Your Best Guess!

1. I L O Stands For? Immunology Laboratory Office I Love Oregon International Labor Organization D. Institute for Laboratory Operationalization Your Best Guess!

2. What does P E P F A R stand for? A. Population Evaluation Planning for All Regions B. People Everywhere Promoting AIDS Rights C. The U.S. President’s Emergency Plan for Aids Relief Your Best Guess!

3. The U.S. President’s Emergency Plan • Announced in the 2003 State of the Union Address • Five-year, $18.8 billion comprehensive approach to fighting HIV/AIDS around the world • Through the Emergency Plan, the U.S. Government is working with international, national and local leaders worldwide to support integrated prevention, treatment and care programs • Largest commitment ever by a single nation towards an international health initiative • U.S. now leads the world in its level of support for the fight against HIV/AIDS

4. Select Emergency Plan Achievements In fiscal year 2007, PEPFAR partnered with 2,217 local organizations — up from 1,588 in 2004 — and 87 percent of partners were local. Globally, as of September 30, 2007, PEPFAR supported: • Antiretroviral treatment for approximately 1.45 million men, women and children As of September 30, 2007, PEPFAR supported in the 15 focus countries: • PMTCT services for women during more than 10 million pregnancies • 33 million counseling and testing sessions for men, women and children • Care for more than 6.6 million, including more than 2.7 million orphans and vulnerable children

5. Multi Agency Effort The Coordinator's call to "leave their uniforms at the door" and come together in the common cause of turning the tide against the HIV/AIDS pandemic. -- Department of State (DoS)-- U.S. Agency for International Development (USAID)-- Department of Defense (DoD)-- Department of Commerce (DoC)-- Department of Labor (DoL)-- Department of Health and Human Services (HHS)-- Peace Corps

6. The Role of USDOL • USDOL has built up its expertise on HIV/AIDS workplace programs. It has managed Workplace Education Programs in 30 countries and collected data on workplace programs since 2002, investing in Monitoring & Evaluation to make future programs even more successful. • Working with PEPFAR, USDOL is collecting information and knowledge from ALL countries and programs, building a rich resource of best practices, tools available and evaluation data.

7. INITIAL RESULTS • Over 15,000 trained on HIV/AIDS prevention and discrimination. • Over 640 enterprises working with projects to implement policies, training, and programs. • Over 2 MILLION workers reached through the program.

8. INITIAL IMPACT Increase in accepting or supportive attitude towards HIV+ co- workers at workplace +33% in Ghana +11% in Togo +12% in Belize Increase in condom use during a sexual encounter with a non-regular partner within the past 3-6 month period +16% in Togo +15% in Belize +13% in Ghana

9. The Workplace and HIV/AIDS HIV/AIDS erodes economic development and stability by: • Decreasing the workforce – both management and employee base; • Causing stigma and discrimination in the workplace; • Depleting institutional knowledge; • Eroding the consumer base with the loss of heads of households; • Potentially increasing child labor.

10. Why Use The Workplace Model to Fight the HIV-AIDS Epidemic? • Employed adults spend most of their waking hours in the workplace. • Workers are a “captive” audience providing great opportunity to educate and influence behavior change. • Structures are in place for sharing information. • Multiple impacts achieved: educated workers share HIV/AIDS information at home/community, other services can reach same workers (Counseling and Testing).

11. PEPSICO INDIA The Approach: • PEPSICO in India has around 5500 employees in 39 offices, requested technical support from ILO. • ILO team met with the Management and discussed the approach. An internal committee set up to monitor the program, nodal division –HR. • A three phased work plan was developed, MOC signed and program launched in 2005. “ … Our HIV/AIDS response is not about philanthropy. It is our responsibility as it is about our survival. So, it is a basic HR function now. “ Pavan Bhatia, VP HR during the launch of programme

12. PEPSICO INDIA • An NGO at each regional level was identified and trained by ILO, along with the PEPSICO nodal persons. • A KABP survey was undertaken in a selected sample in all locations. • 60 Master Trainers trained in four regions. • The MasterTrainers held series of awareness programs to educate employees as well enroll 383 volunteers, for further training as peer educators.

13. PEPSICO INDIA • A Trainers’ kit prepared for Master Trainers: • ILO manual for workplace Master Trainers/Peer-Educators. • Pepsico HIV/AIDS Policy • ILO Card Game • CD containing key presentations and AV spots prepared by ILO • ILO posters reprinted in regional languages • A Red Ribbon

14. PEPSICO INDIA • PepsiCo allocated US$ 55,555 for the AIDS program in 2005. • Partnerships with VCTCs of government/NGOs set up. • The second phase of the program is now being developed to cover workers in the supply chains and set up effective linkages with the ART treatment centers.

