A Toolkit for Workplace HIV Health & Wellness Programming in the ...

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Section 3: Taking Action: Building a foundation for mainstreaming HIV On Friday September 8, 2006, over 50 leaders from the local and regional tourism industry came together to pledge their commitment to addressing HIV/AIDS and Health & Wellness as part of this DFID Project. The culmination of this event was the development of a pledge and the commitment of 3 additional hotels (approximate 400 employees) to participate in the sub-project design workshops. From Pledge to Action SECTION 3: TAKING ACTION – BUILDING A FOUNDATION FOR MAINSTREAMING As a result of their pledge and the sustained commitment of the CEOs, management and nursing staff of the hotels and restaurants; several focal point persons have been identified and currently operate and staff volunteers in 17 hotels across 9 hotel groups throughout Barbados. In addition, support from influential project Ambassadors and active community partners have enabled these hotels, restaurants and informal tourism sector operators to actively participate in pushing back HIV within their tourism and community-based spheres of influence! So Focal points and health and safety officers (or any staff member who is intending to develop a HIV workplace programme) should remember as they start out that building commitment through initial marketing and mobilisation of decision makers is possible - simply start with you and your hotel CEOs and management. Good Luck! As you go through the next section and tools. If you follow the key notes and steps described, with your commitment and your partners you will succeed in pushing back HIV and its impact within your sphere of influence!! 22 A Toolkit for Workplace HIV Health & Wellness Programming in the Tourism Sector
THE NATIONAL HIV /AIDS SITUATION " The national prevalence of HIV in Barbados is estimated to be 1.6 %. " The first AIDS cases was reported in 1984 " At the start of the epidemic men who have sex with men were predominately affected. Today, there has been an increase in the number of women and selfreported heterosexual men infected with HIV. " Reports from the Ministry of Health indicated that in 2000, there was an equal number of men and women infected with HIV (UNGASS, 2008). At the end of 2007, of the 3408 cumulative HIV cases in Barbados, 2056 were male (1221 female and 131 unknown). " Most of the new HIV cases are acquired through heterosexual contact. " Men who have sex with men, sex workers and youth remain at high risk of acquiring HIV due to their sexual practices. " Younger persons are disproportionately affected, with 89% of infections occurring in the 15 - 49 age group. " The highest number of deaths occur in the 14 -29 age group. " The median age of persons living with HIV is 39 years old. " Although the number of persons infected with HIV has increased, there has been a significant fall in AIDS cases (and HIV related deaths) due to the introduction of antiretroviral treatment in 2001. " A 2003/4 assessment of HIV positive patients in Barbados receiving care showed that o 21% of the employed were from the tourism sector; o 15% from the agriculture sector; o 10% from the construction; o 8% from the finance sector; o 4 % from the civil services o 8% from the Manufacturing sector o 34% from the informal sector. • Low morale, vitality & mental health • Poor physical health rating • Self-stigma • Decreased economic & social productivity • Increased poverty & unmet needs INDIVIDUAL The Impact of HIV and AIDS on Society • loss of labor/ assets • loss of savings/ income • investment in kids • number of orphans • social capital • social participation and role models COMMUNITY • health spending • human capacity • fiscal capacity PUBLIC SECTOR • costs and benefits • absenteeism • productivity • worker stress • mental health • average service quality & customer experience PRIVATE SECTOR • investment • return on investment • growth • poverty & inequity MACRO ECONOMY SECTION 3: TAKING ACTION – BUILDING A FOUNDATION FOR MAINSTREAMING A Toolkit for Workplace HIV Health & Wellness Programming in the Tourism Sector 23
Page 1 and 2: !"#$$%&'(")$*"+$*&,%-./"012 0/-%(3"
Page 3 and 4: Table of Contents Acknowledgements
Page 5 and 6: Acronyms AIDInc. AIDS ARV BCC BEC B
Page 7 and 8: Introduction Welcome to the HIV & H
Page 9 and 10: WITHIN THE SPECIFIED H&S FRAMEWORK:
Page 11 and 12: The physical and mental stresses en
Page 13 and 14: Causes of poor physical health " Ch
Page 15 and 16: Focal Point This should be a key pe
Page 17 and 18: Section 2: Taking Action DESIGNING
Page 19 and 20: 3. Most importantly, partner if pos
Page 21 and 22: DECIDING ON WHICH ACTIVITIES WILL F
Page 23: Sample list of resource required fo
Page 27 and 28: KEY STEPS IN FOUNDATION BUILDING FO
Page 29 and 30: HOW DO POLICY GUIDELINES HELP? Thes
Page 31 and 32: GUIDELINES FOR PLANNING REMEMBER TH
Page 33 and 34: Perspective 1: Preventing Negative
Page 35 and 36: 2. Prevention, Education and Behavi
Page 37 and 38: 9. Advocacy and Leadership " Busine
Page 39 and 40: D. Monthly Staff meetings ! HIV/AID
Page 41 and 42: VCT at hotel health fairs in partne
Page 43 and 44: A typical example of the main compo
Page 45 and 46: Schematic of the Government and Com
Page 47 and 48: Taking it to the streets It will be
Page 49 and 50: GLOSSARY OF TERMS YOU NEED TO KNOW

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