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HIV/AIDS IN THE WORKPLACE

HIV/AIDS IN THE WORKPLACE. Saturday December 27, 2008 Iwo, Nigeria. presented. by Dr Olugbenga Bejide Occupational Health Physician & Medical Adviser. COVERAGE (I). Introduction Why HIV/AIDS in the workplace Modes of HIV/AIDS transmission Universal Precaution

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HIV/AIDS IN THE WORKPLACE

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  1. HIV/AIDS IN THE WORKPLACE Saturday December 27, 2008 Iwo, Nigeria

  2. presented by Dr Olugbenga Bejide Occupational Health Physician & Medical Adviser

  3. COVERAGE (I) • Introduction • Why HIV/AIDS in the workplace • Modes of HIV/AIDS transmission • Universal Precaution • ABCD of prevention

  4. COVERAGE(II) • Basic Fallacies & Basic Facts • Strategies for workplace response to HIV • Social dialogue • Prevention & Control of HIV/AIDS • Summary & Conclusion

  5. HIV & AIDS • HIV Human Immunodeficiency Virus • AIDS Acquired Immune Deficiency Syndrome

  6. A LITTLE PAUSE……. What will be your reaction if you tested positive to HIV?

  7. SOME STATISTICS…… • Sub-Saharan Africa accounts for about 2/3 of PLWHA in the whole world • Apart from India and South Africa, Nigeria has the largest number of PLWHA in the entire world • Cross Rivers State, Benue and FCT are most affected while Ekiti, Osun and Jigawa are the least affected states in Nigeria

  8. WHY HIV/AIDS IN THE WORKPLACE • Huge impact on the workforce (80% of the prime age affected) • Workplace a good place to tackle HIV (80% of wake hours spent at work) • Employers and trade unions are leaders

  9. COMPARING HIV WITH.....…. • Hepatitis B • Influenza • Cholera • Diabetes mellitus • Hypertension

  10. ABCD OF HIV/AIDS PREVENTION • Abstain • Be faithful • Correct and consistent condom use • Drug therapy (if indicated)

  11. HIV/AIDS PREVENTING LIFESTYLES • Avoiding casual sex • Use of personalised clippers • Use of sterile needles, blades & other sharp objects • Avoiding unscreened blood transfusion • Correct consistent condom use

  12. MODES OF TRANSMISSION • Sexual contact • Unsterile needles, blades and other sharp objects • Unscreened blood transfusion • MTCT mother-to-child transmission

  13. UNIVERSAL PRECAUTION • Condom use • Careful handling of body fluids • Non-sharing of barbing instruments

  14. SIGNS AND SYPMTOMS • A prolonged fever of more than 1 month; • Diarrhoea (loose watery stools) for more than 1 month; • Significant weight loss (usually about one-tenth of the person’s original weight). • Others include persistent long standing cough, recurrent skin infection, enlarged lymph gland, etc.

  15. BASIC FALLACIES • Spiritual attack • Slimming disease • Virgin cure • Associated with promiscuity

  16. BASIC FACTS • It is real! • Preventable • Treatable • Not curable

  17. TRANSMISSION OF HIV

  18. PROGRESSION OF HIV In Adults: this depends on body composition, in some adult, it may take up to 10 years while some may develop AIDS within 2 to 3years and die. In Children: it is more rapid because opportunistic infections such as malaria, diarrhoea or acute respiratory infection may lead to death.

  19. ORGANISATIONS INVOLVED IN HIV WORKPLACE POLICY • WHO • ILO • UNAIDS • PEPFAR • GFTAM • FML • NACA

  20. STRATEGIES FOR WORKPLACE RESPONSE TO HIV/AIDS • Prevention • Impact mitigation • Care and support

  21. PROTECTION FROM STIGMA, DISCRIMINATION & EXCLUSION • No obligation for employee to disclose status • No stigmatisation or discrimination for workers • No denial of welfare scheme to affected workers • No exclusion from health insurance • No termination of job on the basis of status

  22. GENDER EQUALITY All workplace policies and programmes on HIV/AIDS should be gender-sensitive in recognition of the differential vulnerabilities of women and men

  23. RIGHTS OF JOB SEEKERS • HIV screening shall not be required of job applicants or persons in employment • Confidential pre-test and post-test counseling services shall be made available to workers and their family members who voluntarily request for HIV testing

  24. CONTINUATION OF EMPLOYMENT RELATIONSHIP • HIV or AIDS shall not provide a basis for the termination of employment

  25. PREVENTION & CONTROL OF HIV & AIDS • Provision of effective workplace HIV/AIDS prevention education to all workers • Extensive VCT campaigns • Need for care and treatment • Eliminating stigmatisation and discrimination • Collaboration with governments, NGO, CBO, FBO and other stakeholders

  26. Fig. 2. ADULT HIV PREVALENCE TREND

  27. Fig. 3. TRENDS IN STATES PREVALENCE OSUN STATE

  28. BENUE STATE

  29. KADUNA STATE

  30. DELTA STATE

  31. ENUGU STATE

  32. BORNO STATE

  33. SUMMARY AND CONCLUSION A successful HIV/AIDS workplace policy and programme needs cooperation between workers, employers and governments

  34. TAKE HOME Determine your status TODAY

  35. THANK YOU FOR LISTENING while hoping you will get yourself tested TODAY!

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