This session focused on HIV Care and Support services in the workplace.

In Bostwana Impact Survey II (2004) on response to HIV/AIDS at workplace has reported that public sector organizations were doing a better job in responding to the HIV than the private sector (71% vs 35.1%). Quality of response is poor in the private sector with specific reference to STI/VCT referrals and condom distribution (TUKC202).

In Ethiopia assessment of 55 private companies revealed that none of the companies have HIV/TB program even though 90% of them have onsite clinics. This assessment has lead to an intervention involving public private partner partners among MOH, NGO & Private Sector and organization resulted in the formation of a National PPM-DOTS Agency (Private Public Mix, Directly observed treatment short course) which enabled development of national PPM-DOTS guidelines, amendment in public policy allowing private provision of TB services and deployment of TB drugs to private company clinics. Private sector involvement also ensured positive client uptake, minimal rate of default, and high prophylaxis and treatment rate. All these changes lead to improved life for many workers and their families (TUKC204).

In South Africa an assessment of  HIV/AIDS programs in police service indicated that  more than two thirds of police officials and half of police commanders have never attended the training. This is due to lack of leadership at different levels since some police managers do not see HIV/AIDS as their responsibility  and  see attendance at HIV/AIDS workshops as interfering with their duties (TU KC203).

In South Africa, ongoing second generation surveillance at work place has been demonstrated as a valuable tool in monitoring progress in HIV/AIDS programs at the work place and also in monitoring and ensuring safe sex behaviors among the employee at high risk.