Integrating HIV/AIDS in occupational safety and health programmes: the Costa Rican experience
A.C. Ramírez Abarca1, A. Torriente2
1International Labour Organization, ILO/AIDS, San José, Costa Rica, 2International Labour Organization, ILO/AIDS, Geneva, Switzerland
Issues: Costa Rica has successfully incorporated HIV/AIDS in occupational health and safety programs through the development of a national guideline: “Prevención y Abordaje del VIH en el Mundo del Trabajo.”
Description: In 2009, a multi-sector process was undertaken in Costa Rica by the National Council of Occupational Health and Safety and the International Labour Organization, with the Pan-American Health Organization's support. This resulted in the adoption of a national guideline requiring the inclusion of HIV/AIDS in workplace occupational health and safety (OSH) programmes. Amendments to the national AIDS legislation and Labour Code, inspired by the ILO Code of Practice on HIV/AIDS incorporated fundamental principles into OSH programmes, including: non discrimination, access to information, prevention, relevant health services at work and post exposure prophylaxis availability. A participatory process with OSH committees and HIV/AIDS nongovernmental organizations led to the establishment of a human rights framework which mainstreamed gender equality and sexual diversity.A toolkit was created to facilitate the guideline's implementation at the workplace. The toolkit assists OSH committees in designing and implementing effective HIV workplace programmes.
Lessons learned: Integrating HIV/AIDS in OSH programmes through a mandatory guideline is a sustainable way to tackle HIV/AIDS issues through workplaces. OSH structures at workplaces rely on a bipartite approach involving employers and workers that improves buy-in and implementation. These structures also have knowledge of the specific needs of the particular workplace, which facilitates tailoring programs to specific groups of workers. They operate within the framework of national OSH laws and regulations.
Next steps: An effective periodic monitoring and evaluation system will be put in place. Information gathered will be taken into account in national monitoring and evaluation.
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