1. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info Blueprint For Business Action on HIV/AIDS Workplace prevention activities A presentation by George Wainaina Program Manager, Kenya HIV/AIDS Business Council

2. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info Introduction Why prevention is important? 1.Majority are negative….target the uninfected.E.g. 93% of Kenyans are negative 2. The social vaccine…in the absence of a cure 3.Commercial self interest…invest in prevention, get the dividends 4. Workplace provides captive audience.. Entry point to prevention

3. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info Prevention in the workplace Must be part of a response package as demonstrated in the building blocks model whose bedrock is the policy

4. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info AWARENESS, EDUCATION & PREVENTION, ETC Awareness programs Workplace discussion forums Peer group educators People living with HIV/AIDS (PLWHA) involved Condoms distributed In-house counselors VCT available Post exposure prophylaxis policy/procedure Site Committees on HIV/AIDS

5. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info Prevention in the workplace Must address critical success factors Create the necessary pillars that support prevention activities Be part of a comprehensive package that addresses all issues Ensure safe working environment, focusing on stigma and discrimination Best when it is part of the wellness programs

6. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info Critical success factors Content Form Implementation pathway with critical pillars

7. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info 1. Identify focal point/team 2. Baseline assessment 3.Develop a plan of action 4. Implement the various build block of a program 5. Monitor and evaluate 6. Implement lessons learnt 7. Ensure prevention fits overall policy and program activities

8. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info Leadership and commitment Policy, budget, management systems and structures Treatment, Care andSupport Voluntary counselingand testing IMPACT? Outcomes? Prevention, awareness& education Relevant partnerships Ext. Comm. & stakeholder mgt. M O N I T O R I N G A N D E V A L U A T I O N

9. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info FOCAL POINT/ WORKPLACE COMMITTEE & CONSULTANTS HEALTH CARE SERVICES OPERATIONAL COMMUNITY MANAGEMENT M & E INTEGRATED APPROACH POLICY, COMMITMENT FUNDS/RESOURCE ALLOCATION CLINICAL SERVICES VCT ARV PROVISION EMPLOYEES, PEER EDUCATORS, HR MANAGERS LABOR UNIONS FAMILIES CBOS NGOS & OTHER STAKEHOLDERS

10. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info Common pitfalls in prevention programs Failure to –target real problem- behaviour change –involve all levels of staff –allocate enough resources –Must address stigma and discriminations –mainstream HIV/AIDS into the business way of doing things –Sustain the program. Hit and run…not a once off activity lack of senior mgt. commitment Address cultural and gender issues

11. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info HIV/AIDS not a once off activity i.e not a hit and run activity. Need for continuous improvement calling for innovative approaches

12. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info PreventionTreatment Controls the epidemic, reducing the number of people in need of treatment and allowing better use of resources Reduces denial, stigma and discrimination Provides incentive to learn HIV status Preserves community structures, keeps families intact, and reduces size of at- risk populations such as widows and orphans Supports PLWHA who can educate others Lowers transmission risk PMTCT Plus program protects the mothers and the children Prevention and treatment: a virtuous cycle Dr. Jim Kim Director- HIV AIDS Department, World Health Organization

13. Downloaded from http://www.hiv-msd.infohttp://www.hiv-msd.info Thank you