HIV workplace programmes work! Impact assessment of the SHARE programme
J. Laporte1, O. Doherty2, B. Shahandeh2, S. Shekhar3
1International Labour Organization, ILO Programme on HIV/AIDS and the world of work, Geneva, Switzerland, 2International Labour Organization, Geneva, Switzerland, 3Sambodhi Research & Communication Pvt. Ltd., New Delhi, India
Background: The International Labour Organization (ILO) has implemented the SHARE (Strategic HIV/AIDS Responses in Enterprises) programme with funding from the US Department of Labor and PEPFAR in 24 countries. It has partnered over 700 enterprises and reached more than a million workers building on social dialogue and the active involvement of ministries of labour, the private sector, unions and networks of PLHIV. Its aims are to change behaviour, overcome discrimination, and keep people at work. Its strategy focuses on interventions at the national, workplace and individual levels.
Methods: The programme has established a strategic framework and Performance Monitoring Plan (PMP) for evidence-based learning. Baseline and end line surveys were undertaken.
Key findings among workers:
Key findings at the enterprise level:
- increase in the use of condoms (e.g. 33.8% increase in Sri Lanka and 25.1% in India);
- increase in awareness of HIV (e.g. 66.5% increase in China and 39.3% in Sri Lanka);
- increase in non-discriminatory attitudes towards HIV-positive co-workers (e.g. 79.1 % increase in India and 66.1% in Cameroon); and
- increase in workers who identify at least three components of their workplace HIV/AIDS policy (e.g. 60.7% in Sri Lanka and 53.1% increase in Belize).
- increased quantity and improved quality of workplace policies (by the end-line survey 88% of enterprises included VCT promotion as a policy component);
- increased budgetary commitments (by the end-line 47.6% established a specific budget and 77.7% allocated official working hours for HIV/AIDS programmes);
- improved services (by the end-line 90.9% provided HIV/AIDS education, 77.9% made condoms available, 87.2% offered VCT information, 82.1% offered care and support information, and 86% offered STI treatment information).
The project results show advances at the national policy level, increased availability of services within enterprises and reduced risk behaviours among workers.
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