HIV Prevention Knowledge Base
Structural Interventions: Workplace Interventions to Prevent HIV
Assessing HIV Risk in Workplaces for Prioritizing HIV Preventive Interventions in Karnataka State, India
Based on qualitative and quantitative formative research, the authors identify the manufacturing, mining, sugar, garment, fishing, and construction industries as high HIV risk sectors in Karnataka. Overall findings include low levels of knowledge about HIV transmission and low levels of condom access among workers. Where resources are limited, identification and prioritization of highest risk sectors is recommended. While findings are not generalizable, the structure of a table summarizing sector assessment results may have broader use for program planners. For each sector, the table presents sociodemographics, HIV risk factors, structural characteristics, and recommendations, noting advantages and disadvantages for each.
An Overview of HIV/AIDS Workplace Policies and Programmes in Southern Africa
With a substantial section on prevention programs, this overview of workplace policies in southern Africa includes a review of the scientific literature, working papers, and reports, supplemented by interviews with key informants. The authors identify HIV education, condom promotion, and counseling and testing as the most common workplace prevention interventions. While many private sector organizations may boast awareness programs and eager peer educators, workplace prevention programs are limited by lack of monitoring and evaluation, lack of tailoring of interventions to the company context, insufficient union support, and entrenched stigma. Quality is raised as a possible concern as well.
Estimating the Impact of Establishing Family Housing on the Annual Risk of HIV Infection in South African Mining Communities
Business Coalitions Tackling AIDS: A Worldwide Review
This snapshot of 4 regional and 47 national business coalitions demonstrates their role as an accessible channel for the private sector to participate in a multi-sectorial response to HIV. It shares best practices and lessons learned as well as highlighting where coalitions need more donor, academic, and international partner support. The report analyzes the different organizational models used and gives pointers to overcoming concerns about sustainability (put local needs at the forefront, engage stakeholders before launch, keep engaged with the private sector engagement, stay adaptable and foster in-house expertise). It concludes with Business Coalitions Tackling AIDS: Worldwide Directory.
Corporate Responses to HIV/AIDS: Case Studies from India
This report highlights key lessons learned from HIV interventions by Indian businesses, such as leveraging local partnerships, and strategies to keep track of highly mobile groups. Countering poor public health infrastructure, social stigma, and message fatigue are also discussed. The case studies of five private and public sector companies describe awareness, prevention, and advocacy interventions typically targeting contract workers, employees, truckers, and local communities. Key messages for those developing corporate responses to HIV are the need for early and decisive action, formal evaluation of cost effectiveness, and ensuring continuity of commitment and financing.
Workplace HIV/AIDS Peer Educators in South African Companies
This useful report concretizes the form and content of the work of peer educators. Based on key informant interviews and survey data from peer educators in five South African companies, the report explores such issues as remuneration, turnover and ongoing training, organizational and union support, opportunities for engagement with one another, competing “production pressures,” the tension between professionalism and activism, and the threat of too narrowly drawn definitions of a peer.
The Private Sector and HIV/AIDS in Africa: Taking Stock of Six Years of Applied Research
This report summarizes the findings of private workplace studies conducted in South Africa, Uganda, Kenya, Zambia, Ethiopia, and Rwanda. The authors looked at direct costs to employers (medical expenses, the recruitment and training of replacement workers) as well as indirect costs (absenteeism, reduced productivity). The financial impact of HIV on employers was driven by HIV prevalence in the workforce, the job level of those affected, affected employees' terms of employment, and industrial sector. Treatment of eligible employees with antiretroviral therapy at a cost of $360 per patient per year had positive financial returns for most but not all companies.
Managing HIV in the Workplace: Learning from SMEs
This report looks at management of HIV in the workplace, with case studies on experiences from six small- and medium-sized enterprises (SMEs) in South Africa. Three themes are highlighted: HIV risk factors (with length of service, lifestyle stability, and employees’ social environment outside of work found to be important determinants), best practices, and measuring the effectiveness of HIV programs. While SMEs are willing to dedicate resources to HIV management, they may lack the skills to sustain programs long-term. In addition to employer case studies, the report includes a literature review on the structure of South Africa's private sector, HIV risk in SME workforces, and the challenges of implementing HIV programs in the workplace.