS

34 Guidelines on the Prevention of Sexually Transmitted Infections including HIV and AIDS Onboard Merchant Ships STI, you are part of it!... Trailer Three posters Questionnaires Health Promotion in a Shipping Company + PP Seafarers and STIs,HIV / AIDS

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36 A Campaign in Seven Steps 1.Why a Campaign on STI HIV AIDS for seafarers? 2.How to handle this? 3.What is important? 4.What needs to be done? 5.Start the campaign! 6.Have the goals been achieved? 7.Keep the momentum going! Seafarers and STIs,HIV / AIDS

37 A Campaign in Seven Steps 1.Create support for a STI HIV AIDS campaign 2.How to handle this? 3.What is important? 4.What needs to be done? 5.Start the campaign! 6.Have the goals been achieved? 7.Keep the momentum going! Seafarers and STIs,HIV / AIDS

38 A Campaign in Seven Steps 1.Create support for a STI HIV AIDS campaign 2.Set up a structure for a STI HIV AIDS campaign 3.What is important? 4.What needs to be done? 5.Start the campaign! 6.Have the goals been achieved? 7.Keep the momentum going! Seafarers and STIs,HIV / AIDS

39 A Campaign in Seven Steps 1.Create support for a STI HIV AIDS campaign 2.Set up a structure for a STI HIV AIDS campaign 3.Investigate what the target group needs and wants 4.What needs to be done? 5.Start the campaign! 6.Have the goals been achieved? 7.Keep the momentum going! Seafarers and STIs,HIV / AIDS

40 A Campaign in Seven Steps 1.Create support for a STI HIV AIDS campaign 2.Set up a structure for a STI HIV AIDS campaign 3.Investigate what the target group needs and wants 4.Make a plan for a STI HIV AIDS campaign 5.Start the campaign! 6.Have the goals been achieved? 7.Keep the momentum going! Seafarers and STIs,HIV / AIDS

41 A Campaign in Seven Steps 1.Create support for a STI HIV AIDS campaign 2.Set up a structure for a STI HIV AIDS campaign 3.Investigate what the target group needs and wants 4.Make a plan for a STI HIV AIDS campaign 5.Implement the campaign 6.Have the goals been achieved? 7.Keep the momentum going! Seafarers and STIs,HIV / AIDS

42 A Campaign in Seven Steps 1.Create support for a STI HIV AIDS campaign 2.Set up a structure for a STI HIV AIDS campaign 3.Investigate what the target group needs and wants 4.Make a plan for a STI HIV AIDS campaign 5.Implement the campaign 6.Evaluate 7.Keep the momentum going! Seafarers and STIs,HIV / AIDS

43 A Campaign in Seven Steps 1.Create support for a STI HIV AIDS campaign 2.Set up a structure for a STI HIV AIDS campaign 3.Investigate what the target group needs and wants 4.Make a plan for a STI HIV AIDS campaign Seafarers and STIs,HIV / AIDS 5.Implement the campaign 6.Evaluate 7.Adapt and continue

44 Key elements Website –www.seafarershealth.orgwww.seafarershealth.org –www.seafarerswelfare.org (ICSW)www.seafarerswelfare.org Campaign material

45 VII. THOU SHALT TAKE AND WEAR THY PROPHYLACTICS


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