15. Tea Estate Program in Malawi Satemwa Tea Estate – 2,900 employees High level absenteeism, management wanted HIV program ILO ran training program for staff Identified key focal points in divisions HIV committees established Draft HIV/AIDS policy for company Program being implemented – trained staff pass on information during picking hours or before work during meetings when tasks are assigned. Condom strategy called tolani nokha (help yourself). List of HIV services locally available, in response to worker requests.

16. ZAMBIA MATEP PROJECT • MATEP identifies HIV as constraint on export sector • Works through business associations e.g. Zambian Export Growers Association (ZEGA) • Demonstrate the program as a “Business priority” • Companies identify staff (1 per 100) to be trained as Awareness Educators • Educator conduct mini seminars for co-workers, based on schedule they developed and vetted through management • Incorporate into other MATEP trainings (e.g. export skills for small business)

17. RESULTS IN ZAMBIA Initially most firms resistant, now they are interested. “We were concerned about disturbing our production schedule. But after seeing the results from Borassus (a nearby farm) who had participated….we felt that we must do it as soon as possible” Bas Romkes of Floribo Farm. 352 Awareness Educators Reaching 50,953 individuals.

18. WORKPLACE: KEY ELEMENTS • Management and worker “buy-in” Examples include: • Policy developed by mangers and workers • Management publicly getting tested • Positives remaining on workforce • Disciplinary action for discriminatory practices or other violations of policy • Referral system to services • Condom distribution Can be applied anywhere, Beauty Salons to Apparel Factories to Banking Sector

19. SO WHAT CAN WE DO?

20. ILO CODE OF PRACTICE • HIV/AIDS committee is set up with representatives of top management, supervisors, workers, trade unions, human resources department, training department industrial relations unit, OSH unit, OSH committee, PLWHA (if agree) and defines its role in terms of reference • Review of national laws and implications • Assess impact/ needs with confidential survey

21. ILO CODE OF PRACTICE • Establish what services are already available, at enterprise and in local community (e.g.VCT) • Formulate a draft policy, circulated for comment, revised and adopted. *** • Policy and action plan are widely disseminated ** • Draft budget, seeking outside funds if necessary and identifying resource in local community. • Establish plan of action, with timetable and lines of responsibility to implement policy. • Monitor impact of policy

22. RESOURCES Get ready to write…

23. RESOURCES • ILO – www.ilo.org/aids • UNAIDS – www.unaids.org • UNDP – www.undp.org • WHO – www.who.int • The World Bank – www.worldbank.org • DFID – http://www.dfid.gov.uk/ • Family Health International – www.fhi.org/en/aidscap/aidscap • Centers for Disease Control and Prevention: BRTA (Business Responds to AIDS) – www.brta-lrta.org • International Training & Education Center on HIV – http://www.go2itech.org/ • CARE International – www.care.org • European AIDS and Enterprise Network – • International AIDS and Economic Network – www.iaen.org

24. RESOURCES • HIV-net – www.hivnet.ch • Asian Business Coalition on AIDS – www.abconaids.org • Malaysian AIDS Council – http://mac.org.my/ • World Economic Forum – www.weforum.org/globalhealth • Global Business Council – www.businessfightsaids.org • Business for Social Responsibility – www.bsr.org • International Business Leaders Forum (IBLF) – www.iblf.org • Strategically Managing HIV/AIDS Responses Together (Academy for Educational Development) – www.smartwork.org • The Futures Group International – www.tfgi.com • Business Exchange on AIDS and Development – • HIV-impact – www.edc.org/glgl/HIV-impact • Red Cross –

25. RESOURCES • Entertainment Industries Council (entertainment companies and unions) • National AIDS Fund – • National Association of People with AIDS – • The New England Corporate Consortium for AIDS Education – • AFL-CIO – Not reviewed : -- Merck www.hiv-msd.info/Blueprint/ -- Futures constellagroup.com/international-development/resources/software.php -- PSI www.psi.org/HIV/CAP.pdf -- Pharmaccess www.pharmaccess.org/

26. OR, JUST ASK FOR THE LIST Paula Church HIV/AIDS Coordinator US Department of Labor church.paula@dol.gov

27. Thank you For further information, please visit: www.PEPFAR.gov